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HomeMy WebLinkAboutPermit Electrical 1999-1-8 r I 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