HomeMy WebLinkAboutPermit Electrical 2000-12-28
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225 ~ .J..!:.1.U .)J.AU..1. The following project as submitted has the follo~CTRICALPImHrr APPLICA'l'ION
SPRINbrJ..cl.J) OREGON 974f!.ing, and does not require specific land use . . .
INSPECTION REQUEST: 726~37'(:9.. (' .p. Ci ty Job Number ex::> - 0 (<l3 z -0 r
OFFICE; 726-3759 Zomng- ...
. Dale -1 ;1. -- b<<" -(j() J' a'''.~T ~ FEE SCHEDULE BELOq
1. LOCATION' OF m~ed Signature cr<iJ
1hOO CENTENNIA~ BLVD A.
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LEGAL DESCRIPTION
/703 Z-S3L../
(;) L( i.{O 2-
JOB DESCRIt'J.J.ON
CLOSED fCIRCUIT '.
INSTALLATION
Permits are non-transferable and expire
if work is not started within 180 days
of issu~nce or if~ork is suspended for
'180 days.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
S 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor SCOFIELD ELECTRIC Relocation:
Address PO BOX 2765 EUGENE, OR 97402
Ci ty F.1T~F.
Phone nRn-Rh 1 ?
Supervisor License Number 508-$
Expiration Date 10/1/01
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
Constr Contr. Number
38702
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
12/21/01
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Owners Name tJF.T.T.~ 1<'ARr:n
Address
lJiOO r.F.liI.EFNT A T.-IDJl.n
City SPRINGFIELD
Phone 465-5525
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT t:
REl..lUVU,l BY:
I Z Z 3' oc:::::>
L-/fZ'5
b~
200 amps or less
201 amps to 400. amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
above
Ne~, Alteration or Extension Per Panel
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permit J
E.
Miscellaneous (Servic~/feeder
-Each installation ~
Pump or,irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. S!,JBTOTAL OF ABOVE
'1 ,..5'4 S ta te Surcharge
3% City
TOTAL
/'
/
$ 35.00 ~<). eo
S 2: pO ,;;;A - t7p
not included)
S 40.00
$ 40.00 ~
$ 20.00
$ 36.00
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This is your license.
If your license requires special provisions,
this section will be completed and should be
carried with your license.
.: . "STATE OF .OREGON'. . . .. STATE OF OREGON
ELECTRICAL SECTION
Lic./Reg. as: No.: 508S
: GENEF:i~L SUPERVISOR LICENSE
I Il"DIVIDUAL
BUILDING CODES AGENCY
SCOFIELD ROBERT E
PO BOX 2765
EUGENE OR 97402
Licensed to do, direct or
supervise all electrical work
for an electrical con~ractor
OF in a plant limited to
plant facilities of his
employel~ a
'[C;-'lJf.-D 09?/2""~1:: -'8 EXF'IR'Er-.
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'spec:edntf!Res
NON-EXEMPT
corporation
. Registration
Nu'mber~
RegistratiOn
Expires:
38702:"'.
12/21/Ql
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SCOFIELD ELECTRIC CO iJ:~i'"
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( SIGNAT E REGISTRANT
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