HomeMy WebLinkAboutPermit Electrical 1996-5-10
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The following project .. aubmtted I'M tIw ~,
zoning, and do... not require opeclllc lond ~
225 FIFTH' STREET approval, /~ ,/ ELECTRICAL PERKIT APPLICATI~N
SPRINGFIELD, OREGON 97477 -W!' I ;:ns? .,' " q ,")
INSPEctION REQUEST: 726-37fiite S. : ' '.,' Ci ty Job Number f,[i3 / ~
OFFICB: 726-3759 ' . ~ '-
l.L.p~1+0N...-oF !?STAI,J..t.TIO:' ,....,1,-.~ ~.', . Jr'-, . -- ~~HED~ BELOII
~Z'1 ffA,,'1''/I(pJ I ) A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
200 amps or less
201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
t:1'.J' ~ _ '. ,_., Over 600 amps or 1000 volts
.. -r:::.' n.,,, ,_ - I flf'vl.c..n..DA Branch Ci rcui ts
Ovners Name IO/f'f\f, lA'.WlV\Q J V, "IO\:fV '--'"
AddressLf75fJ .ft;~~V\ ~ Nev, Alteration 'or Extension Per Panel
~. . -v/_ /_ c./ 1....l'1 . One Ci rcui t $ 35.00
City r'~~ Phone/I~ -~(v~ Each Additional'
/I ' Circuit or vith Service
O\INRR ENSTALLATION or Feeder Permit
. LEG~ DESCRIPTION ?~~
11 0 ~ 2,1...{fL () v2X../ V
J~f~CRIPTION
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. CONTRACfOR INSTALLATION ONLY
,
Electrical Contractor ARC ELECTRIC
Addres85783 HWY 99 SOUTH
Ci ty EUGENE
Phone 741-0494
Supervisor License Number
20985
Expiration Date
Constr Contr. Number
..
.-
OOn'ot
Expi'ration Date
The, installation is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: -- :>-:(2)-~~----------------
RECEtPT .: !J.I. <b 7
RECEIvED BY: ~
Items Cost Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Modular Dvelling L milD
Service or Feeder S 40.00
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
$ 50.00
S 60.00
$100.00
$130.00
$300.00
S 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see nail
above
s
2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
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