HomeMy WebLinkAboutPermit Electrical 1993-8-31
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225 FIFTH STREET .?; "OI'r09~7/j"'itterJ' ELECTRICAL PERMIT APPLICATION # 69
SPRINGFIELD, OREGON <yJl!]7 Of)i"r;~n" re ./JcOiy;~es'lho q.'J... " crfsP
INSPECTION REQUEST: -'l 726-3,7690":" '() . "le!)rJ;'?l,(,a!tity Job Number ...)l )T--l
OFFICE: 726-3759 "1.~C/"v::-'~(;Y.' I .... 'fJ
" &;");~'i " COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION "/~...... I J.
4461 Glacier street ~ New Residential-Single or
Multi-Family per dwelling
~ice Included:
. LEGAL DESCRIPTION
18 02 05 2 1 TL 4200
JOB DESCRIPTION
Sinqle Familu Residence
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 HAV<:.<<. II1fv,,,,-' ~"".i-
Address ~53 ~. (,.~!i' t"'- PL..
Ci ty 5P-li> CI(' Phone J<-i'-l -I I I.S
'17~"lY
Supervisor License Number 3571 S
Expiration Date)o-I-1S-
Constr Contr. Number.&' "/"1'2.3/;:'
Expiration Date ::(-5-gLj.
SignatU;jf ~ Electrician
Items
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:
\
~
uni t.
Cost Sum
$ 85.00 ~
$ 15.00 21)
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to. 600 a~ps.
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect qnly
"
$ 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 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
4/')
above
D. Branch Circuits
Owners Name Caps tone Homes, Dic, of Oregon
, New, Alteration or Extension Per Panel
Address j:>,B. Box 22636
City Eugene, OR 97402 Phone 689-5567
OVNER INSTALLATION
The installation is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------------r-A~--------------
DATE: A .3.\ .~\~
RECEIPT I: '0' '~( ) ,
RECEIVED BY: - 'd- \,l /-':-'{' _ /
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 Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE \S~90
5% State Surcharge ~.~~.
TOTAL \ ~o.!4. . I J..:i