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HomeMy WebLinkAboutPermit Electrical 1996-3-11 ,....GFIELD Thlilfollowing pwjgct as submitted h~ the folio __ zoninq, and does not require spedfic I~nd us-e approval. 225 FIFTH STREET. Dme, SPRINGFIELD, OREGON 97477, . ' /1 ' /l INSPECTION REQUEST: 726_ttf}fjr1Zed SI nature ~ / OFFICE: 726~3759 " ,T 3. COMPLETE FEE SCHEDULE BELOlJ " LO\O~N~~ IN~~O-J - - - ,\~~~, ,~~ES~' 1. tD~\~ A.tJID Permits are non~transferable and expire if work is not started within 180 days df issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY El, .1 Aq BILL'S ELECTRIC 3 f 70 W'+1TH-AVE EUGENE OR 97402" , ' I r I .. , 1 I Ci j SUI . : SUPERVISOR L1C. #980S Ex: ,E)}P~~OA1E~10/30/95 :' CCB #21351 -- --,-- C~"EXP.. DATE 4/28/9"5 _, Expiration Date 10) ELECTRICAL' ,PERMIT APPLICATI~N r/ &~b Number Q \.0 D\ \JJ() New Residential-Single or Multi~Family per dwelling unit. Service Included:, A. Items, Cos t 1000 sq. f t. or less \ $ 85.00 Each additional 500 sq. ft or portion ~ thereof ft' '- L $ 15.00 Each Manuf~d Home. or Modular 'Dwelling Service or ,Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: Sum lli 45 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Servi~es or Feeders Installation, Alteration or Relocation One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to/1000 amps Over 1000 amps/volts Reconnec t ,Only 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 Miscellaneous(Se~vice/feeder -Each installation Pump or irrigation Sign/Outline Lighting , Limited Energy/Res Limited Energy/Comm ~z ~ngE~~ician owne~sName~l:(\ ~~ Address~f) \_{\.. \J2~ s. >\-~ Ci ty ~t~ Phone l'lJoJJfP O~ ~TA~LATION I The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: ~-//...~~, RECEIPT #: .:2~~ RECEIVED BY: ./~ $ 35.00 $ 2.00 ,. not included) $ $ $ $ l~O..cO -Ifh.::;' . 6~ 5'b -l~ 40.00 40.00 20.00 36.00