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HomeMy WebLinkAboutPermit Electrical 1999-12-20 . .1 . .~ '. ." 'NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ~THORIZEDUNDERTHISPERMITISNOT, - 225 FIFTH STREET ~' e fM~~~IS\Il1ilIllNlil~cffi~CAL PERMIT APPLICATION SPlUNGFIEW, OREGON 97 VaJ~ODAYPE~?[i)e specific land use " ' .--- INSPECTION REOUEST: 72 (j, . . Ci ty Job Number ..., c;' I I '3> S OFFICE: 726-3759 on'"g Y , , Date / - tJ -"l , COHPLETE FEE SCHEDl1LE BELOV l"7dfJCAPr~OF INST~~d Signature . 0I15D5!YJ nvt:ICL.- (. ... l-':-.' \l.a$idential-Single or , I Vl:nt-t, ';;>U /71AL Hulti-Family per dvelling uni to LEGAL D SCRIPTION .~', Service Included: I, 0 '2.. '? 0 ~ /') 0 d-O"D I " Items Cas t Sum o JQB Dj:SCRIPTIOti . tnt /J /1 AA ,,~~ _ d<lIlA+rUf. fA)fAU/yWJ, Vh.. ~iiJVW"~~ ./ (ji; I ,~~~ Permits are non-transferable and expire . n/]uJ if vork is not started vi thin 180 days ! VI of issuance or if vork is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY . Electrical Contractor L.R. Brabham, Inc. Address 68 'West "Q" Street City Springfield Phone 747-6638 Supervisor License Numb~r 14735 Expiration Date 10/01/01 Constr Contr~ Number 08699 Expiration Date 12/18/a:> Signature of Supervising Electrician ~ L g./L- o~ners~ l/tJlh~P~ 71M..- D. Address O? ~ZS ~ . Ci ty S fI1t.tA . Phone 7U> . CSo I 'I OVNER'" INSTALLATION ~ The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovner~s~gnature: -, ". . DATE: l?.- :to - C, 9ll~ RECEIPT I: \ ,:Adf6 0 . RECEIVED BY: ~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Hodular, 'Dvelling' Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 4b.00 , $ 50.00 fj), '.- $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders, Installation, Alteration or Relocation 200 amp~'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits Nev, Alteration or Extension Per Panel .' One Circuit $ 35.00 Each Additional Circuit or vith Service /1 or Feeder Permit ~ $ 2.00 2,~D E. Hiscellaneous (Serviceifeeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5.SYBTOTAL OF ABOVE j1~ State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 52,- ~J)!J lj,~~