HomeMy WebLinkAboutPermit Electrical 1993-8-4
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225 FIITH STREET eppo'Ovol. ,ill J ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonina~,V' /;7.. '"'q'7 '7
INSPECTION REQUEST: 726-~769t ....~\.JjJ: Ci ty Job Number V1rx.; L/V
OFFICE: 726-3759 D r___ 0 .~
Autnonz~d SignaturG Jj, : ';'~ II:>:'::: FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION 17 0 =7Z- 2'-Z..6 0 ~O (
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I
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days,
2. COtn"RACTOR INSTALLATION ONLY
Ele~trical Contractor Palmer/Philips
Address 3170 Meadow Lane
City 'Eugene
Phone 688-6121.
'Supervisor License Number ...2l19s
. Expiration Date 10/92
Constr Contr. .Number 20-179C
Expiration Date 10/92
Signature O~:rvi~ing Electrician
. '~~nLl~PS
Ovners Name Ie!:' L
Address 1>-;;230 ('~A-<-j
Ci tY'7?f)C:-I c~ Phone 141-Ljoq I
01lNER INSTALLATION
The installation is being made on
property'I ovn vhich is not intended.
for sale, lease or rent.
Ovners Signature:
------------~----------~--------------
DATE: ~ -1-{ -.q?,
RECEIPT l!: 7' ..?5'~
RECEIVED ny: I!.<- "'-------
Nev Residential-Single or
Hulti-Family per dvelling
Service Included:
Items
1000 sq.ft, or less.
Each additional 500
sq. ft or portion
the reo f
Each Hanuf'd Home or
Hodular Dvelling
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
uni t.
Cost
Sum
$ 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
200 amps or less
201 amps to 400 amp~
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80,00
see Its"
above
Nev, Alteration or Extension Per Panel
One Ci.rcui t
Each Addi tional
Circuit or vith Service
or Feeder Permit q
$ 35.00 :z,S-
S 2: 00 ...if..-
E: Hiscellaneous (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
5300
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