HomeMy WebLinkAboutPermit Electrical 1998-6-15
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I'NGFOELO
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'oning d d.J tHJ,-,mm!\'.rd. nas "hill 101'
. ., an oas not '€i('!..,l ". , . . lOV
'pprovaJ.' -'., ..I\\. sPf'ciilc ji-J.nd use.
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9747 7t'ut'~()r;'Z(ld 8j'),~"1! .~'"\ f\ n.
726-3769 ..... ." \'=,-tlJ~._...
.225 FIFTH' STREET .
'SPRINGFIELD, OREGON
INSPECTION -'REQUEST:
OFFICE:' 726-3759
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q<60 %5
1.
4QCATJ.QN OF I~TAL\-ATION. 0
cV"f:') ~ t 1) l '0 I\-tenn 14
. .
3. COMPLETE FEE SCHEDULE BELOV
LEG~9fSCRIPTION
J1l)~CLJ4?:' O~lK{)()
~
Permits are non-tr ns era e and eXPir!]
if work is not sta ted within 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
City . EUGENE
Expiration Date 10/1/98
Sign~~~ectrician
ovnli's Name 1D 11 teMi(l_~_1..ulf(' L- D.
Address~ LLUW*~03
Ci ty fu,Q1\0l Phone 15fB. 3 €;~ .
<\\\1-
OVNER INSTALLATION
The installation .is being made on E.
property I own which is not intended
for sale" lease or ren t .
Ovner~~~gnature:
-.
DAT~~---------------~---f---\-o~~-C\~ s.
RECEIPT #: .-l. '" il....D'2.r.{A
RECEIVED BY: V \VOO-J:.7 Jcr- \
A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. it or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling'
Service or Feeder
Branch Circuits
Items Cost
Sum
B. Services or Feeders
Installation, Alterations
Electrical Contractor_ARC: FT.E.~TC: T~ or Relocation:
Address 85783 HWY 99 SOUTH ~'.l.~. OJ)C)t. 200 amps or less
J 0' A ~.' 201 amps to 40.0 amps
Phoneft~Q4f~AA': 401 amps to. 600 amps
, (,,~,u'v~~ ~Ii 601 amps to 1000. amps
Supervisor License Numbe~i~4' ~D/ ~<( o.ver 10.00 amps/volts
16'0 t~D ~DS ~...r~Feconnec t Only
Expira tion Da te 10/1/98 /)..4. 0"9, '!:Ilk J9~t
J,o~ I\)1. cf8.a:.eff~ary Services or Feeders
Constr Contr. Number 20-403C ~O~ ~-4.ta .t&i:'a!~ion, Alteration or Relocation
, V-t~"7I1)'/8~.t
2€0'm,m'!1'Ojor less
201-~mps to 40.0. amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60..0.0.
$100..00.
$130..0.0.
$300.00
$ 40.0.0.
S 40.00
$ 55.00
$ 80.00.
volts see "B" above
,.
Nev, Alteration or Extension Per Panel
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
SUBTOTAL o.F ABo.VE
5% State Surcharge
3% Administrative Fee
To.TAL
S 35.00.
S 2.00
~
not included)
$
$
S
$
&cn
.l( )
.O-~
cO. Un
40.0.0.
.40. . 0.0.
20.00
36.00.