HomeMy WebLinkAboutPermit Electrical 1993-4-30
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225 FIFTH STREET . .-" -:'<:~.,' -?', ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGQN'9'i477"o- !.Jly..... nQ1\/' :../I
INSPECTION REQUEST: ,726-.3769 ~~Ci ty Job Number -j\..JU LVi'
OFFICE: 726-3759 < ,"' -;:'0\\1""""""0 I CJ ~ (fl.
A.J.'i- - .-1.' 3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTAI;LATION"II""\\p
4550 Holly Street" " .,...,,\i1..<;~ A.
LEGAL DESCRIPTION
1.8 02 05 1 2 TL 7000
JOB DESCRJ;PTION
Single Fam~]y Residence
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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 Corporation
Address
89976 Day Lane
City Eugene, OR
Phone 686-0905
Supervisor License Number 1568 S
Expiration Date 10-1-93
Cons t r Con t r. Number 54431
Expiration Date 9-30-95
Supervising Electrician
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New Residential-Single or
Multi-Family per dwelling.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 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
# SP 67
uni to.
Items
Cost
Sum
~~
4~
200 amps or less
201 amps' to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
Owners Name Capstone Homes, Inc. of Oregon
Address
P.O. Box 22636
Ci ty Eugene, OR 97402 Phone
689-5567
OIINER INSTALLATION
The 'insta1lation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~----4~mB?'l:.--q~-=-_-"-~
RECEIPT II: M ~ ~" (157..:,).
RECEIVED BY: \ ',. fJ..J{!1_r .
)
I
d
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ BO.OO
volts see "B"
above
New, Alteration or Extension Per .Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
130 .OU
. (_(l.~
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40.00
40,00
20.00
36,00