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HomeMy WebLinkAboutPermit Electrical 1992-9-3 (2) SI'f11NCt:'I~LO .... 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