HomeMy WebLinkAboutPermit Electrical 1996-11-21
, , llf 10fU 10: 4U, U503 726 3689
..
SPFD DEV. SER.
III 002
. '
Th<>'-'oll .
, "'.., OWlnq Droi:~"1
Z(.lnlngl Hn(tct~e_f~";:"~" ~.s f:l.JbrnfPed h~_q.:, Cf. ~ "
225 FIFtB STREET c.PProVD!, .. '''''Jt tGqr..;j!'i? :;'P';;-cifi~;'i~:;'~T ~~~:;!'Vi"~LEC'l'RICAL PERHIr APPLICATION,
SFRINGFIELD, ORBpON 97477Z:cniri[j C'~ ',' f7 / _ '0' ,2/
INSPECnON REQUEST: Dl~6-37~9"-L- . - ....-...,__... City Job'NWlIbe'r~" ~
OFFICE: 726-3759 "--..1..::-.;L-f~. .
AlithoriZ&d S!gnatl.:i~ ~ . llA, 3. COMPLETE FEE SCHEDULE BELOV
o 1. LOCATIOlJ,. OF INSTALLATION ' -!..:':..L
-5?;3 rlfJJ 1, ?-i~:ee;1 . ~-:"'~fteV-RlJsidenti8l-Sinile or "
." . LS01/1n'1'5 rl/-tfGifll) Multi-Family per dvelling unit.
.tJ ~ ~~ ()()(O01. . Service Inoludedl Ite.s Cost
, .-,. JOB peSCRIP'llON , , -/1 1000 sq. ft. or les: $ 85.00
jlV'5fn-.tLDI$l1tol15hlA/G /fRe:-/i ',~ach additional 500
Jj...i1 !II"1 EqJtUpm€if/F, sq. ft or portion
~ I~ Permits ~re n9n-transf~rable and expire thereot---- _
if work is not started'vithin 180 days Each Hanuf'd'Home or
of issuance or if. york is suspen~ed for Modular Dwelling
180 days. Service or Feeder
Sum
$ 15~00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electri~al ContractotL.R. Brabham,
68 West IIQII Street
Address '
City Springfield Phone 747'-6638
I nc .
B. Services or Feeders'
Installation, Alterations
or Relocation:
Supervisor License Number
~
1473S
1 O/l / 91
08699
12118/96
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
$ 50.00
$ 60.00
$100.00
$130.00 .
$300.00 -
$ 40.00
!
Expiration Date
ConstrContr. Number
Signatu e of SupervisIng ElectrIcian
/ A-
Ovoers NameS61\1 AlV JEAlA"'/h'S
Address PO, 6tJk.~5::L-
Chy~j)~/AlGF/e{fJ Phone 74-1 ' /q53
I
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or tent.
,
,Qvners Signat',Jr~:,.__,
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 liB" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00 ~5/ ~O
One Cir~uit
Each Additional -----
Circuit or with Service
or Feeder Perlll! t 7
/
E~phation Date
$ 2 .00 III Of)
" ,~
~A~~1J~~7~?;:r~- , ~--lh53"<6T/71-
RECEIP'f i:~,I.{ X/ /J--j '- ; .'
,:,~CEI~ BY=7r, ~ "(Y'1-O
. - . .~: -,," --~';;~ ~:-~,. c:)_:~ft_._~~____~.__~_.:.,,~_._
E. Hiscellaneous (Service/feeder not included)
-Each installation '
PU~p or 1~rl&atlon $ 40.00
Sign/Outline Lightlng:---- $ 40.00
.J~.l,mited .Enet:eY/Q.es "- $ 20.00
Liml ted Energy/ComlD S 36.00 .
-:
5. SUBTOTAL OF ABOVE 4Q, ~O
5% State Surcharge d-, tI.fc.,
3% Administrative Fee ~ IJ
TOTAL f)~1 - A