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HomeMy WebLinkAboutPermit Electrical 1996-10-21 - SP'R......GFIELD \1 .. ubmttted has tne 1 U I. The foHowinr, r:~~j,:c\ ~~~Lilre specific land use zoning, l;;'\nd d()e.... 110 approval. . 225 FIFTH STREET uJ2-- SPRINGFIELD, OREGON 97477 Zonino INSPEctION REQUEST: . 72~,;;fl,~/D-l-I___'L$P OFFICB: 726-3759 Au."c"iccd Si9"a\wo-11M 3. 1. LOCATION OF INSTALLATION c.::, ~n C'/-f--L. \/lp\.... ) 0- \~GAL~CRIPTIOthr::...O~ -(/''1 ?-i. \4.. U..1Cil J - - - JOB DESCRIPTION ? ('( /I(1J JiJ--^ Permits are non-transferable and expire if york is not started.vithin 180 days of issuance or if york is suspended for 180 days. , : 2. CONTRACTOR INSTALLATION ONLY . Elec trical Con t rac tor BUILDERS Address 293 MONROE Ci ty_ EUGENE Phone3Rs-nQn Supervisor License Number ~7n~ Expiration Date 10/1/98 " ELECTRICAL A. ~UHPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling Service Included: 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: Items uni t. Cost Sum $ 85.00 $ 15.00 $ 40.00 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 .Over 1000 amps/volts $300.00. . Reconnect Only . $ 40.00 .200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits " Constr Contr. Number 04296'~':" C. Temporary Services or.Feeders Installation, Alteration or Relocation Expfration.Date 12/10/~4. Signature of supervis:i~;..-)lec~-{a". . . ~'~ Ovners fame c.u V -+ W (,\ AJ el~ t"J) Address S ~O Q['~ \1 ~("').AJ Ci ty ~ 'Y f (\~lLG:fPhone OVNER INSTALLATION Tha installatioh is beirig made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ----------------~-~-rnr~--------------- DATE: HI . 0...\ .", \0 _ __ ~ RECEIPT ,:. ..1, - .,l ;).......,,-.J RECEIVED BY: T_,\\J a...~ $ 40.00 $ 55.00 $ 80.00 volts see IIBlt above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit I Each Additional Circ~it or vith Service or Feeder Permit J E. 5. SUBTOTAL OF ABOVE 5% State Surcharge ""1' u.. 3'10 . $ 35.00 3S,OO $ 2.00 L.oO not included) $ $ $ $ 37'06 \,~" I.IT 1ft ~lo 40.00 40.00 20.00 36.00