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HomeMy WebLinkAboutPermit Electrical 1999-3-19 01 IS"~ ....6 G-6 <:-..~.;" .. "0' ~ 1 \9c>~~1S" ~ oJ.:: 19t.; ir$)~ 0,* O'"",o"'i>. ELECTRICAL PERMIT APPLICATION .. p Ci ty Job Number 9907:2 '1 COMPLETE FEE SCHEDULE BELOY . A. Nev Residential-Single or Multi-Family per dvelling unit. . Service Included: ~:' ~ q,. '.\ "0' ~.. ;9,,- "'/" '.. 225 FIFTH STREET SPRINGFII,LD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION /W' LPW/ll~//"/ i7 LEGA:~ DESCRIPTION 170Lt52- '- o (,,/ ()t) JOB DESCRIPTIOfl .'J clic...,fs 1Ir//H- Permits are non-transferable and expire if verk is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONT.lACTOR INSTALLATION ONLY ,B. Electricll Centracter JB ELECTRIC, INC. Address 4065 W. 11th, #18 Ci ty Eugene Phone 687-5770 SuperVls,lt" License Number 38725 Expirati.)n Date 10/1/99 Constr ()ntr. Number 104929 3/14/00 Expirati'Jn Date Signatur'~ of ~~:trician Ovners N,lme V Address ta", 111'1 r / (t'/w!J ~''/RJ? ) Phone 7)b '5]1) /'10 ) Ci ty 2/.~;;.J/ OIINE:( INSTALLATION The i~st.llaticn is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~AT~~------------3~\1X~qcr------- RECEIPT ~: ,...... ....., IL.\- I 0 RECEIVED BY: 1-\ L/ 1000 sq.ft. or less Each additional 500 . sq. ft or portion thereof Each Manuf'd Heme.er Modular 'Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relecation: 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 Items Ccst Sum $ 85.00 $ 15.00 ,$ 40. 00 $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 C. Tempcrary Services or Feeders Installation; Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80,00 see IIB" above Nev, Alteration or E~tensicn Per Panel .' One Circuit / $ 35:00 3"- Each Additional Circuit or vith Service '2.- or Feeder Permit I $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy;Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 3 tP 7. I H t., I J <jJj "