HomeMy WebLinkAboutPermit Electrical 1999-9-15
The, following project as submittad has the following
lonmg. and does not require specific land use
225 FIFTH STREET approval ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning H- J:..
INSPECTION REQUEST: Utg-3769 Q __ \ c.. __ q q
OFFICE: 726-3759 lf~
Authorized Signature 3.
1. LOCATION OF ]NSTALLATIOlj . /
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LEGAL DESCRIPTION )
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days. '
2. CONTRACTOR INSTALLATION ONLY
Electrical c~YE;_O.N. ELECT~I~: INC,
l".~:BOX 23,....
Address EUGENE, OR 97402
Ci ty Phone ?W- Y7'/f?
Supervisor License Number _;rj?~j?--5"
Expiration Date /;'/-/-..9/
Constr Contr. Number ~~J?;7
Expiration Date m#f ~,~
Signature of superv~~ Electrician
'(:gr ~__
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Ovners Name
Address RoY< Lit( tS '(;2-
Ci ty [/JaM!.... 11l'~hone ,." l(jl.::3Jp.5
Ol/NER INSTALLATION
The installation is being made on
property I ovp. vhi~h is not intended
for sale, lease or rent.
Ovoers Signature:
~~~~;:-:~--~~.;~~~-~-~~~---------
RECEIVED BY: _~A
-q""'~ '/
l.ity Job Number
9i/2r;-,fr
COHPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dve1ling
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
uni t.
Cost
Sum
$ 85,00
$ 15.00
,$ 40.00
$ 50.00 ,~tftl
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circui t S
Each Additional
Circuit or vith Service/
or Feeder Permit ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
~jS State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00 /.1-tZl
not included)
$
$
$
$
JJ,(JO
~J, ~'I
Urn
1/1- z.()
40.00
40.00
20.00
36.00