HomeMy WebLinkAboutPermit Electrical 2001-3-18
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Zoning *;::.-
~:::orized Sig,n~u~: ~~CM. Jr.--
225 FIFTH STREET (J
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INS1ALLATION~.
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LEGAL DESCRIPTION
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JOB DESCRIPTION .
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Permits are non-transferable a expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
, Electrical ContractorL.R~ Brabham, Inc.
Address 68:West lIQlI Street
City Springfield Phone 747-6638
Supervisor.License Numb~r 1473S
Expiration Date 1 O/Ol/Of. '
Constr Contr. Number 08699
ELECTRICAL PERMIT APPLICATION
City Job Numb~r~/~G''-;-~~~~
3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sQ. ft. or less $ 85.00
Each additional 500
SQ. ft or portion
thereof $ 15.00
Each Manuf'd Home,or
Modular.'Dwelling'
Service or Feeder $ 40.00
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amp's to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
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$ 50.00 '72.~...-
s 60.00 ~...
$100.00
$130.00
$300.00 ~t'.~
S 40.00
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C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 12/18/02: , 200 amp~Aor less $ 40.00
201 amps to 400 amps $ 55.00
Signat~ of Supervising Electrician Over 401 to 600 amps $ 80.00
~ L ~~ Over 600 amps or 1000 volts see "B" above
./' . "2_~ Branch Circui ts "
Owners Name?~~~~7Y /.~~
New, Alteration or Extension Per Panel
Address~/ k?4~-'Y ?"'.
CitYh7~~~. Phone 7~Y'''' ~7~
'/
OVNER INSTALLATION'
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~~gnature:
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DATE:
RECEIPT t:
RECEIVED BY:
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One Circuit $ 35.00
Each Additional
Circuit orvith Service
or Feeder ,Permi t 1/6 $ 2.00 '2~::2.. ~
E. Miscellaneous (Serviceifeeder not included)
-Each installation D
Pump or irrigation S 40.0~
Sign/Outline Lighting $ 40.0CkJ t:::1:;:J
Limited Energy/Res $ 20.0G'j ~ Z
Limi ted Energy/Comm $ 36.0Cf.' '.'.. ~
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5. SUBTOTAL OF ABOVE
1~ State Surcharge
3% Administrative Fee
TOTAL