HomeMy WebLinkAboutPermit Electrical 2004-9-29
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225 FIFTH STREET ELECTRICAL PERKIT APPLICATION
. SPRINGFIELD, OREGON 97477 . .
INSPEC:ION. REQUEST:' 726-3fr~JfOI!OWing project as sU,bmiiied,~as thJ:f~If(yJi~b Number 9Jj /2bO .
OFFICE. 726-3759 zoning, and does not require specl.lc land u"e
approval. 3 . COMPLETE r ~~ SCHEDULE BELOV
1. LOCATION OF INSTALLATION Zonina Lv& .
41z!:I CA-MBeJ/)~ ~. t. ~/~ '''4 A. New Residential-Single or
Oms ~, ~-I r Multi-Family per dwelling unit.
LEGAL DESCRIPTION Authorized Signature fJ fl'--Service J:w:.luded:
1703 2~:3 Jn~5'~ Items Cost Sum
JOB DESCRIPTION
;::u R I..IA-u::. - J.l-e"A-T P tl J..{-P
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 Scofield Electric
Address PO Box 2765
Ci ty Eugene, Or 97402 Phone686-8612
I,.~..."...,:..:.,;,::'.
Supervisor License Number ~s
Expiration Date
1010.1 Wi
Constr Contr. Number 38702
Expiration Date 17116.1Q6.
S~~ian
o:ners Na~'0)s;,!L~.ln\~,~'() \~
Address ~hA (\_6.f'i\~~
City ~ d Phone
OVNER IN~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: Q .YJU Cf4 .,
RECEIPT ~:'. \__., ~~~~ '. \A~~i)
RECEIVED BY.: I '\ ~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
,
B. Serv~ces or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps .,SP 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
NeWt Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci~cuit I
Each Additional
.___._ Circui t or wi th Service
or Feeder Permit /
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
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Yl & (!.,f"r/ S uleO-t6
$ 35.00 35~~
$ 2. 00 ;1~~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
37,00
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