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HomeMy WebLinkAboutPermit Electrical 1995-5-8 (4) I' I I I 11/18/94 15:46 U503 726 3689 ... . --= SPFD [lEV. SER, Iai002 e=. E. Miscellaneous (Service/feeder not included) -Each installation . Pump or h-dgation $ 40.00 Sign/Outline Lighting----- $ 40.00 Limi ted Energy/Res $ 20.00 Limited EnergylComm _____ S 36.00 5. SUBTOTAL OF ABOVE .$('),OO 5% S tate Surcharge 0{ . -;) 0 3% Administrative Fee 1 , c..o TOTAL 5H. ~ 225 FIFTH STREET .. SFRINGFIELD, OREGON 97477" INSPEcTION MQUE'ST: 7260:3'169:1 Signatufa l OFFICE: 726-3759 CITY OF SPRINGFIELD PROJECT #1-864 GATEWAY ST. N3. . 1. LOCATION OF INSTALLATION I Electric service located on pole approx._70 dueA. East OT 'new pUll'll-' :)Ldl,.IUII ~ ~al,.C:\"fa"y/&QlIly I UIIIJ Rd,t. LEGAL DESCRIFTION lntersectlon InstallJ~~?v~~~~wer to pump station Perm1ts are non-transferable and expire if work 1$ not started 'within 180 days of issuance or if. work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY 1 1 I L R Brabham, Inc. E ectr ca Contractor . . 68 West "Q" Str:eet Address City Springfield Phone 747-6638 14735 Supe~visor License Number Expiration Date 10/1 /95 ^' Constr Contr. Number 08699 Expiration Date 12/18/95 Si~~e of Supervising ~lectrician r.- '-7 L ~~ - Owners Name Ci~y of Springfield Address 225 Fi fth Street City _Spri ngfi e 1 d Phone 726-3753 OlINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . Owners Signature: ~A~;;---~-~i7~-~---=------~--------~- RECEIP'L"~: OII/~l.Il/ Al1' / RECEIVED BY: tv/ It4 .....-. - .. ELEC'l'RICAL PERHIT APPLICATION Ci ty Job' NUlIlber {JCj(Jf3{ /-y COMPLETE FEE SCIlEOULE BELOV Nev Residential-Single or Multi-F~mily per dvelling unit: Service Included I . ' Items Cost SUm 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'dHome or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders' Installat10n, Alterations or Relocation; 200 amps or less 1 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 50[90 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000-vQIts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" aoove New, Alteration or Extension Per Panel One Circui t Each Addi tiond Circuit or with Service or Feeder Permit $ 35.00 $ 2.00