HomeMy WebLinkAboutPermit Electrical 1994-5-6
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225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
'-to Dlj ,
The following project as submitted has Ihe foliJ>~~CAL
ioning, and does not reqUire specific land u~
9747 approval.
726-3769 . ~ City Job Number
Zoning.
D61e :">- l..-q'!:
1. LOCATION OF INSTALLATION, eel S' ture
35.;l() . &l,h..u...:o..u... Aumonz Igna
-. v
LEGAL DESCRIPTION
1'7/)"$ "2-"2... -:LO DZ::>":JOD
JOB DESCRIPTION
L..S..P("~S~(', N\.Q.C-hl~ dvrl Uj
,
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Palmer/Philips
Address
3170 Meadow Lane
Ci ty 'Eugene
Phone 688-6121,
Supervisor License Number ?71q~
Expiration Date 10/9:3
Constr Contr.Number 20-179C
Expiration Date 10/93
Signature of Supervising Electrician
C&-L- . ~
ttathan t'mnps
Ollners Name bll.Y(")1r\
Address 3sdt\ Go...~Cl 'j
City ~\ r~ Phone 7'-1{, -169'-/
OYNER INSTALLATION
The installation is being made on
property'I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
------------------------~--;7----------
DATE: ;;--t;,_-/"T
RECEIPT #: I L. (~ S 'J
RECEIVED ny: ..i"~
3.
~.M
A.
COHPLE~E FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Reloca t ion: ,
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 ~mps/volts $300.00
Reconnect O~ly $ 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
$ 40~00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci,rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 3So..!'
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
3500
o 1"7~ + 1,()~<'-.3~
~1~.~ 3?:~O
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL