HomeMy WebLinkAboutPermit Electrical 1993-10-6
The following project 89 au me.. .... II.... I.
loning. and dt's; not requlre specific land use
approval. f) /
225 FIITH STREET f\\tI
SPRINGFIELD, OREGON 97477 Zonino lv
INSPECTION REQUEST: 726-31M.-1 (') ,loA?; ~ ,Ci ty Job Number
OFFICE: 726-3759
Authorized Signaturo., '. \.ovnn..lHr. I'lIE SCHEDULE BELOIl
1.
~W,~l:i ~(tNSTALLATION r\ ()
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LEGAL DESCRIPTION (J
JOB DES~PTIQN )
S, ~. \(0 D\n QJ\N-./ -!Jiq(p I eJ
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Palmer/Philips
Address
3170 Meadow Lane
Ci ty 'Eugene
Phone 688-6121
Supervisor License Number ?71q~
Expiration Date 10/9:)
Constr Contr. Number 20-179C
Expiration Date 10/93'
Signature Of~Sing Electrician
Nat t' nps
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
------------------T--/ A. ----------
DATE: ID. n ''--''l'--. ~
RECEIPT #: ~ 1()1~
RECEIVED n~ L LV:\. ./
A. New Residential-Single or
Multi-Family per dvelling
Service Included:
1000.sq,ft. or less
Each additional 500
sq. ft or portion A
thereof \
Each Manuf'd Home or
Modular Dvell ing
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.
\
Items
unit.
Cost Sum
$ 85.00 Ph
-
$ 15,00 l&l
$ 40.00 ,
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation. ;\
200 amps or less \ $ 40.00 LIf)./V
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
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35,00
$ 2.00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
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