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HomeMy WebLinkAboutPermit Electrical 1996-2-14 '" SPRI_':ELD ~ . t submitted has t ' 225 FIFTH STREET Thefo\loW!~gd~~,~I~~t~qUire spec~UW1'R!tAL PERMIT APPLICATION C i~~~i~:fREg~~~~ 9~~~~3769 ~~;~,,;,~n . ., rij)(U Ci ty Job Number OlloJ) ~ :~ OFFICS: 726-3759 ZonH'\~L -- " -- f~/(t.f3k.-B::OMP E FEE SCHEDULE BELOY 1. ~ IsOCkTION O'fl:, I~f~MtION r?a~_ ' \,~~ 0 \ \10' \\ 0' ,\1\ \r1 ~rlzedSignaw~a 1\eSldential~Single or , - - - - " ' Multi-Family per dvelling unit. Service Included: / f}B~(;jffION (tW) IAII MOB 'DESCRII7IO~' -\-- L] ~'1 )\ ~9\~~\~~ .~ \()} ()-~Ul\-.\ permi~a~~~r ~~n~exPire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. ! 2. CONTRACTOR INSTALLATION ONLY " Electrical Contractor BUILDERS Address 293 MONROE, Ci ty ElJGENE Phone 485-0922 Supervisor License Number 2970S Expiration Date 10/1/95 .r " Constr Contr. Number 04296'~:'" C. Temporary Services or'Feeders Installation, Alteration or Relocation Exptration'Date 12/10/95 ,200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40'.00 S 55.00 $ 80.00 see "D" above . SIgn~UP~~cian Owners Nam~ ~(1J l~~) Address} ~{QJ (I0[};oQOJ~D City ~/fft Ph on e!J1h rr:f15 OVNERLINSTALLATION D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circ~it or vith Service or Feeder Permi t / $ 2.00 4 The installatioh is beirig made on property I ovn vhich is not intended for sale, lease or rent. OWners Signature: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigationS 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 0-9.W_ 5% State Surc~~rge (~ . ( L!-J !~ ~VO J ",t.:) 0 0'(Y.Il.p DATE~------------------~~~~~-~ RECEIPT t: ( n , _ ~'/ J RECEIvED BY: ~~ \ f\/\. J ( ~ \\jJ~ u '