HomeMy WebLinkAboutPermit Electrical 1999-3-10
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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