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HomeMy WebLinkAboutPermit Electrical 1993-4-30 r/ ..,..,..'\'\"" , ,..IU"'- 'ff'\.' , . ..... "" ,..).'0 I ,.' ~..:...." ~ ('~ '- J -. 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 ~~~8' 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 ~ 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.~ ..L2o ,,"-/ ) 40.00 40,00 20.00 36,00