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HomeMy WebLinkAboutPermit Electrical 1993-5-28 I; j:: . ' ...." , z~,';n:. ~nd dCGs~ not roquire'~~;l~ ~$-;"'u, ul)r.mval. ..~ ''..! ,....~ ~. zon/i,g. 1-"'-10/.-0 12..-CliU0:~ ELECTR, ICAL PERHIT APPLICATION 97/,71'3tA ..1 ~ 7) '-,,-cor',- A lr\qf"\Q. 726",3769- ,'.' -,-':-'.::>" 000," rt':~ ':Ci ty JDb Number '--"\ l) l) ~ ') lj\i.rtfioHZed.SlgmIturG =1.:: '::'(;}.:~l~f.t. ;~"Oa01'(41 3. COHPLETE PeE scnEDULE DELOV 225 FIITH !iTRlmT SI'IUNGFIELll, Olll-:GON INSPP.CTION REQUEST: OFFICE: 726-3759 1. ~~~O:' (Ar"'\\\\n ~\QAtrD A. - - \ ~ffi~l\f~M(~\3CO c JQ1j D~IPTIOlj." .. [\?\o ) I.. ') ~ Yrn\UJ0\ 'v\. . Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance Dr if york is suspended for 100 days. Nev Residential-Single or Hulti-Family per dvelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft Dr pDrtion thereof Each Manuf'd Home or Hodular Dvelling Service or Feeder uni t. Items CDst Sum \ (~ 85- 3D $ 05.00 $ 15.00 $ 1,0.00 2. CON1~CTOR INSTALI~TION ONLY D. Services or Feeders Installation, Alterations or Electrical Contractor Rose Corporation Reloc~tion: Address 89976 Day Lane City Eugene 686-0905 Phone Supervisor Liccnsc N~mber 1568-8 Expiration Datc 10-01-93 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps tD 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Numbcr 54431 C. TempDrary Services or Feeders Installation, Alteration Dr Relocation Signature of Supervising Electrician ~//Z , . ~I (n/) h AOI . .~.)Oranch Circuits Ovners Nj'r (lL, ~~~, 1-) l1ffL(2~ Nev, AlteratiDn or Extension'Per Panel Address r , all nI;. lJ City fA Tl01lQ -' Phon;14\A-\~ ~:~hc~~~~~~onal $ 35.00 ~ Circuit or vith Service OVNF~ I~STALLATION or Feeder Permit Expiration Date 9-30-95 ! i ,\ ~i ,:i !:. ~. , The installation is being made on property I ovn which is not intended for sale, lease or rent. , [' ~ i 1 !, Ovncts Signature: ~~~~~--:-----------~~~~~Ql~-~---~- REeEII''!' D: ~ Uf j I';:) HI,X:ETVr-:1J BY :--" ~ ,.. ,~_..__ ...d.no_____ Miscellaneous (Service/feeder, -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi ted Energy/Comm' 200 amps 201 amps Over 401 Over 600 Dr less to 1,00 amps to 600 amps amps Dr 1000 E. 5. SUBTOTAL OF ADOVE 5% State Surcharge TOTAl. $ 40.00 $ 55.00 $ 80.00 volts see "0" above $ 2.00 no t i neluded) $ 40.00 $ 40.00 $ 20.00 $'36.00 ~~~ 1/.jt>,'f'3