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HomeMy WebLinkAboutPermit Electrical 1993-4-19 ~~ .-- ;r-C~ 0-'. ..'.)\' . ~ 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'