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HomeMy WebLinkAboutPermit Electrical 1992-8-26 (2) ,.. -~ SI'fnNCr-'fZ'. ~ , . ' '-~m~~;rifr4n;'6Rd~; ~t9~;g~a~^mbTldh.F~lid~ ~ Rd. go approx. 1/4 li1'r~tlcfiiWlI:M~w,A . . 225 FIITH STREET into "fiel'd service pole 'I:~CTiuCAL PERMIT APPLICAT04-ION SPRINGFIELD, OREGON 97477 CoapRrox. l/2mTte- _ . (1(\ \\ INSPECTION REQUEST: 726-3~~~ ~~ City Job Number ~~\ OFFICE: 726-3759 'C.'l/:c;i s;!)n:-:,..~ . " -3-:-COHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION * se~ above A. New Residential-Single or ~~';i ,u"owlng project as sublmil,~tiiIIIl9!fJ.;r: Der dwelling uni t. LEGAL DESCRIPTION appr~~~rnd does not requir~tcen;Zi~i~'i~~d: TAX.LOT#17-03-15-00-03500 _ j m I Items Cost JOB DESCRIPTION Date ~&~ 1000 sq.ft. or less $ 85.00 Repair irrigation pump servicg'.h.~""E1_' . -'f.-l-f.ach additional 500 . -...,o<<lure--LLL..lsJ!. ft or portion Permits. are non-transferable and expire thereof -~ $ 15.00 if work is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for "Modular Dwelling 180 days. Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. . Services or Feeders Installation, Alterations or Relocation: Electrical Contractor L.R. Brabham, Inc. #2299 Address 68 W. "Q" Street, Spfl d, OR g7477 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 City Phone 747-6638 Supervisor License Number 1473S Expiration Date 10/1/92 Constr Contr. Number 08699 Sum $ 50.00 $ 60.00 $100.00 $130.{)0 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 12/18/92 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Signature of Supervising Electrician y ~./t. .A~ / Owners Name Harold E. Rice Address 363~Game Farm Road D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see liB" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm City Spfld One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit Phone 726-7050 OVNER INSTALLATION The installation. is being made on property I own which is not intended for sale, lease or rent. E. Owners Signature: ~AT;~----~-~;(J.rC)-~L:\~~-~--------- RECEIPT Ii: i\{ O( J~~ RECEIVED BY: eK,I.;1 ~ ) 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) 1 $ 40.00 $ 40.00 $ 20.00 $ 36.00 40.00 z.oa 42.00 40.00