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HomeMy WebLinkAboutPermit Electrical 1993-8-16 . ..~,,,.,,,Ol~'sasubl ,... ,,',.. ""~.. .....,'..'..,.;.... '" "J~~; ~ca3not.reqUire":.pl!lldmhaefh~"o"(Y,. :JZ ." .~': , . .. ... vec Ie land ...,,,,"'~,' , . :225' ,'1' .1.r.l" ;':>lJ\Uol. '.<onl~ll.'~.. ,',. '.1':tE:~r~cAt:~PtRHIT' J4'ptIt.AT.ION .. '$PRINGFIELD,'OREGON:97477Jat> ,~re:-. . "'- . " .. :'" . ,,' .'.. ': .INsPErnONREQUEST:-.726-3769-:-V....::I.~ 3 - : City 'JoblNwriber Q3b7S ~ , -, OFFICE: ]26-3159 , ,,'cr(;,,>4Si";>;;:/Ne LLA '. . '"," . , , . ,,', , . ,'. " ~OHPlliITE,;FEE:;SCHEDULE :BELOV': ',.., :. '.... ".--...". . -----.....,... ..,.: ......';.,~.. "\ ~ 1. 'LOCATION 'OF 'INSTALLATION', , . .' ,--;'.\,-.: .... ,'.';" .' 'NJSn.;~L:u b~. '::P-~J0~'::.<;'A: :NeVjR:,~i~~,nfi,i~::"s~ri'~~e..,?r :,:", . . : '.' ' ::;Muhl>,F.amdy.;per~'awe!l..hng:unl.,t,., , ,LEGAL mESCRIPTION :Servlce :[nc:!l.uaea~" I} 0 2-, ":lIt n OLll./() 6 ' . Ttems ,'Cost .' . . JOBDE~CJlIPTION /l , (,);", r/{o~+ ~>-. f :Pernii'ts 'are ,non-'trans'ferable ';ana.expire :if 'york :is ,not ,star.ted,wlth'in'180 ,days' 'o'flssuance -or Tf'vofk issusperided for 180 days. ' ".~.~'; :2. -CONTRACTOR .INSTALUTlONONLY 1000 :sq,;:'f:t. :o,r ''less' Each :aoalf1.onal' '500 . sq. f;t ~or .~port;j,on thereof ,Each :Hanuf':a :'Home ,or Modular'Dve'lYing Service',or .Feeder ."' , :*" . , , , , . :Sum ... .... l~'~ :$ ~85," 00 :$ 15..00 .$ 40.00 . -, .. " B. .ServIces or "Feeders Installation" :A'l.terations or 'Reloca ti on: :ElectricalCon trac tor OREGON ELECTRIC SERVICE Address p, O. BOK 2237 2370 W, 7ih Plac" Eugene. Oregon 97402 Ci tYPhone..,2'l4-~"" I (,,9 I Supervisor License Number /. ~~, , ""' Expiration Date !(J- I _Q_"\ Constr Contr. Number~oJ!",rJ 200 amps or less 201 amps to. 400 ;amps ,401 :amps to '600 'amps 601 ,amps ~o 'lOOO;amps Over 1000 amps/vol ts Reconnec t Only , $50.00 $60.00 $100.00 ,$130.00 $300.00 $ 40.00 C. Temporary Services ,or Feeders Installa tion ,AI tera tion or, Re'loca tion .Expiration Date /0 - r - q,~ Signat~;r of Supervising Electrician 7J-o Ah-Vl/A-y.J7tt~AA____ Ovners Name A. A YL/l, ,~ { ^ -;-;; tlJ (J , . Address II os-Q \ AJ1 ",h ',old- Ave.. \J City W p~~ Q:.,.... 9PPhone~oo OllNER INSTALLATI~J'-/9::> .The installation is being made on 'property I ovnvMch .is 'not intended for sale, lease or'rent. 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 ~o 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Ci rcui'ts Nev, Alteration or .EKtension Per Panel 5. SUBTOTAL OF 'ABOVE 5: State:Surcharge. TOTAL :.' -L $ 35.00... ~ S c:>1U One Circuit Each Addi tional Circu'i't or'vHh Service or Feeder PermIt $ 2.00 E. Miscellaneous (Ser-vi'ce/feeder :not 'included) -Each :installa.tion- Pump or :irrigation I $ ,40.00 Sign/OutHneLigh fin/! :$,40.00 Limited :Energy./Res' $ '20.'.00 LimiteoEnergy lComm' :S36.00 Ovners Signature: DATE: ,RECElr L '~: RECEIVED ,BY:: Q J II"" ~q-:>; ~I~() I<:.IP. _ :~S =0 / ')::0, ~~(O ?S I.. r\,c--..' n, 0 ':D ., I ~'-~"-"-' ;..-\ ,~ 4t- iq~o)s~