HomeMy WebLinkAboutPermit Electrical 1994-3-8
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Zonino L-Q 12 _
225 FIFTH STREET J-':, 3-t';-Q4
SPRINGFIELD, OREGON 97qjj
INSPECTION REQUEST:-'''7~~9turo I~
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
4529 Glacier Street
LEGAL DESCRIPTION
18 02 05 1 2 TL 5700
JOB DESCRIPTION
Single Family Residence
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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 HAJL<<" II1r."'...... ;1<<.i-
Address ~53 5:'. "'~!'< PL
Ci ty 5Ptv 0(- Phone ?t.j<-/ -( II.S
'11~7'"
Supervisor License Number 3s 115
, Co
Expiration Date /0--/ - I )
Constr Contr. Number g "1'-1'2.3/~
Expiration Date .< -5'-'14-
Signa~ OfO~g Electrician
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Owners Name Capstone Homes, Inc. of Oregon
,
'dd 'P.O. Box 22636
., ress
..
SP.,ELD
..':- ;
# SP 82
City Job Number
ELECTRICAL PERMIT APPLICATION
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3.
COHPLETE FEE SCHEDULE BELOV
uni t.
Cost
Sum
Qs
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
$ 85.00
$ 15.00 .3b
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circui ts
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
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.
OHners Signature:
DATE~-----------~~~~f:\~----::---~
RECEIPT 11:_ r f J 11't'i/ 0 I
RECEIVED BY:C7\ [,l"\(~ -
Items
1000 sq.ft. or less r
Each additional 500
sq. ft or portion f\
thereof .:-f....
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2,00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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