HomeMy WebLinkAboutPermit Electrical 1998-1-28 (2)
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The following project as 8UbmIlted Ilea
F-.lng, and d008 not require ____landthelallowtng
arJfJroval. .......- U80
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225 FIFTH STREET
SPRINGFIELD, OREGON 97flrf -
INSPECTION REQUEST: 7~SIgnaIun,
OFFICE: 726-3759 _ .
ELECTRICAL PERKIT APPLICATI~
Ci ty Job Number C\l't'l In I.I
nM
3.
COHPLETE FEE SCHEDULE BELOII
1. jpCATIOP OF INSTALLf.TION
~%F5 (JlX.JAM1"UL_~' . A. New Residential-Single or
~ I itrDl<jl/.C!.../fLOiLS) Hulti-Family per dwelling uni t.
\^~~~ 'Service Included:
\ d)( ) , .~d Items Cost
!ft>>/Lt-tp Ril[D~'11~ WtJ/rslJ~ SI11!iU<tU:J/;?eK mUlL ,,/!;W5
JOB DES PIlON 1000 sq.ft. or less $ 85.00
E'1:.h/1tlSrFI/AJ (fM/) c .; - ./tt3tKIHIG5, .17,( SilllJl1tJlb/ mR Each additional 500
/Jl1-m,ete u;arcre,I.IhIG if/tV. (!h?1/tfes'5<J~,. sq. ft or portion
Fermits are non-transferable and expire thereof $ 15.00
~if work is not started within 180 days Each Manuf'd Home. or
~16rPt- of issuance or if work is suspended for Modular, 'Dwelling'
180 days. Service or Feeder $ 40.00
68 West "Q" St t
Addressree A. 200 amps or less
(~ 201 amps to 400 amps
City Springfield Phone 747~~~;~/('A 401 amp's to,600 amps
, .' "f/ J,'r - iu~~ ..... 601 amps to 1000 amps
Supervisor License Number c>~7 .1l?nh 'i1h Over 1000 amps/volts
10/01 /..A., -''1'4,f~ )~<:- . ~\ Reconnec t Only
Expiration Date ';/j'Yy,. ij.-". '0(, ~((
v"<2, ...:O~ '~.o~ cf'.rA Temporary Services or Feeders .
Constr Contr. Number 08699 "'i ,,"0".., i9~ '~tallation, Alteration or Relocation
'.{& v.s-A ~~
Expiration Date 12/18/98 '.....} ~.ta ~'i "or less $ 40.00
O.t~(j~~ ~l.o 400 amps $ 55.00
Signature of Supervising Electrician &ki ~''to 600 amps $ 80.00
\{ ~..At!! ~ Ov~t9 6~ amps or 1000 volts see "B" above
r- D. Branch Circui ts "
Owners ame !<'Rl, tIJ()S .
Address d:6&S (p~k- ~ '
CityStJ~Ld liJ p~one701b'~{) 14-
I ,V~I ./.\
01lNER INSTALLATION C R. tM<.. WfW2:I
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.R. Brabham, Inc.
,B. Services or Feeders
Installation, Alterations
or Relocation:
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
New, Alteration or Extension Per Panel
I
$ 35.00 3'5.0D
One Circuit
Each Additional
Circuit or vith service!, '7.'/ &l
or Feeder Permit ~ $ 2.00 ~1h
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 own which is not intended
for sale, lease or rent.
Ovner~S~gnature:
DATE~-------tt6 . L.( 'R'-- ~ q,\ ~ 0--
RECEJ.l'T .: J , O"~ -
RECEIVED BY: t; \ lk)O... ---
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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