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HomeMy WebLinkAboutPermit Electrical 1995-5-8 (6) I' I .. . I 11/18/94 15:46 'a503 726 3689 ... . SPFD DEV. SER, 11J002 . 225 FIFTH STREET Octa Sl'RINGFIEW, OREGON 9747~ _h... d . I INSPEc'rION REQUE'ST: 726_3769<6 Slgna)u'e I' ~ OFFICE: 726-3759 ' , CIIY OF~SPRINGFIELD PROJECT #1-864 GATEWAY ST. N.3. . 1. LOCATION OF INST~TION , . Electric service located on slgnal pole on N. A. corner af G~tewaY/lnternatlonal way intersec~ion LEGAL DESCRIPTION JOB DESClUPTION Install service for power to signal pole Permits are non-transferable 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 Electrical Contractot-.R. Brabham, Inc. Address 68 ~Jes t "Q" Street City ;;Springfie1d Phone 747-6638 Supe~visor License Number 14735 Expiration Date 1 all 195 Constr Contr. Number 08699 12/18/95 ^' Expiration Date Si~e~~~:uperViSing Electrician /' ~"~J /- ,~~ Owners Name City of Springfield Address 225 Fifth Street City Sari nafi el d. Phone 726-3753 OWER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . Owners Signature: - ~A;;;--:;rqS--- /I. ----,--------:-- MCEI~: {) / / i t?!lP C?~7 A . / RECEIVED BY: . . 'JI-f .......... _H ELECTRICAL PEIulIT APPLICATION ../ /) C:::".V;:;l'iL-. ':'~..,. lob'NUlIlber. Vf-./~'J"7-./ COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit; Service Included I . . It ems Cos t Sum 1000 sq.ft. or 1eS$ Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders' Installation, Alterations or Relocation; 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 50 ,Ala $ 50.00 $ 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 vOAts Branch Clrcui ts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation . Pump or irrigation $ 40.00' Sign/Outline Lighting----- $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm _____ $ 36.00 5. SUBTOTAL OF ABOVE ~O. 00 5% State Surcharge --1, C; () 3% Administrative Fee I . c... n TOTAL '5'+. (}{) "