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HomeMy WebLinkAboutPermit Electrical 1993-8-20 . ~ 225 FIITH STREET .Tho 101'owl"0 croloolo,s submitted has the fG~CAL P'ERHIT APPLICATION SPRINGFIELD, OREGON 97477:on;" " ,;i'Os. ,~"dUS9 I q ~ INSPECTION REQUEST: 726.1:13'769. City job Number -..J<. ) \1_1 \ ., OFFICE: 726-3759 Z0ning lJ)(Z , , 1 * ,:; 'b 3. COHPLETE PEE SCHEDULE BELOIl 1. LOCATI~N OP INSTALLAffoN-.~~2","'::1 1 ,;?~n Lo(JJ Authcriz<dSil2nature_ ~, Nev Resiq,tl.l!tial-Single or I~ 0 ~I'\S'I n ^ n """'" Hul ti-Family per dvelling uni t. LEGAL DESCRIPTION ~ ~~ Service Included: p. \ 'S5e..<.U " I. QQ/lJ rQOAVC..O _ Items Cos t Sum JOB DESCRIPTION Id'..\-tit", Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. COtrrRACTOR INSTALLATION ONLY Ele~trical Contractor Palmer/Philips Address 3170 Meadow Lane Ci ty 'Eugene Phone 688-6121 Supervisor License Number -2]JlQS , Expiration Date 10/92 Constr Contr. ,Number 20-179C Expiration Date 10/92 Signature ~UP~:Vi;ing Electrician ~ WHl.pS ' Ovners Name G2l('~~":f (< I c, S eeLL luJ Address 2-'2_:2-.0 lDc..V\ City '~'()"J\'-e..\d Phone 01lNER INSTALLATION 72(" - '5;/1 ~ The installation is being made on property'I ovn vhich is not intended, for sale, lease or rent. Ovners Signature: ~~~~~------------p; . ;.J'CJ--ca_ --- RECEIPT #: l /). - ~f rJ ") RECEIVED DYtf J)LL..LL> L! litb") 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder B. Services or Feeders, Installation, Alterations or Relocation: 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, A+teration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits Nev. Alteration or Extension Per Panel One Circuit , I Each Addi tional Circuit or vith Service or Feeder Permit E: Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 Y03 S 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 S 36.00 ~dD / 7~- of,., 7,-