HomeMy WebLinkAboutPermit Electrical 1994-3-28
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225 FIFTH STREET The, following project as submitted haa~ICAL PERKIT APPLICATION
SPRINGFIELD OREGON 97477 ze-nlng, and does not require specific land use OWIng . Cffrm:;
, approval.
INSPEClION REQUEST: 726-3769 11...,-- City Job Number
OFFICE: 726-3759 Zoning H' .J- L--
D.le1f--U -0 L( 3. COMPLETE FEE SCHEDULE BELOV
1. ,.-J..p,C/LTIOJil,PF INSTALLAJ~tj"." .
-L21XX,? tJJ/lJ/J1.J//fI-.. ~Or!z.d Signature-!l.' Vfi..v Residential-Single or .
~ Multi-Family per dwelling unit.
!f)~1'~ONO&'::rQ) Service Included: Items Cost
- (
/.'" JOB DESCRIPTITI'
J..NtjTr;J,.( f/f'J6D r.,{1~
~lr
,Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACfOR INSTALLATION ONLY
. Electrical Contractor L.R. BRABHN4, INC,
Address 68 W.
"Q" 5T
.,
Ci ty 5PFLD
Phone 747-6638
Supervisor License Number 14735
Expiration Date 10/1/95
Constr Contr. Number
08699
Expiration Date 12/18/94
'.
Signature of Supervising Electrician
2L'?t~ /f &~
Owners Name lA/rJidm ~III<-I
Address JZZ5 ()LU-(}?p~
City t!?ftIrtIf a p~one 7~' so/t.)
_ Ii
OVNER INSTALLATION
The installation, is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
. ~ATE: -----~- n~ ~jE~Lff---~-------
RECEIPT I: Qy' )" ,I)( .r; ~
RECEIVED BY.;- /)0 -
'---
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
, Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or.l000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel'
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 55.a:?
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
35,OD
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