HomeMy WebLinkAboutPermit Electrical 1998-3-23
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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