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HomeMy WebLinkAboutPermit Electrical 2001-7-16 ."......J~.~~~/=I,,~.J;l:t.c-t. I The following project 8S submitted has the following ':-'; ~'. zoning, and does not require specific land use .' ........ 225 UUQ STREEr approval. I' V ELECTRICAL PERHI'r A;PPUCATION SPRINGFIELD, OREGON 974n Zonin" L- 'l?' C r INSPECTION REQUEST: 72.~-~69 - 11 (It, 1.0 I City Job Number(,)f-OO 7Do - OFFICE~ 726-3759 a 't)Ut\ ~ ' Authorizad Signature ~l.E'fil FEE SCHEDULE BELO'il 1. LOCATION OF INSTATT.A'l'ION f.I.I. A STREET LEGAL DESCRIPTION 17033 ')') ( 03S00 JOB DESCRIPTION rlnrlT rTil'~IlTT Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRAcrOR INSTALLATION ONLY Electrical Contractor SCOFIELD ELECTRIC Address PO BOX '2765 EUGENE,OR 97402 City Phone 6 86-8612 Supervisor License Number 508-5, Expiration Date 10/1/01 Constr Contr. Number 38702 Expiration Date 12/21/01 _';Z;!?2d'h'dd= Owners Name [.. LC~ Address /"'1.0 A- ~ +- City sfF(~ Phone h~Z- 'I'f'7f? "0""'" INSTALLATION The installation is being made on property I avo which is not intended for sale, lease or rent. Owners Signature: DATE: 07/2-0 I RECEIl"I' t: RE~....y..... BY: J::::,.,( - /-' 0(1. ..) A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 S 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600' amps ----- $ 80.00 Over 600 amps or 1000 volts see "8" above D. Branch Circuits '--- :------- New, Alteration or Extension Per Panel ,-----L- $ 35.00 One Ci,rcui t Each Additional Circuit or with Service or Feeder Permit 3S.(';f;) $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ _ Limited Energy/Res Limited Energy/Comm ~ -i ~-~ DD A1 rri 00 not included) $ 40.00 S 40.00 S 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5~ State Surcharge 3% City TOTAL -;, ~,C") ?~.; .?<;"~ 1".,) r- ~ . ~_. C"J~~g I.~. 55(...oJ 0 L/. =~I".J(]" "".<">-~' 0>-4 ...../"5. 'nON ~..ot-'-(J1