HomeMy WebLinkAboutPermit Electrical 1995-5-3
fol/owing project as sub ;It . h ' ~,
zoning and d . m.. eo I<lS the lol/owing "'!"
225 FIITH STREET approv~1. oes not requIre specific fnn~\"uu.CAL P'ERHIT APPLI&ION
SPRINGFIELD, OREGON 97477 Zoning L. O,z,.. _ ~6.' "~31
INSPECTION REQUEST: 726-3769~. _ ./ Cl ty Job Number ~ __.~
OFFICE: 726-3759 Date, )-,)-'1-,:> _
Authorized Signature .'JJ~ COMPLETE FEE SCHEDULE BELOV
1. LO,fAJION OF INSTALLATIQN *' 5 -, " ,
~~\~. bAl~~' 8'. A. New Residential-Single or
-- \. Multi-Family per dwelling unit.
~~AL DESCRI~;Q~1 ~ Service Included:
tr I ():J..~?' ()w..nIJtJ Items Cost Sum
, .
-- ....--.. .---
JOB DESCRIPTION.
1\,\}~-\r\- t\ ~ v (Lf?..; ~ ~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular D~elling
Service or Feeder
$ 85.00
$ 15.00
,
$ 40.00 4D.OD
2. CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor Palmer/Philips
Address 3170 Meadow Lane
City 'Eugene
Phone
688-6121 .
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
S 50.00
$ 60.00
$100.00
$130.00 .
$300.00
.$ 40.00
Supervisor License Number
771QC;
Expiration Date 10/99
Constr Contr.Number 20-179C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 10/<1.3
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
S' 40;00
$ 55.00
S 80.00
volts see "B"
above
Signature of Supervising Electrician
C~~ . f-:.-
ij'athan t'h~Ups
. O~ners Name t)AY't.-Y'\ Cv\ \. \ \ ~
D.
Branch Circuits
Address 5 3.~S 'DPt1~ S-\-.
I
Ci ty ~l N~l\e.LoL Phone iY:] - O'LQ-=l-
OVNER INSTALLATION
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 'Service
or Feeder Permit
S 35.00
$ 2.00 .
The installation is being made on
property I own which is not intended.
for sale, lease or rent.
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
~A~~~--~-~;l1~------~------------~-
RECEIPT i: 1-' 7/
RECEIVED ny:
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
3~ tv'%
6z,^C~
-
$
S
$
S
40.0-0
'2. t70
LJ. .:1.. (j()
r. )..~
, -
43. :;l(p
40.00
40.00
20.00
36.00
Ovners Signature: