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HomeMy WebLinkAboutPermit Electrical 1998-3-23 r/ "'!.he followin " ZonlnQ. ~ ~ ~ O~ ?.... ~V ~ ~ \9,0; [C Oa1.y.,/~--'~ ~..~ ~ ~ ~ Autholtwd SlgnaIure f\ rv'\ 1. ~t ~, ~; ? ,lot, ~ ". 225 FIFTH STREET ~ "'tl .~" ~ ELECTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 ~j. ~ ~ "<<- INSPECTION REQUEST: 726-3769 ~ % , ~ Ci ty Job Number 91() & 1- (- OFFICE: 726-3759 ~ \9 ~ ~ l:b '\ l@. ~~OHPLETE FEE SCHEDULE BE LOll 1. LOCAT~p~, OF rnSTA!,J,.ATION . ~_ ~ /; 0l.2.K5 (Vl?f41WPiL. ~, -o~f\~ Residential-Single or . U' ~K~,ebUS) ~ ~u44-Family per d...elling unit. u:c;.AL-,B~CR,IJ'UQNO '1000 '-0. S'.lJJ;\l'l.fe Included: I I )..S)UD ok ::s> O/- Items Cost Sum #dflJr~~ /IUJA} {. I:b-O? i- \1ermits are non-transferable ank expir0 '1S if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor L.R. Brabham. Inc. Address 68 West "Q" Street City Springfield Phone 747-6638 Supervisor License Number Expiration Date 10/01/98 Constr Contr, Number 08699 14735 Expiration Date 12/18/98 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home,or Hodular, 'Dvelling' Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps f 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 (p(), U<J $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Si~ of Supervising Electrician } ~ .- ~/d ,-4~ Ovners Name k t~C!- ~ DIls Address lb'6 5 (DflA1M1~ S/JL- . City 6 fJ1rtA ' U p~one 7Jtfo ~ 50/t/- Ol/NERv INSTALLATION ( If 1(A!,itlc.1u ) The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovner~Signature: ... . --------------------------------------- DATE: RECEIPT I: RECEIVED BY: '3-:;;)~-<'! " eJ..tY,77" 4G<.c ) 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Ne.... Alteration or Extension Per Panel " One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Camm $ 36.00 5. SUBTOTAL OF ABOVE htJ( tJO 5% State Surcharge .~ , flO 3% Administrative Fee . (: i~ TOTAL ..fi2.!t.Jlfl