HomeMy WebLinkAboutPermit Electrical 1993-4-19
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225 FIFTH STREET ,,'\0_g:v~"~.;.tj~. {<.'-. V7 _ ELECJ'RICAL PERMIT APPLICATION
SPRINGFIELD~ OREGON 97477 :.':\'\e;()~,o~r.o'-\o" ~ DJ.:::r"'-- ...--
INSPECTION REQUEST: 726-372,9:.~\;~,j.;;~, ., //-".~_r ~ Ci ty......J.ob Number ~t::::%~
OFFICE:. . 726-3759 ~;!~" ~:}J,;\\\~l"~~.....o-, ') ~
A-:-:-}/Y~~' .CO PLETE FEE SCHEDULE BELOTJ
1. LOCATI~N OF INSTALLATION, \_~."', ---l.::.:..('pd-';J-\\.,.............
<670 Lu Ca--t\~/(ll ~j\ .'t)~.€l'." - A. Ne'W Residential-Single or
p~~ Multi-Family per d'Welling unit.
Service Included:
LEGAL DESCRIPTION
~ffi~. Oewe.n.\er ~J' t.\upJ+sbu~.O~lCeJ1
. /7.y:J '7 ~?- 0/'3 ~3;n:> c:> \J
JOB DESCRl.1- l:l.crN .
--AJA ('1-1- ~ C~'1 f\'\~_h.vl\P_,
Permits are- non-transferable arid expire
if 'Work is not started 'Within 180 days
of issuance or if work is suspended .for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec trical Contractor Palmer/Philips
Address
3170 Meadow Lane
Ci ty Eugene
Phone 688-6121
Supervisor License Number ?71q~
Expiration Date 10/99
Constr Contr. Number 20-179C
Expiration Date 10/93
Signature of Supervising Electrician
C~~.~
~athan. P P.hhllllPS
O\olnersName J5;;r.t ~ t:-/c.. .
Address
City
Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease 9r rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
7'-:/9~~~
. :Ji?~ 7
~.. - ..ao~.
I ,,; /-
1000 sq. ft. or less
Each additional 500
sq. ft or portion
the reo f
Each Manuf'd Home or
Modular D'Welling
Service or Feeder
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
C.
Items
Cost
Sum
$ 85.00
S 15.00 T
....;"
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or 'With Service
or Feeder Permit
S 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 $ 36.00
5. SUBTOTAL OF ABOVE 35~
5% State Surcharge I 7\"
TOTAL ~D, is'