HomeMy WebLinkAboutPermit Electrical 1992-9-3 (2)
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225 FIITH STREET
SPRINGFIELD; OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
2100 South A, SDrin~field. OR A.
LEGAL DESCRIPTION
/70:;5 20 ~'2. n \JnD
JOB DESCRIPTION
~xtend circuit to install bath fan/light
3 outlets and 1 switch
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york 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 5443'3
Expiration Date 10/,)2~~L
Signatu7e 0 Supervising Electrician
J'
~/L~:-
- athan t'~lnps
Ovners Name ') ,/~ -: J"~' ,')" J
Address .:2~ }./,,, 2?~JT
Cityi,tl~. Phone ?~t:. -7?,lL.
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-----------------7~-~--~--------------
DATE: c:f/3/ 7'2-
RECEIPT #: . /~//
RECEIVED BY: ,~~~
Ci ty Job Number q t?i / J q (/
.
3.
COMPLETE FEE SCffEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 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
$ 40.00
$ 55.00
$ 80.00
volts see "BIl
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One C~rcuit 1
Each Additional
Circuit or vith Service
or Feeder Permit 2
$ 35.00 35.00
$ 2.00 4.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
'R(lQ
1.95
40.95