HomeMy WebLinkAboutPermit Electrical 1993-8-12
\I>\\~~"' ,a..
~''fo.e $-;\ ~
'CC.'~ \ell.a Iii .
225 FIFTH STREET i>> ''';''\''~\'c,~'\( ELECTRICAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 ~~~~\~~'~.~
INSPECTION REQUEST: 726-376~,.<> .....":.;~G~ ~ _ ..",'.Ci ty Job Number q 3, 11 II
OFFICE: 726-3759 'J'''''i~->I. ./~ _~
.901 'Z.otl\\\1k" ?J~LET~,'!lEE.r.-~kBEDULE BELOV
1. LOCATION OF INSTALLATION 11\. ~d::'...~ ... .
703 NIU:LOcO 12:b... _V-- tf-M'} . e\l Residential-Single or
.otl-cP;)!) Multi-Family per d\lelling uni t.
LEGAL DESCRIPTION "'~' Service Included:
I, ()::l., '::J ::l ()n O~ 0()0 I tems Cas t Sum
JOB DESCRIPTION
S.C:R.J/fC'J-~ f LP6'RAhh-
Permits are non-transferable and expire
if \lork is not started \lithin 180 days
of issuance or if \lark is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
OREGON ELECTRIC SERVICE
Address_ P 0 Box 2237 2370 W 7th PI~r"
Eugene, Oregon 97402
Ci ty PhonEt. ,4.3.' lfl)( I
Supervisor License Number .1,39c:::J .'\
Expiration Date /0 -/ -qs;
Constr Contr. Number ~oc../(o c........-
Expiration Date 10 - f - 'L")
Signat~re of Supervising Electrician
y 7~Ch/~Jt7ftv
O\lners Name'C-f.lU(,A~ \/AU6'U."')
"'. .' .;,:'-
Addre~i~ci'O:I-~:'~IM&-:A<.L.1 ~ Jt-=.
City (-~~~~~~hOne;3..tJ..~-~w.to
I'."
OIINER INSTALLATION
The installation is being made on
prop~rty I O\ln \lhich is not intended
for sale, lease or rent.
Ovners Signature:
D~;;~----------~}~~J~~----------------
RECEIPT II: qC-) /7
RECEIVED BY: }D()...
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D\lelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
.'
200 amps or less --L--
,201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ~O "-=
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Ne\l, Alteration or Extension Per Panel
One Circu it
Each Additional
Circuit or \lith Service
or Feeder Permi t
$ 35.00
$ 2.00
E. Miscellaneous (Serviceffeeder not included)
-Each installation
Pump or irrigation $ 40.00
SignfOutline Lighting $ 40.00
Limited EnergyfRes $ 20.00
Limited EnergyfComm, .$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
_ <=:{J. ok:>
~~o
_ ""~Sb