HomeMy WebLinkAboutPermit Electrical 1993-11-3
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225 FIFTH STREET o~,;.."'>f~
SPRINGFIELD, OREGON 9747f;-,~ <0'1; OIr''1Z''y6'''i .
INS. PECTION REQUEST: n(,'r.?t69,LI ~ ~........;,~..~. City Job Number
OFFICE: 726-3759 o,~cO' -l.:. ";!'~~~f'".,_
o!'i>" . ~. COHPl:f;.T~, FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLATION ~'''r" ............ ,~ .ll'~
4487 Glacier Street A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
18 02 05 1 2 TL 6000 Items
JOB DESCIQ:PTION ,
S~ng1e Fam~ly Res~dence
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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 B.
Electrical Contractor HA..Jc...<.IHf'owv........ 6i<<..t-
(p~ t"'- {7L
Phone lc..j<-/ -I ( (,..Y
Number 35115
Address ~~3 ~.
Ci ty 5P.+v 0('
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Supervisor License
Expiration Date 10-1-";)
Constr Contr. Number g "1Y"Z.3,'{.
Expiration Date < - 5"- CfL/
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Signature. of S~p"vising Electrician
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Owners Name Capstone Homes, Inc. of Oregon
,
Address P.O. Box 22636
City Eugene, OR 97402 Phone 689-5567
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----------~---~t-~~~~~------
RECEIPT I: .-+"-.,1,!'.,., \ \0-1 ~- \
RECEIVED BY: C' J) I L '1 J _ ) .
# SP 81
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion ~
thereof ~ - )
Each Manuf'd Home or
Modular Dwelling'
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
Cost Sum
$ 85.00 Bs
$ 15.00 4=s
$ 40.00
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 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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
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$ 35.00
$ 2.00
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