HomeMy WebLinkAboutPermit Electrical 1993-8-24
# SP 74
225 FIFTH STREET 'Tho, 10110".;oc ,rolort c" . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974 77 ~~~;~~~i'r~ ,. 00..:, r~':~~~";,~;:rf her, I,,? 1~lIowln9
INSPECTION REQUEST: 726-3769 "'cn}! Job Number CJ~1'.C17Y
OFFICE: 726-3759 ?'n'" r IfI(J / I
~~ :'2_~'3':-COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION ,:::.2:.~,~ I
4459 Glacier Street lIuLlor,:cd S;no"'''..r~UM\. .-New Residen t ial-Single or
~lt;-Family per dwelling unit.
LEGAL DESCRIFTION Service Included:
18 02 05 2 1 TL 4100
,
,
JOB DESCRIPTION
Si~gle Family Residence ~::lSO-q
Permits are non-transferable ana expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor MAJc..,<.. /Hh,^"""" ~h.i-
Address ~~3 ~, "'8' i"'- {JL
Ci ty 5ft:> Or' Phone 7t.jo..( -( I (..S
'17'j7Y
Supervisor License Number 35715
Expiration Date ID-f -1 S-
Constr Contr. Number g "/4'2.3
..
Expiration Date .7.-5-QLj.
,
Signature Of;e:UP vising Electrician
&1 C//',. ...-
D.
Owners Name Capstone Homes, Inc, of Oregon
,
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:
DATE~=--~-~Ar.;~rq~~-~~------I-- l'
RECEIr. If: , _.f " CY 1'r"W... <...)-=:r-f(
, RECEIVED BY: ( /~J..j iX: ) = -i~
-..c:-y . ,
Items Cost Sum
1000 sq.ft. or less $ 85,00 <;<5,00
Each additional 500
sq. it or portion :2.,
thereof $ 15.00 LIS .06
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
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 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less \
201 amps to 400 amps
Over 401 ta 600 amps
Over 600 amps or 1000 volts
$ 40.00 4tJ
$ 55.00
$ 80.00
see liB" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
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 Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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