HomeMy WebLinkAboutPermit Electrical 1998-5-5
approval.
LEGAL' D~CRIPTION
17 0:' ~S ~'-! D451}D
JOB DESCRIPTION
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n~M.t".tJ~ I
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Permits are non-transferable and~expire
if vork is not started vithin 180 days"".,;;,..,_"
of issuance or if vork is suspended(if~{r;:,),';:~'-"
'180 days. ~:~f,~''''P''~\f:'<'"
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor SCOFIELD ELECTRIC
Address
PO BOX 2765
Ci ty EUGENE
Phone
68678612
Supervisor License Number
508 -S
Expiration Date
10-98
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
q7 }'~()
Items
Cost
Sum
c'~ Ii .
,. , Zoninp . \......./ .
225 ~.lor J.l1 ;)J.~l. MnTI~E' 5 fA i
SPRIN~L'.L..dJ), OREGON I '9'147T · DateS' <, -"-{ N ORK
INSPECTION REQUEST. T~8E!W)9 SHAL~ 1:,(I"'IHt:, I HE~ Ci ty Job Number
OFFICE.:, 726-3759 . AUTHORIZED tU~1)EFrt~fQl1i'5~
-1'nu~~D OR IS ABANDONED FgRHPW:.J.~ FEE SCHEDULE BELaY
1. LOCATION OF m~
162~ CENTEN~lS~ERIOD. A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
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
$ 85.00
S 15.00
$ 40.00
$ 50.00 4'~.C!'
$ 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
12-99)
Signature of Supervising Electrician
fi?~ k~'/
tI., " P" - D.
OW'ners Namenl C!. Yo n ') _; R tu u.Ja YYl1 ,..tie
Address 1 ~(OO (~-' ~e~~'::>P'
Ci ty ~()_ Phone.:l~n ..... Ll!:i.OD
OWER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
200 amps or, less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
NeW', Alteration or Extension Per Panel
One Ci.rcui t S 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t J.JO S 2: .00 .\i({/./7~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
, Limi'ted Energy/Res S 20.00
Limi ted Energy /Comm I S 36.00 2zJ:-l!.O
Ovners Signature:
\
DAn:: c,-C) --: q ~
RECEIP't t: U?-y Cl f.i I
REl..~vuJ BY: '(\ , ~6(~O
5. SUBTOTAL OF ABOVE
54 State Surcharge
3% City
TOTAL
/ ~L -C'i')
S?-.~6
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