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HomeMy WebLinkAboutPermit Electrical 1999-3-10 #.A 225 FIFTH STREET The following project es submitted has the tollowil!lLECTRICAL PERMIT APPUCATION SPRINGFIELD, OREGON 9749'Vng, and does not require specific iand use n ' . INSPECTION REQUEST: 7Zge.r~'1ll9 (l ~ City Job Number'-' 'll f) / ~ OFFICE: 726-3759 ZonIng' ~ . 'Date <:3 -':;)' - C, 3. COMPLETE FEE SCHEDULE BELOY 1. 1,.0CATIOli 9F INSTALLATION 4 c." '\ KV'u,C- Authorized Signeture' :.. :l~_ ~~~:dential-Single or Multi-Family per dvelling unit Service Included: 1000 sq. ft. or less NO"ach, addi tional 500 r,......C. . '~'IS ~q.' f t or portlon ..' Ptlle~~?'N _ $ '-'.'E!!,ch. Han~M.d:)Hl;\IJ1C/t9fH ~Mi(dif.'~ar:t@y,e;lJ,~n$. E WORK SerVlce ,or Feediflf/MIT IQ ""l . $ "'" 1 ,'-: 8ANDO .\~T 2. CONTRACTOR INSTALLATION .ON1..X AI B. '. Services Cor Feede"fP FOR ~ecunty PlUS arm Installation, Alterations Electrical Contractor And Protection or Relocation: f~rED'~ItJc6l () r JOB DESCRIPTION CCTV Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. . Address P.O,Box 26413 City_ Eugene Phone 687-6474 Supervisor License Number 3012 JLE 20417CLE Expiration Date 10-01-99 Cons t r Con t r. Number 125673 Expiration Date10-13-98 S~Af t/;;/m'oiM Ovners Name SYCAN Address 3405 Baldv 'iieltiJ "np Ci ty SprinQfield Phone 746-07?? OVNER INSTALLATION The installation is being made on property I ovr. vhich is not intended for sale, lease or rent. Ovners Signature: ~~~~:~-:~--~~1f-~~~~-~-~--------- RECEIVED BY: LA -:-rJl/ -I A ~ Items SI Cost $ 85.00 15.00 40.00 200 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 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation ATTENTION:Oregon law requires you to follow4Q~~ll\P.lliC01! bl'ess Oregon Utility $ 40.00 NotificG.~~ @I!1R~r. t;<l1(,4.Q.Q~ampsre setlorth$ 55.00 - in QAR~'!,~IOL4P~0~Yt~QQg\il.Il!P'G~ 952-001-$ 80. 00 ~ 0090. \ct'{.ema~Q,<bt9!!\P~lbp?i!"s ~PrM ~sysee "B" abov4 calliQ,Q the \:.ent~r. (Npte: the telephone RQmb'Gf~qHe<arti~'On ~ility Notification .' CentAtis 1-80Q-332-2344). Nev, A~teratlon or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. ,Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 1 not includ. $ 40.00 $ 40.00 $ 20.00 $ 36.00 $3E 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 36.00 1.ljU 1.08 ~88