HomeMy WebLinkAboutPermit Electrical 1995-8-7
. 11/18/9. IG:.O
UG03 720 3089
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SPFD (lEV.SER.
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Zoning
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225 FIFtH STREET
Sl'lIINGFIEIll, ORF:GON 91477Jct.) ~ 'L-$
INSPEctION REQUEST: 726-3169 ,.tu.._
OFFICE: 726-3159 A",,,,,,,zod Signatur... 1J ~
3. COMPLETE FEE SCHEDULE EELOV
1. I ~OCATI~F INSTALLA'flON
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LEGAL DE CRII'TIQN
I Y/ D'h1diJJ1 I~cwn
J(lfdP ,3~~~l.,ONk'€Mt'hf~ /!-.lJb
/J-.{) IJ( T7 t/ IJ IH- . "
Iterm ts are non-transf~rable and expire
if work is not started.within 180 days
t t.1.7 of issuance or if. \lork is suspenlled for
fJ0'-J 180 days. .
2. COtrl'RACTOR INSTALLATION ONLY
Elect[i~al Contra~tor L.R. Brabham, Inc.
Address 68 West "Q" Street
City Sprinqfield,
Phone747-6638
K
Supe~visor License Number 14735
Expiration Date 10/1/95
Constr Contr. /lumber 08699
Expiration Date 12/18/95
Signat.ure of Supervising E~ct:)~
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Owners NL t11~1I11J lYu'uiLttv
Address /~O(p (!)~I /
Ci ty -:7 (MId. u l'ho:e 7 tfb.' icf1!:'
OllNER INSTALLATION
The installation is being made on
property I Olin which Is not intended
Cor sale, lease or rent.
.
Owners Signature:
~~~;;------~~/7~CfZ;r/' -----~--------~-
. ~.~..U'l. II: {}I ~ to I( ~D-- /
RECEIVED BY: 1'1 \2.J1J.?-
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" ........-- .... . . .
HLECTRICAL PERHIT APPLICATION
Cf ty Job. NWIlber C19~tt1
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
l
C. Tempou.ry Se[vi~es or I'eeders
Installation, Alteration or Relo~ation
200 am~$ or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or lOOu VOlts
n. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" soove
Nev, Alteration or Extension Per Panel
One Circuit /
Each Addi tional
Circuit or vith Servi~e
or Feeder Permit
$ 35.00 35,tJD
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
S% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ ~O.OO
$ 20.00
S 36.00
35,01) ;
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