HomeMy WebLinkAboutPermit Electrical 1999-9-3
225 FIFTH STREET _. ".' \'", "IELECnucM. PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 ,M .~\ '~aclN"<'11b\!''1C.'r,' ,~' "
INSPECl'ION REQUEST: 726-3 769)~;?~ ;,UI~ren." 1 hU~': .. ,,' Ci ty, ,J,ob, Number r1/ '].../J
OFFICE: 726-3759 '\\01' h..a 10 '~(' l~"\'[\ "",)Ul',' 'f\" ',;,wu, "
- 10 OI\H 952- J ,. :' 3. ' "COMPLETE' FEE' SCHEDULE BELOV
1. LOCATIO>>' OF lN~AL~l'IONI0'30, you may,,~~~~:';~~o;~, k u:~. ,:I~,3,
/).7.QD riDM;,A:{,~~~. calling thZ Cu( L:A-:;N~v,Resideri\(ial-Single or
. -li....'.=-r -io/urnpUJ1rlfflJ11W/JfR.T1tJ-if) Hu.1.t~-Fa'mily per dvelling uni t.
LEGAL DES<:RrPTldN ~I . ".,,' SerVlce Included: '
Items Cost Sum
-rJOB,DE~PU:VT}:~~AAJ"AA 'L J 1000 sq.ft. or less
L J.1..~tw. TJ!L,vvvn,vr<-. 5IAJWUt Each additional 500
U. sq. ft or portion
Permits are non-transferable and expire thereof
if york is not started vithin 180 days Each Hanuf'd Home. or
of issuance or if york is suspended for Hodular."Dvelling'
180 days. NOTIC!::Service or Feeder
2. CONTRACTOR INSTALLATION ONLY THISB'ERrSet5+iA~E:tl~IRB!!~@@NORK
El '1 C L.R. Brabham, IncNJTHORlimor ~O\eJ.-li otMca.tgiof!;tnP..~1i'StJ&s
, ectnca ontractor ' l(i!'t'0'1
, COMMENCED OR IS ABANDONED FOR
Address 68 'West "Q" Street ANY180DAl:lQ>~.or less I
. 201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
lJ'l.f7
~4-11
Springfield Phone 747-6638
City
Supervisor License Number 14735
Expiration Date 10/01/0J
Constr Contr~ Number 08699
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50. --
C. Temporary Services or Feeders,
Installation, Alteration or Relocation
Expiration Date
1 2/18/ ro '
Si~at}Fe of Supervising Electrician
~_. / A'~
ov~ers Na:et7z:t(tq~. UJ..t{), rp D.
Address 1//0 J:f1~JiA;~
Cit~q7~4- Phone u,g~ .g6oo
-~INSTALLATION
200 amp~'oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 voJ.ts see "B" above
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hiscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~~~gnature:
'.. .
---------------r:~------
DATE: q /3/'19
RECEIPT I: II O:55"SlLf (,
RECEIVED BY: ,(Ii wA4..oll
5. SUBTOTAL OF ABOVE
7~ State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5tJ. -
~50
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