HomeMy WebLinkAboutPermit Electrical 1997-8-4
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SP.GFIELO
NO'T\CE: EXPlf\E If il-lE WOR\<.
225 FIFTH STREET "'\o\I~~Ef\Mli SI-Ir..LL il-llS PERMli IS \'lOi ELECTRICAL PERMIT APPLICATION
SPRING~IELD, OREGO~'9 ~~~~~~~iMn~\illE05:odr.,^^,th7b'!"Win~ q 7//(7;L/
INSPECTION REQUEST .r..U - ~1\in\W~h\~noi 'r.qulre CpCCI.!C 1.,,81 ty, Job Number 7)
OFFICB: 726-3759 COMMEN a ~b
1. LOCATION OF INs+M.'U~~~~~~l!(\Z~'ing L tl. 11 COMPLETE FEE SCHEDULE BELOIl
i CX'~ -0/rv\.t<<.) Dr. nJX-4.:-'t1 A. Nev Residential-Single or
- {\ Multi-Family per dvelling uni t.
' LEGAL DESCRIPTION Authorlzed Signelur....Lll'1 :~.. ~...c :Lllc~uoed:
Itn'Z,'Ji21 (')n4(}?1 Items Cost Sum
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...JOB DESCRIFTIQN, '.-1-7_
Y/Y\1u? o/:J... tAratt J7
Permits ar~ non-transferable and expire
if york is not started vi thin ISO days
of issuance or if york is suspended for
ISO days.
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~ 2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty EUGENE
Phone 4RS-OQ.u
Supervisor License Number ~~
Expi'ration Date 10/l/9~ Q9(..
"
Constr Contr. Number 04296'~"
Expi'ra tion 'Da te 12/l0/"l7.
Signature of Supervisin", ~lectric-.'",.,
.. (Jl.~u'PJ~
v ~~ ·
Ovners Name /2n\! -r:r.e.eJN\0vv\. .
Address II';) n J) Jl-'5+- f4'IfVlw
CitYC::;fM~~jrJ Phone 7C(l-;}'7[)~
OVNER INf~LATION
The, installation is being made on
property I o...n ...hich is not intended
for sale, lease or rent.
Owners Signature:
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DATE: S~ l(_~(+
RECEIP.~ ,: ;tt-/17 i
RECEIVED BY: lA/
1000 sq.ft. or less $ 85.00
Each additional 500
sq. f t or port ion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 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
r/
$ 50.00 C);J, fi()
$ 60.00
$100.00
$130.00
$300.00
'$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
,200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see 'in"~ above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~
$ 35.00
$ 2.00 1. t7D
E.
Miscellaneous (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
SUBTOTAL OF ABOVE 5'1. oi)
5% S~~~:)>urcharge :;,7n
J.U=rAL 3P ,4:iM1~ /, h ;,
'f'trfq( ~~.?Z
5.