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HomeMy WebLinkAboutPermit Electrical 1993-1-15 5,O.IIf-4(;t;IEl..U .' . ct Bubrnitted hs,"', me 1 llV~'" ':;1 ~(Jro..A T\10,fol!owin9dPrOIC ot ~:qL!ire soaciHc land usa ~Y/. lcnlng, and QSS n '. -,...11 225 FIFTII STlUmT " al,prova!. C ( ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OIlEGON 97/,77 Zoni~L_ _ QIJi'VY1/", INSPECTION REQUEST: 726-3769 \ - I '\ ~q3 Ci ty Job Number 0.1,n W OFFICE: 726-3759 Dute - <<: Authorized Signature.-...J-.!l~COMP~TK PEE SCnEDULE BELOII 1. L.QC,An,01{.. OF ~1;LATION ~ ,"-')\ ';::)U (-4 (}Jl Y'-'--0 A. Nev Residential-Single or () Multi-Family per dvelling unit. !'lR~~~N OL'5A-fQ) Service Ineluded: Items , 4.. JOB R.ESCRIl'TION 0-.. . ~) I ('J rJl'LiJ.A.:..J Permits are non-transferable and expire if vork is not started vithin 1DO days of issuance or if vork is suspended for 1BO days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manu f' d 1I0me or Modular Dvelling ,. Service or Feeder ' Cost Sum $ B5.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALlATION ONLY B. Services or Feeders Installation, Alterations or Elec t rical Con t rac tor BEACON ET.Rr.'I'R Te. Reloca tion: Add~ess 2585 ROOSEVELT BLVD Ci ty EUGENE Phone 461-0291 Supervisor License Number 3485S Expiration Date 10/1193 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnec t . Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 38497 C. Temporary Services or Feeders In~tallation, Alteration or Relocation Expiration Date 01110/94 "g""'. .,~~"!,g Rl..',!.!" 4--- 4 . ovn~r~ame - c-JnlJr1 IcJUIJIl/ AddressJl~D 6tJ.htl~cm CitY~~honeJalPl~ OIlNF.R INSTALLATION The installation is beirig made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~~;;~-~--7~-1~:~~~-~~----~-------- RECEIPT I: . ().) HECEIVF.1l BY. - 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Ci rcuits $ 40.00 $ 55.00 $ 80.00 see tlD" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin!!, Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service~ or Feeder Permit r-J E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAl. ( \^~:s 4 $ 35,00 $ 2.00 not included) $.40.00 $ 40.00 $ 20.00 $36.00 ,-~qa:J 46'.q~