HomeMy WebLinkAboutPermit Electrical 1992-2-20
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225 FIITH STREET _Tho fol!.,.1i>~ project iIs submitted hIlS the foll~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 971t;t;1.g, end doee nol require speelllc land uae
INSPECTION REQUEST: ~L~"'69 I .f'\.0 1 City Job Number 011 <K I~
OFFICE: 726-3759 Zo"ina \;\ J'f.-:-/ '
,Q ~O ~ 3 COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL~a:1 '1.,'
4439 Holly StreetJ ill." "".,tSlgnilture \ 6 Mo.. \'. :'~iential-Single or
Hulti-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
.18 02 05 2 1 TL 7000 Items Cost Sum
JOB DESCRIPTION
Sinq1e Fami1~ 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
686-0905
Phone
Supervisor License Number
1568S
Expiration Date 10-1-92
Constr Con'tr. Number 54431
Expiration Date
9-30-92
Signat~upervising ~lectrician .
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Owners Name Capstone Homes, Inc. of OR
Address P.O. Box 22636
Ci ty Eugene, OR 97402 Phone 689-5567
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.~~~~~-f)-~-I)Ct')-:-<:3\~-------------
RECEIPT I: _ rm.",\.'r-l-.'"
RECEIVED BY: .. }...... - ') - \
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1000 sq.ft. or less t.--' $ 85.00 ~
Each additional 500
sq. ft or portion
thereof Z. $ 15.00 =SD
Each Hanuf'd Home or
Modular Dwelling
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
Reconnec t Only'"
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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(0 ~
$ 55.00
$ 80.00
see'''B'' above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci-rcui t
Each Add it i onal
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'S-V>P
5% State Surcharge 7:P'
TOTAL 1~2. 7$
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