HomeMy WebLinkAboutPermit Electrical 1992-2-21
ti~ .
~tIllll~~ECTRlCAL PERIlIT APPLICATION
9~~~~~~~ City Job Number q~O~II~_
%or!AI'o\
~~ . . COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION toll 'r\'CI \. '\ 0., -
7~~ IJpq, H~r'Q'" HMO ~i1l"~Jl. 974\tl1...-'tl~w Residential-Single or
~~~~--, Multi-Family per dwelling unit.
J1LEGAL. DESCRIPTION J~~/Ir'\v- A Service Included:'
n,~.Q.~J ,U '-{;J.() Items Cost
JOB DESCRIPTION 1000 sq.ft. or less' $ 85.00
Low Voltage Smoke Detectors Each 'additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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 ADT Security Systems
Address1501 Pearl Street
Ci ty Eugene,
Phone 342-1313
.
Supervisor License Number 852 JLE
Expiration Date 10-1-93
::'1~"lr"~"'L:L:U
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
Sum
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 59944
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 4-29-92
Signature of Supervising Electrician
~/Y~~~
Ovners Name GlIV L"" Elem/Snfld School Dist
Address 525 Mill Street
Ci ty Snrinefield. OR Phone 726-9558
OVNER:INSTALLATION
,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Owners Signature:
~~~E~------1J~~zrn---':----~;~~-:-
RECEIPT II: V~-........... -:r--., .
RECEIVED DY: \~I )/,1. Y_l. ) .
200 amps or less
201 amps to 400 amps
'Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited.Energy/Res
Limited Energy/Comm
One Ci.rcu it
Each Add it ional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
~
$
$
$
$
_J-f.'cD)
..!,?yr) . t4J,
40.00
40.00
20.00
36.00