HomeMy WebLinkAboutPermit Electrical 1997-1-15
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SP."'FIELO
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPEctION REQUEST: 726-3769
OFFICB: 726-3759 owo
, AuthorizOO Signaturo_3_-COHP-I:Jn.,; ~.,;nCBEDULE BELOI/
1. LOCATION OF INST4-LLATION ,
~/5() G,gfwJt4f / (}')L) A. Nev Residential-Single 0....
, , Multi-Family pe.... dvelling unit.
. LEGAL DESCRIPTION Se....vice Included:
17() 321..;ZAfl'i t( Of)
JOB PF,SCRIPTION :.L.
ao 0 -) 1-:/'/'/-11/ <,
Zoninq
Pe....mits a....e non-t....ansferable and expi....e
if york is not started vithin 180 days
of issuance or if vo....k is suspended for
180 days.
!
: 2. CONTRACTOR INSTALLATION ONLY
.
Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty EUGENE
Phone 4R~-Oq,?
Supervisor License Number ~~
Expi'ration Date
10/1/911
04296' .{..
..
Constr Contr. Number
Expi'ration'Date
12/10/"J~
Signature of Supervisinn' l!:lectric..',,'.,'
.' (!/~L' f2JeAj
if (J
Ovners Name _7-. ;ff11i? rl .4-11 t.v1
Address ,-=5/91 rr-APAAJ1/f ~
J! ?h '
City <:)pn~ 'd~. Phone 7;1(0-6&'(1
OIINER I ALLATION
The, installation is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~-~--l'~-r~:'l~-----------------
RECElt'r f: ~'18t'zr':
RECEIVED BY: II,
".""-
'City Job Number
ELECTRICAL PERMIT APPLICATION
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:
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.
q0165'~
---
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
. $130. 00
$300.00
'$ 40.00
Temporary Services or.Feede....s
Installation, Alteration or Relocation
,200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Ci....cuits
Nev, Alteration or
$ 40.00
$ 55~00
$ 80.00
see liB"
above
Extension Per Panel
$ 35.00 3 S-
Miscellaneous (Service/feeder
-Each installation
Pump 0.... irrigation
Sign/Outline Lighting
Limited Ene....gy/Res
Limited Ene....gy/Comm
One Circuit
Each Additional
Ci....cuit 0.... vith Se....vic~ /
0.... Feede.... Pe....mi t I
E.
5.
SUBTOTAL OF ABOVE
5% State Su....charge
.:ro'I'1i:L" 3'70 .
70/71 (
I
$
g--
2.00
no t i neluded)
$
$
$
$
l.(3.~ )
2. i<-
t. Jc;
I
V6. ~C/
I
40.00
40.00
20.00
36.00