HomeMy WebLinkAboutPermit Electrical 1994-1-26
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225 FIFTH STREET ;~"~ng, and do", not ;;,'7t~:,,~~~d'~"'~,~CTRI<:bL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477' P ov.I, ~." C",." L,:d "C" t/t '2. 1--=>36l..
INSPECTION REQUEST: 726-3769 Zonino . Cay Job Number 1L1.).J C)
OFFICE: 726-3759 \ hI"
r,:._\.:....lA~~ . COMPLETE FEE SCHEDULE BEWV
1. LOCATION OF INSTALLATION"";,",;,..,, Sl""~;"'.. :1>iJ
4502 Glacier Street - '-"-A.VllNe.v_Residential-Single or
Multi-Family per dvelling unit.
Service Included:
LEGAL DESCRIFTION
18 02 05 1 2 TL 3700
JOB DESCRIFTION
Sinqle Famil~ Residence
I~me-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor f1AJG;<'IHAw._, ~h.\-
Address ~5"3 ~.
Ci ty 5P.+v
"'"~ t<< PL
Phone J'-i'-/ -( I I.Y
Number 3571 S
Supervisor
ex-
'11'i")~
License
Expiration Date 10.:' -'1S-
Constr Contr. Number g ~Y"2.i~
Expiration Date .< -5-Qi.f.
Sign~ture of Supervising Ele~trician
&I L-, .
Owners Name Capstone Homes, Inc. of Oregon
I
Address P.O_ Box 22636
City 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:
---------------,r-
DATE: J-
RECEIPT I:
RECEIVED BY:
Items
Cost Sum
$ 85.00 ffi
$ 15.00 Q(L
$ 40.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion n
thereof d
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps S 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 \ $ 40.00 ~.
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
Nev, 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 Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 15..~~
5% State Surcharge rj.......1 "-
TOTAL , [o~, 'is