HomeMy WebLinkAboutPermit Electrical 1998-1-28
.
the following projec:l88 eubmIlled hea tho
,"nlng, and doee not require apeoillD Illnd lIIIEl
.p~rovaJ,
ZoninQ H-;;-
225 FIFTH STREET Dale / - Jr "9~
SPRINGFIEW, OREGON 97477 -
INSPECTION REOUEST: 72'll "_rIIJ;.1 SlgnaIun> 11 rYI
OFFICE: 726-3759
ELECTRICAL PERHIT APPLICATION
N.y Job NUlDb~r ().f\Drp2D
3. COHPLETE FEE SCOEDULE BELOV
1. LOCAJ;~N OF INST#LATION
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.,JO~j.DESctqj!'1:I,l!N
'Bf)J[~r.tp. (fi/HJMJ/1L;:~--.I
~0~1 Permits are non-transferable and expire
'1- if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.R. Brabham, Inc.
Address 68 'West "Q" Street
. A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Sum
Cost
Items
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home, or
Modular, 'Dvelling'
s~e or Feeder $ 40.00
B rH~",. l~~. F d
, .' ~,er"~lts or ee ers
~ri~tal~atfon. Alterations
C~r 'R!!l'oca t%n:
"141; '-<:0 ''1((.
4~k ~v,..,~ UJ\t^ c-/'A
:rOO alrip.:sOoi'-'~~s 7.9CL $ 50.00
201C4P'Bs "'i:'~, 400'iiMP~ $ 60.00
401 amii$'~!...o:toll:amp~ 1,,$100.00
601 amps tl6! 16~~9W '.!...Ls!...... '1'1lS130.00
Over 1000 amps/vorfSlk~ -'VO.,. $300.00
Reconnect Only VI)' $ 40.00
Jz!2JJ!O
City Springfield Phone 747-6638
14735
Supervisor License Number
Expiration Date 10/01/98
Constr'Contr, Number 08699
C. Temporary Services or Feeders
Installation, Alteration or Relocation
12/18/93
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps 01' 1000 volts see "B" above
Expiration Date
Signature of Supervising Electrician
~..'" L ~
Ovners ~e '/(1. ~ t?U'US
Address ~gZS cPlv. ~ *,
City 5.jJ~"tII14p. p~one 7;J(p:r $6/'1- )
OVNER INSTALLATION (teti4dIJeJte,
~
D. Branch Circuits
.'
Nell, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder 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.
S 40.00
$ 40.00
$ 20.00
$ 36.00
Ovner~signature:
'.. .
DATE;~--------~~~---------~
RECEIPT .: ,,\ 11 ~)...... \
RECEIVED BY: ~\\~
,-
&&,00
=1 '/1 (J
/.'.(0
& lj-,;g{)
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL