HomeMy WebLinkAboutPermit Electrical 1996-5-20
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The..follow1ng project as oubmitted has the
zOIl"'~I, and does not require spoctfic land
appr("lal.
225 FIFTH STREET z r+ i ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~on",g ., D
INSPEctION REQUEST: 726-3769"1. 2() ~ 'Ci ty Job Number '76/!? 7f?.s-
OFFICE: 726-3759 Auth riz S' <,0
o .gnaw"'........ \(:OKPI.ETE FEE SCHEDlILE BELOIl
1. ,LOCATION OF IN51'ALLATION r;1 ~ !t:
3c../ 9 7 c.J/'r:5//~ A:t? A. New Residential-Single or
Hul ti-Family per dwelling uni to ,
, LEGAL DESCRIFTION Service Included: '
)9.,-:;? 119 &D CJ/J2.~ Items Cost Sum
JOB DESCRIPTION
3-~A ' .s6r?///~~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
2. CONl'RACTOR INSTALLATION ONLY
,
Elec trical Con trac tor BUILDERS
Address
293 MONROE
Ci ty EUGENE
Phone 4R~-Oq??
Supervisor Licen~e Number ~~
Expiration Date 10/1/95
Constr Contr. Number 04296' ~
..
Expiration 'Date
12/10/95
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Hanuf'd Home or
Modular Dwelling
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 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
Signature of Supervising Electrician
.~R~
(; ~ / ~. (_ D." Branch Circuits
Owners Name l /1'5,7/.AJA LA)t7..'}tr~~~ ,
New, Alteratlon
Address /99 / /~.J _ 2 A7r)
City
Eu'::::_
,7,-/.r-2.JOj
Phone
OlINER INSTALLATION
The, installation is being made on
property I own which is not intended
for sale, lease or rent.
volts
$ 40.00
$ 55.00
$ BO.OO
see liB"
above
or Extension Per Panel
5.
SUBTOTAL OF ABOVE
5% State Surcharge
.:rOTAb J~.. A/)k6(}J"
n /"?'rC--
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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 S 36.00
Owners Signature:
DATE:
Ri,,,,,...n i:
RECEIVED BY:
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