HomeMy WebLinkAboutPermit Electrical 2000-11-20
, b 'tied has the following
The following project as su i~~ specific land use
"."P!~ b.1l0 ooes not requ
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Zoning
SPRINGFIELD, OREGON 97477 /(-10 - t:f1) ,
INSPECTION REQUEST: n~3769 "a-<uJ
OFFICE: 726-3759 "",,,or...O S'gnature ' 1
3.
225 FIFTII STREET
1. LOCATION OF I STALLATION 1/1 I pC '\
IG\\ . U ' ,~.)
CJO<.fl-=
! /1/g ~XIiAM.dhoad'l-&
pert?~e non-tr ns e a e'and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
LEGAL DES PTION
I ~O J 0 3> ( I
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorL.R. Brabham, Inc.
Address 68 West nQn Street
Ci ty Springfield
Phone 747-6638
Supervisor License Number 14735,
Expiration Date
10101/01
08699
Constr Contr. Number
Expiration Date
12118/00
Signature of Supervising Electrician
::/' .' df'~
Owne-rs Nati a./!id~
Address SOD! ~tiLJM_
Ci ty~,t.-Ue. q7~~hone So3!t,CjJ., 7/ J.,).,
OVNri INSTALLATION / tvu~
The installation is being made on
property I ow~ which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 1/ l-C> o-C
RECEIPT U: 5l{Z~
RECEIVED DY: ~(Z
~LECTRICAL PERMIT APPLICATION
C,i ty Job Number CO - 01 b'1/ -0 I
COMPLETE FEE SCITEDULE DELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 SQ. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
,D.
Services'or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps --L--
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
S100.00
S130.00
$300.00
S 40.00
~
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
S 55.00
S 80.00
see "B" above
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Add it i onal
Circuit or vith Service ___
or Feeder Permit /h S 2.00 3.1?,
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7 lI% State Surcharge
3% Administrative Fee
TOTAL
not included)
S 4(b00
S 4~00....
$ 2<k,@5'5
$ 3~Qq ffi
-F.' % :;
I 1'J~8
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