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HomeMy WebLinkAboutPermit Electrical 1996-10-25 . m .,r '. SPh,......C'FIELD 225 FIFTH STREET 97477 ' Zoninp.lL ()p_ SPRINGFIELD, OREGON INSPEctION REQUEST: 726-37'69a.lD--~~,..q(p 'City Job Number 9b'1'-I-S-7 OFFICE: 726-3759 Al,iln()rlzoo Signature--f-MCOlil'wnl!. l'l!.~ SCHEDULE BELOV 1. LOCATION OF INSTALLATION /~7"9 L~7G/!/~/~L , LEGAL DESCRIPTION /705-"26-7"07" 1-:;S6~t? , JOB DESCRIPTION, r' ~ 5r~?~?-?~/7/E.'7 fc;p~~//>. Permlts are non-transferable an~ expire if work is not started within 180 days of issuarice or if work is suspended for 180 days. I \, 2. CONTRACTOR INSTALLATION ONLY , Electrical Contractor BUILDERS Address 293 MONROE Ci ty EUGENE Phone 485-0922 Supervisor License Number ?Q70S Expi~ation Date 10/1/98 Constr Contr. Number 04296" FI- ,1 Expi'ration'Date 12/l0/~'l"'/. Signa ture of Supervis..i nO" l?l ectric,-',(.) " . (J~~~,~--p~ ~~' ~ Owners Name /f.7? t:/A/c~ c... ( ~~~ - Address 6'cJ:;( --< ~~5/P'~ ;,?p Ci ty -?'/~2> P7? . Phone 7q'? -:-/697" -, /9:;;'~/~ . OVNER INSTALLATION The installatioh is beirig made on property I own which ,is not intended for sale, lease or rent. . OVners Signa ture:, ...\. ~. 'i\~ " '. " ~~~~~-~~T7Jf'I~~%~~~~~-=------~ RECEIVED BY: ~. m./:fA.-- v ELECTRICAL PERMIT APPLICATION New Residential-Single or Hulti-Family per dwelling unit. Service Included: A. Items Cost Sum 1000 sq. ft . or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or Hodular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less V'" 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 ./Sc::;. <:>0 $ 60.00 $100.00 '$130.00 $300.00 '$ 40.00 C. Tempoiary Services 6r'Feeders Installation, Alteration or Relocation .200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 ampsor.1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circ~it or with Service or Feeder Permit ~ E. Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/C6mm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' 7'3~ $ 35.00 $ 2.00 h. erO not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?6.~ ~-~ /.6~ ~ 0.. 7'8