HomeMy WebLinkAboutPermit Electrical 6-8-1
,11/18/9. 1&:46
fi'S03 726 3689
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SPFD DEV. SER,
IaJ 002
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'225 FIFtH STRE8T ' ' Zoninp +-t~ 'l. . ,
SPRINGFIElD, OREGON 97477 Dete.lL/. tJ fL ELECTRICAL PERHIr APPLICATION
~:;~0~2~~~~T: 726-~rtz&dStgn'ature 7W) City J~b'NW4be'r.Q.W OLf 3
3. COMPLETE FEE SCHEDULE BELOV
1. II LOCAT~O~ QF .L!NSTALLAtION
'i Ie; JlIl t L.L, ':71 R. ee- I
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1~~550N nqq~O
, . ,JOB DESCRImON / IA
4b ..EJ ,Y.t..7J!tl-e.- <;;;u, VI t& 0'/ /11II~E::
tP ~ 7 Permi ts ate non-transf~rable and expire
if work is not started'within 180 days
of issuance or if. work is suspe~ed for
180 days.
2. 'CONTRACTOR INSTALLATION ONLY
Electri~al ContractorL.R. Brabham,
68 W~st ,IIQ"-St~eet
Address' ,
City S pr i ng f i'e 1 d Phone 747-6638
SU,Per..visor License Number ..2. 473 S
Expiration Date
Constt Contr. Number
10/1/96
08699
12/18/96
I
Expiration Date
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Signatute of Supervising Electrician
Vi #".L? .//4.-
/./'~A'~~
Ovne~$ ~e mike /-lftJ$/
Add ress tfJ. (), bO'f.- ! / h () A
city eU!t&~ Phone 4~4' J :7JO;A.
I
OWER INSTALLATION
The installation is being made on
property I own vhich Is not intended
for sale, lease or tent.
,
Ovners Signature:
DA~;;---'t;-~~1-~l~~.--~--------~-
RECEI PI .: f) ex 1,.1-/ (l ,
RECEIVED BY:'- ~~
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A. Nev Residential-Single or ,
Multi-Family per dvelling unit.
Service Included. .
Items
Cost
Sum
1000 sq. ft. Or less
Each additional 500
sq. ft or portlon .
thereof
Each Kanuf'd'Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
S 40.00
B. Services or Feeders'
Installation, Alterations
or Reloca tion.:
Inc.
$ 50.00 So.,;B
$ 60.00
$100.00
$130.00 .
- $300.00
$ 40.00
200 amps or less /
201 amps to 400 amps -----
401 amps to 600 amps '
601 amps to 1000 amps
Over 1000 amps/volts
Re~onnect Only
C. Temporary Services or Feeders
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 1000 Volts see "B" above
D. Bran~h Circuits
Nev', Al teration or Extension Per Panel
One Circuit
Each Additional -----
Circuit or with Service
or Feeder Permit
S 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation .
Pump or ltrieation
Sign/Outline Lightlng~
Limited Energy/Res .
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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