HomeMy WebLinkAboutPermit Electrical 1990-9-25
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tJ~c.fiUd [)e.. ELECTRICAL PERKIT APPLICATION
97477 :; '1N77, q D j / rr1
726-3769 City Job Number 0 I
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
'OFFICE: 726-3759
1. LOCATION OF INSTALLATION
3436 Olympic
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JOB DESCRIPTION
Install new panel & connect new parts wash-
1ng maCh1ne:
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 1 O~D West "Q" Street
Ci ty Springfi e 1 d Phone 747-6638
Supervisor License Number
14735
Expiration Date
10/1/92
8699
Constr Contr. Number
Expiration Date
12/18/90
Si~f ;;.rVi':;Zan
ovmlf. INSTALLATION
Name
Address
City
Phone
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~\
--------~----------------------------
DATE: Vf'/~ qD
RECEIPT #': J Q :?/. y
RECEIVED BY:_M.L1Jj-~
3. COMPLETE FEE SCHEDULE BELOll
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf;~ Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 35.00
B. . Services or Feeders (10 Branch Circui.ts
included). Installation, Alterations
or Relocation:
100 amps or less $ 35.00
101 amps to 400 amps $ 60.00 OU.UU
401 amps to 600 amps $ 80.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 35.00
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 1000
$ 35.00
$ 40.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
..
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
60.00
3.00
63.00