HomeMy WebLinkAboutPermit Electrical 1999-1-8
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The fOllowing project as submitted has the following
lonlng. and does not require specific land use
approval
l..DR. ELECTRICAL PERMIT APPLICATION
1-',\ -'1"1 Ci ty Job Number q <is' I "'~~. :
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225 FIFTH STREET
SPRINGFmLD, OREGON 97477 Zoning
INSPECTION REQUEST: 72'l\alaJ.Q..o
OFFICE: 726-3759 Jtr,or,z 'S'
'"" eo Ignature
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1. IACt<;l:I51N O~STALLATION (\ )
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LEGA~ DESCRIPTION
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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. CONTMCTOR INSTALLATION ONLY
Electric,l Contractor JB ELECTRIC, INC.
Address 4065 W. 11th, #18
Ci ty Eugene
Phone 687-5770
Supervis~r License Number 38725
Expirati'Jn Date
10/1/99
::~n'~ FEE SCHEDULE BELOV
A.
New Residential-SIngle or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
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:
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
,$ 40.00
S 50.00
$ 60.00
$100.00
$130,00
$300.00
$ 40.00
Constr C0ntr. Number
104929
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expirati0n Date 3/14/00
Signatur.~ ~tri:: Electrician
Owners N,,"~~ GH\ \ C1J..~
Address \..6\f) A ('),~ Y' :o? t:(
City ~~~ ~ Phone644.\~\\
O\/NE:\' INSTALLATION ~ "332.5
The i~st~llaticn is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
-------- ._- -- --- ---- ------------- -------
DATE: \-<& - Cj "l
RECEIPT ~: ~~~ '1 t,
RECEIVED BY: oI<LU
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
.'
New, Alteration or E~tension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EnergY'Comm
One Circui t \
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35:00 ,!2,b:)
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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