HomeMy WebLinkAboutPermit Electrical 1992-9-3 (3)
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
2100 South A. SDringfield. OR
LEGAL DESCRIPTION
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JOB DESCRIPTION
extend circuit 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
ISO 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 17'JC 544.1'3 C.
Expiration Date 10/,)2~hr5'L
Signature~ supe~ISing Electrician
( ~L-~'~
- athan ~h~l~pS D.
Owners Name_ L W')/J~~,"D.l-
Address_ Q~ )./" 2 ?~Sr.
City ",;Jr;;. Phone ?~~ -7YS:L
OYNER INSTALLATION
The installation is being made on E.
property'I own which is not intended,
for sale, lease or rent.
Owners Signature:
~~~;~---------~;/'~~~--------------
RECEIPT #: '( /:.-y//
RECEIVED BY: _<~~
City Job Number q~ I J qf/
.
3.
COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling uni t.
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 Dwelling
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
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 "BII
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit 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
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
19.QQ
1.95
40.95