HomeMy WebLinkAboutPermit Electrical 1996-9-6
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e, 0 lowing pr eel as oubmiltad has lh ~.
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ELECTRICAL PERMIT APPLICATIQN
City Jeb Number ?6! /1>f
Autt10rized Signature3, ~LlITR 17'''' <:rmmULE BELQY ~
A. Nev Residential-Single er
',W-p,.l1, p" d,.m" "n. - ..' .
Service Included:
225 ,FIFTH STREET Zonina '-1\11 \
SPRINGFIELD, QREGQN 97477, ~
INSPECTIQN REQUEST: 726_37690ote '10' C1.111
.oFFICE: 726-3759
1. LOCATIQN ,OF INSTALLATIQN
.~_~. h."'IA('''- ~+
\~~J. DESCRIPTION' , , "
ilj) -:z., ;;0 (Q 0:1(;;.11(1
JQB DESCRIPTIQN
T~<.hll, ':',U'^"'+Y
Permits are non-transferable and expire
if verk is net star,ted vithin 18.0 days
'ef issuance er if verk is suspended fer
18.0 days;
2. CQNTRACTQR INSTALLATIQN ,ONLY
Electrical Centracter Son i trQI Secur i ty
Address P.O. Box 21.009
City 'Eugene
Phene 461-56:l8
, Sup'erviser License Number
Expiratien Date
Censtr Centr~ Number 65149
Expiratien Date 06-28-96
Signature ef Supervising Eiectrician
I'fI /rJ.. h1 e./vh/l-J-
r
,Ovners Na,me frI 0 ,p ~r 1\\ (d_f'f)'-+
. . '["
Address I q~ Lau Vo, S+-
Ci ty 'Sr(C1J~, Phene'
Q\/NER INSTALLATIQN
The installation is. being made on,
preperty I ewn ,vhich is not intended
for sale, 'lease et rent.
,Ovn,ers Signature:
----'-r;r----r-'---
DATE: -/ ~i(~ '1lP -
RECEIPT, 11: ' Zrs07'1. ,,', '
RECEIVED BY: I~ '
Items
Cost
Sum
1.0.0.0 sq.ft_ er less
Each addit iena1 5.00
sq. ft or pertion
thereof, ,
Each Manuf' d Heme or
Modular Dvelling
Service er Feeder
$ 85..0.0
$ 15..0.0
$ 4.0..0.0
B.
Services er Feeders
Installatien, Alterations
er Relocatien:
2.00 amps o.rless
2.01 amps to. 4.0.0 amps
4.01 amps to. 6.0.0 amps
6.01 amps to. 1.0.0.0 amps
.over 1.0.0.0 amps/volts
Reconnect Only
$ 50..0.0
$ 60.0.0
$1.0.0..0.0
$130..0.0
$3.0.0..00
$ 4.0..0.0
C. Temporary Services er'Feeders
Installation, Alteratien or Relocation
2.0.0 amps er less
2.01 amps to 4.0.0 amps
aver 4.01 to. 6.0.0 amps
.over 6.0.0 amp~,er 1.oaa,velts
$ 4.0..0.0
$ 55..0.0
$ 8.0..0.0
see "BIl above
D.' Branch Circuits
Nev, Alteration erExtension Per Panel
.one Circui t
,Each Additional
Circuit or vi'th Service
or Feeder Permit
$ 35..00
$ 2..0.0
E,
Miscellaneous (Service/feeder
-Each installation
Puinp or, irrigatieh
Sign/au tlineLightlng
Limi ted EnE,i:gy/Res
Liini ted EnergylComm
not included)
5"
$ 4.0..0.0
$ 4.0..0.0
$ 2.0..0.0
~ $ 36.60 ~
f!Io pD
.f.liU
T,OTAL .' ~'g,..-. 1..<.0g
.' 58'. ~C6' '
~,.\,.\ 'I 2."1n ~'\lVI:",; <.h-....+;\I~.r.....,... - <;?OJIl1-oki
SUBTQTAL QFABDVE
5tStateSurcharge *"