HomeMy WebLinkAboutPermit Electrical 1996-2-28
, .. .
The fo (owing rOltll... tt~ tiu IIIIUVI,o ......... ...... ,....
zoninu. and dOG3 not roqulre apectfic land UJ;:
approval. .
Zonin;> l rY\ :r- ELECl'RICAL PEIuar APPLICATION
Qj.2Zft~ City JobN1JlJlbe/0 &Od.-1 t..f
, ~ .
Authorized Slgnaturo /1
,,"u"rw.u~ u.l:o ~CIlEDULE BELOV
,.
I
11{16{81 15:48
U5n 728 3889
-e.
'225 FIFtD STREET
SPRINGFIELD, OREGON 97477
INSPEcrION MOUE'Sr: 726-3769
OFFICE I 726-3759
1. LOCATION OF INSTALLAtION
3125 OLYMPIC, SPRINGFIELD, OR
LEGAL DESCRIPTION
.J.:2.Q ~.4 n 11(')
JOB DESCRIPTION
REPAIR SERVICE TO HOUSE
I
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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.R. Brabham, Inc.
Address 68 Wes t "Q" Street
City SprinQfie1d,
Phone 747-6638
14735
Supervisor License Number
.
Expi;etion Date 10/1/96
Constr Contr. Number 08699
12/18/95
Expiration Date
Signature of Supervising Electrieian
;;4. -, L .A~
- /"
Owners Name ROSS STEEL
Address 3125 OLYMPIC
City SPRINGFIELD
thone 747-9121
OllNER INSTALLATION
The installation is being made on
property lawn vhich is not intended
(or sale, lease or rent,
.
Owners Signature I
DA~E;-~~-~~C1~-----~--------~-
.\~t.~t'l' If: L -H.-l ).,.,?; ._
RECEIVED By: f.J. Infl ~oUl
. __._...._..__ +u +
.
SPFD IlEV.SER.
JiJ 002
.
A. Nev Residential-Single or .
}IOlti-Fll'lllly per dwelling unit.
Serviee Included I . .
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
ther.eot $ 15.00
Each Kanuf'd"Home or
Hodular Dwelling
Service or Feeder $ 40.00
B. Serviees or Feeders'
Installation, Alterations
or Relocationj
200 amps or less I $ 50.00 50/00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/vOlts $300.00
Reconnect Only $ 40.00
C. Temporary Services or I'eeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or lOOu vo.lts see liB" lIoove
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Eeeh Additional
Circuit or vith Serviee
or Feeder Permit
-
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Eeeh installation .
Pump or irrigation $ 40.00
Sign/Outline Lighting----- $ 40.00
Limited Energy/Res ----- $ 20.00
Limited Energy/Comm _____ S 36.00
5. SUBTOTAL OF ABOVE 50.00
5% Stllte Sureharge ~.~U
3% Administrative Fee . 1.5U
TOTAL :;4.00