HomeMy WebLinkAboutPermit Electrical 1999-1-8
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onlng, and does not ' ' 0 0
approval, reqUIre specific land Use
Zoning CL
. Date J - 'i' - ~ :i
Authorized S' \'
'225 FIFTH' STREET .,', Ignature _ ~. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON J}!.QT'CE: '_ '
INSPECTION"REQUEST:~~~~ITSHALLEXPIREIFTHEWORlfity Job Number 91f() 'fh5 /
OFFICE: 726-3759 . , . ,
, - AUTHORIZED UNDER THIS PfiBMlc(fM~DifTE FEE SCHEDULE BELO\l
1. LOCATION OF ~NST~~. ED OR IS ABANDONED FOR
, '333 I).), C.o " . h' "'~I_ . A: New Residential-Single or .
, "'" ,.., un I Fc::;muil Hul ti-Family per dvelling uni t.
7LEG~ DES~ION Service Included:
I 6} 2., 7 i~ 6 f'f' 0 l) Items Cost Sum
$ 85.00
JOB DESCRIPTION
tVP1u ~
1000 sq. ft. or less
Each additional 500
sq. it or portion
Permits are non-transferable and expire thereof.
if york is nO,t started vi thin 180 days Each Manuf I d Home. or
of issuance or if vork i~~~lHd~~nlawrequff&a~~~to'D\lelling'
180 days. follow rules adopted by the Or~U1lityor 'Feeder
' Notification Center. Those rules are set forth
2..' CONTRACTOR IN'STALLAirrJ.<()A~001-001 0 thr<Rlgh C9~GOt>-r Feeders
, .0090. You may obtain copies dJrtaltlailllha~n, Alterations
Electrical Contractor_ARr.Cll\!ti,Ifln:~p.eJ'jlMf. (Note: th~l~tion:
, number for the Oregon Utility Notification
Address 85783 HWY 99 SOUTH Cent~ri~ 1-ROQ-332-2s.@-!?amps or less
. ' 201 amps to 400 amps
Phone 741-0494401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only ,
Ci ty 'EUGENE,
Supervisor License Number 4079S
Expiration Date ]0/]/01
C.
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 20-403C
, Expiration Date 10-1-99
Sign~~lectrician
V D.I ~"". .
Ovners Name ~ ~
Address ~,?':?~ Lu. ~
Ci ty ~~ Phone
OVNER INSTALLATION
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
Nev, Alteration or Extension Per Panel
,.
One Circuit $ 35.00 35.-
Each Additional
Circuit or \lith Service
or Feeder Permit \ $ 2.00 ;),-
The installation ,is being made on
property IO\ln. vhich is not intended
for sale., lease or ren t.
Ovner~~~gnature:
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
"
---------------~-- -------------------
DATE: f '1
RECEIPT i: () ~~ ~ J //
RECEIVED BY: d U~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
dta7. -.-J
'1 I ~.<'{ ~
$i. I. II
.g '3tt . "7 (p