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HomeMy WebLinkAboutPermit Electrical 1992-7-31 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 4425 Holly Street LEGAL DESCRIPTION 18 02 05 2 1 TL 6900 JOB DESCRIPTION S F Residence Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Rose Corp. Address 89976 Day Lane Ci ty Eugene Phone 686-0905 15685 Supervisor License Number Expiration.Date 10-1-92 Constr Contr. Number 54431 Expiration Date 9-30-92 Signat~r~upe~~-Electrician (~//~ Owners Name Capstone Homes, Inc. of OR Address P.O. Box 22636. Ci ty Eugene, OR 97402 Phone OVNER INSTALLATION 689-5567 The installation is being made on property I own which is not.intended for sale, lease ,or rent. Owners Signature: ~A~E~-----~:~=)-r:c:r~-~--~~---- RECEIPT I: .1L _ / - (). J:.::Ji""l RECEIVED BY: -L -/) /.; IrA _ ' St."ING~IELD Ci ty Job Number t1 I I )I Id- 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. f t. or less Y Each additional 500 sq. ft or ,portion thereof ~ Each Manuf'd Home or Modular Dwelling S~rvice or Feeder $ 85.00 .s::fi:. $ 15.00 ~ $ 40.00 B. :Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL //~ c-- ""'7~ /'2b.7_~