HomeMy WebLinkAboutPermit Electrical 1992-6-15
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225 FIFTH STREET ,l,>nlng, ll1ld~:-SUbmhtect".t'-~(..E(;TKlCAL .PERMIT APPLICATION
SPRINGFIELD, OREGON 9747fl'Pr<lV.1. . . reqU're.PtclIIcIlnd:'~
INSPECTION REQUEST: 726-3769 Zonin~ ~ f\ f1 i _n.. Ci ty Job Number Of? [' Q-- :::..,"/
OFFICE: 726-3759 I I~
fJot" \0. \S.q 3. COHPLETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTAL~tg ~Bnatur~
0401 -:G/II\ ~n ... Residential-Single or
J Hulti- am y per d...elling unit.
LEGAL DE~~PTION __" Service Included:
,'g'Oz..O'i 00 (2) 30u Items Cost Sum
J9,q n DESCRIPT. ION P
VVVDV0 f} /MI\..l-1
I
Permits are non-transferable and expire
if ...ork is not started ...ithin 180 days
of issuance or if ...ork is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular D...elling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor805E CORPORATION Relocation:
Address 89975 DAY LANE
Ci ty EUGENE
Phone 586-0905
Supervisor License Number 1558-5
Expiration Date 10-2-92
Cons tr Con tr. Number 54431
Expiration Date
9/30/92
City
~8S:~\f:
Phone
6.<:';
MI")OI
01lNER INSTALLATION
The installation is being made on
property I o...n ...hich is not intended
for sale, lease or rent.
Ovners Signature:
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6-f5'-:?'2... ...
"? //8
-/7~~
/t
DATE:
RECEIPT 11:
RECEIVED BY:
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 num
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or.1000
volts
Sign~~~upervising Electrician
V~./~
M~~ \.' \\. ~~ B-.:,anch Circuits
O...ners Name :--II:~ "--"-, 1m \-O.n.fY\Jl, \..A...I:",~ .
8gQ7':; on" !:.r.-fJ::- e..., Alteration
Address
$ 40.00
$ 55.00
$ 80.00
see "B"
above
or Extension Per Panel
One Ci.rcuit
Each Additional
Circuit or ...ith Service
or Feeder Permit
S 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm. $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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