HomeMy WebLinkAboutPermit Electrical 1999-8-3
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JfffI!f ~ VJYj!.);it.i;J;/I 1.'('-_1;1/ =a' JIle ] ;/::t .
The following project as submitted h~S the following
zoning, and does not require specific land use
approval. ~
225 FIFTH STREET Zoning
SPRINGFIELD, OREGON 974770ate <t - '?;) - "'\ "'\
INSPECTION REQUEST: 726-3769 ~
OFFICE: 726-3759 . Authorized Signature
r;~l;'TRICAL PERMIT APPLICATION
Ci~ Job NumberL\ O\...\,(jLf\(
3. COMPLETE FEE SCHEDULE BELOV
1.. _LOCATION OF INST~LATIO~ / . /J
.:JSn'f CrrvY~/V"~'~ ( ;j ((..;0" . A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION \. Service Included:
1<.~j'l;,..v/lllrJ--'1 O~ ri--S- :S'<. J(CJa-Q?) Arl'E. -i~. Items Cost Sum
. N ION:Oregon la.w requires you to
JOB DESCRIPTION 1000 ~~o~'~~~Ule~apGe~ed by the Or'$Ql8l~Oty
~Ecns t?11 Q H "1ft . Each 't ~ir. ~~B ;i9~~o TI,u:::.t r uies are set forth
. LLEXPIREIFTHEWOHK sq. I ~ Ib- }flfo9P1~thro~ghOAA952-001-
per-;J;~~P~lJo~~AAU~~~IIM~~ire the~ )c)~, . 0 may obtam copies oi$hG;.iu0G by
if 'lQt1H(j)~I4ia ~Irrr~d"I'WrftITn 1 cays Each Ml1Wl~dthtronrelt~rr(I\jOIe: me telephone
of mMMeNCm~~I~~NOO~ ed for ModufatmD~~fpIitjlf.gOregon Utility Notification
180 ~~11lO DAY PERIOD. Service orCre'~e" 1-800-332-23$4~O. 00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
Installation, Alterations
Electrical Contractor ADT Secu~i~y or Relocation:
Address 1501 Pr..r' <::..
Ci ty Eugene
Phone 342-1111
Supervisor License Number ~r; 3 ill
Expiration Date 1l/01lQQ
Constr Contr. Number 59944
Expiration Date 4/27/98
Signature of Supervising Electrician
~~.~"
Owners NameN A""l' en fl..A/
. Address r;'-I ~ r;~~ u'.lf.'1
Ci ty IZ-v~e,.vc 6',1
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
..-
~~TE~~;=~==C1_~--------------------
RP.r.F.TPf #:035b~6 '
~ 'c .--....,
200 amps or less
201 amps to 400 amps
'401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/vol ts '
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' 'OT less
201 amps to 400 amps
Over 401 to 600 amps .
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circui ts
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting- $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm I $ 36.00 .>(P~uu
,'-', ( . <SD
5. SUBTOTAL OF ABOVE .:> .p .
5% State Surcharge oJ... -5 A..
3% Administrative Fee { '0 <;(
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