HomeMy WebLinkAboutPermit Electrical 1999-12-20
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'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"~~
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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,-
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