HomeMy WebLinkAboutPermit Electrical 1991-8-28
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 .
3.
L ..-\-OCATI~N OF INSTALLATI,QN '. . u r -'J I
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c;;',. J LEGAL DESCRIPTION
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JOB DESCRIPTION
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended. for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Palmer/Philips
Address 3170 Meadow Lane
City .Eugene
Phone
688-6121 .
c;I1/-AS
Supervisor License Number
Expiration Date 10/91
Constr Contr.Number 20-179C
Expiration Date 10/91
Signa~~~ectrician
Ovners Na~~ 0111 ~O~
Address dl/.cJ ~ctM'v
Ci ty~tJ h Phone
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OVNER INST LATION
The installation is being made on
property.I ovn vhich is not intended.
for sale, lease or rent.
Ovners Signature:
---------------------------------------
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DATE:
RECEIPT #:
RECEIVED BY:
~
ELECTRICAL P'ERMIT APPLICATION /
Ci ty Job Number Gj'E/,t'ft2rJ/Cf. i V l~.
Nev Residential-Single or
Multi-Family per dvellin~
Service Included: !' ~ /\
It~ / Cost . Sum
- J 7.il nee.-
1000 sq. ft. or less :: $ 5.00 ..d:IJ,d.
Each additional 500
sq. ft or portion
thereof 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Chcui t
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
3L/o<E-
". -
n.OO
;.L..,57.&D
40.00
40.00
20.00
36.00