HomeMy WebLinkAboutPermit Electrical 1993-9-14
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225 FIFTH STREET zon;"o. "r c .:,_.0) ;'''i,,;ro O;J..c;(i, I"nd uso lILECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 914717;",1 -0
INSPECfION REQUEST: 726-37~~"." ()j) IV City Job Number q 2.. N J()
OFFICE: 726-3759 n I A'"
[ , "1 -Il.-L.._./ 3. COHPLETE FEE SCHEDULE BELOV
1. /)LOCATION OF INSTAUATION's,'nnoluro flJilA-- -^
.-:J 1 5 ~ at N A1.:r'w,,,-,_w~ ~ r A. New Residential-Single or .
Hulti-Family per dwelling unit.
LEGAL DESCRIPTION Service .Included:
II n2..,;:)(~<.f':), oc",9rc) Items Cost Sum
--r'. ~O~..~~CIqJ.'TION h'
~u.; (iur~tc... eA1ek2--
.Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. . CONTRACTOR INSTALLATION ONLY
. Electrical Contractor L.R. BRABHM1, INC.
Address 68 W. "Q" 5L,
Ci ty 5PFLD
Phone 747-6638.
Supervisor License Number 14735
Expiration Date 10/1/95
Constr Contr. Number
08699
Expiration Date 10/18/93 .
k;Si~ature of Supervising Electrician
y,..- L 4~
/- .f/ .
Owners Name~~b A ~f1
Address Q7S (}UIN~("f-
City 5 P 5 LD, Phone 7 t.J /. tf(/1()
OVNER INSTALLATION
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
RECEIVED BY:
01'>-II"l';l,
10 ;)<;rj
IS;)P-.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
. Hodular Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 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
D. Branch Circuits
New, Alteration or Extension Per Panel.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 3S .00
$ 2.00
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
35.00
I. 1'1
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