HomeMy WebLinkAboutPermit Electrical 1994-6-17
,e foItowlng proJect a& tubmllted hM the ~
IOnlng, and doe. not require epaclfic land UN . "'J'
225 FIFTH STREET apprOVal: 1 ' ELECTRICAL PERHI'r APPLICATION
SPRINGFIELD, OREGON 97477 Zoning ~U', , ((JAfY7~'2..
INSPECTION REQUEST: 726-3769Oed G,-'J l~c, 1../.-, \,i ty Job Number III ;-lU" )
OFFICE: '126-3759 ,..""
, , ' ,,', , , A~,,:....J Slgnature3. ~GOldU.ETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
S 33 IILQ'(I :gf1tf/{J:3/' A.
\1(J~~~~t~n
New Residential-Single ,or'
Multi-Family per dwelling unit.
Service Included:
-.-- .JOB: pESCRIPTION , \ 1000 sq. ft. or less
J,Nt?trttl 0iJJ)j6'<; tr;11fL/AJ C(}Otll7& Each additional 500
1hPB7l:. " ".,. Jt sq. ft or portion
"Permi ts are non-transferable and expiret}/ '10 thereof
if work is not started within 180 days '1d.C71 Each Manuf'd Home or
of issuance or if work is suspended for' . Moduler Dwelling
'180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.R. BRABHAM, INC.
Address 68 W. IIQII ST..,
City SPFLD
Phone 747-6638,
Supervisor License Number 1473S
Expiration Date 10/1/95
~ Constr Contr. Number
08699
Expiration Date 12/18/94 ,-~' '.'
. -. '""-- .
"~".
"
Si~a~re of Supervising Electrician
~/~~
OWners 'me~ W.C!atlA0 D.
Address J~ I frJ LA ~
city~l I Phone 74-7. (POiPO
OVNER INSTALLATION
The installation is ~eing made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------1---t-r-"-A--~------ '
, DATE: \ () '\ \ ""'\'-1""(..-? 11 n,-------
RECEIPT I: f'\.,' \,-1\ 1.... '
RECEIVED BY; '& \ "~ R;- ,. ~
, \W-,
. ~ .
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,
~tems
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
I
$ 50.00 5D.fJO
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 "B" above
Branch Circuits
New, Alteration or Extension Per Panel'
One Ci,rcui t
Each Additional
Circuit or with servic~
or Feeder Permit ~
$35.00
$ 2.00 iD, DD
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5. ,SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$'40.00
$ 40.00
$ 20.00
$ 36.00
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