HomeMy WebLinkAboutPermit Electrical 1992-9-3
225 FIITH STREET
SPRINGFIELD; OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
2100 South A. Soringfield. OR A.
LEGAL DESCRIPTION
/7:-->3 'Z&..- ~'2.. ~ r.r/719
JOB DESCRIPTION
pvteno ~ircuit to install bath fan/light
3 outlets and 1 switch
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 Palmer/Philips
Address 3170 Meadow Lane
City 'Eugene
Phone 688-6121
Supervisor License Number ?71q~
Expiration Date 10/92
Constr Contr.Number 20 179C 54"43:3
Expiration Date 10,'92 '~h0L
Signatu7e 0 Supervising Electrician
J'
~~Z~~
= athan ~~~L~pS
Owners Name A J _ /V;:;:/Z;..,z.s ~ l_
Address Q~ }/" 2?~JT;
City S.$l~, Phone 7~~ -7JJL
O\INER INSTALLATION
The installation is being made on
property'I own which is not intended.
for sale, lease or rent.
Owners Signature:
-----------------7~-~--~--------------
DATE: c;?/ S '5' ~
RECEIPT #: .'(. /---r / /
RECEIVED ny: /~~
City Job Number
3. COHPLETE FEE SCHEDULE BELOV
qp, II q{/
.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
C.
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Ci.rcui t 1
Each Additional
Circuit or with Service
or Feeder Permit 2
$ 35.00 35.00
$ 2.00 4.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
no t included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
19.QQ
1.95
40.95