HomeMy WebLinkAboutPermit Electrical 1997-7-9
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225 FIFTH STREET ] ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zon;ng_L(tr f\ (\\f\0<\
INSPECTION REQUEST: 726.71J~:-~ .-Q-, . Ci ty Job Number V\ \ U
OFFIca: 726-3759' - --'--{ .
Au:ooliZ<'<:ISignaturo-!)~. COMPLETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLATI~
q "2, <., Ha.. yrl €,n J<,'(\d<;>,f A. Nev Residential-Single or
~ Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
\ (f~~~~PTI[)(I~.
JOB DESCRIPTION
'2 C('(\'ud-~
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
!
:,2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor BUILDERS
Address
~93 r'lBrIRQE.U~'tN\Ai~Y\
Ci ty EUGENE
Phone_4R~_nq??
Supervisor License Number ~~
Expiration Date
10/1/9.8'
..
"
Constr Contr. Number 04296'~"
Expi~ation'Date 12/10/~~
Signa ture of Supervisi n.. j!l ('c t.-ic-,'<I',
. v~-rf4 ' p~
Ovners Name~"nh G1n )b(Jv
,
Address ~ ~~
City ~DFI d
ft C\ "d€V7 ""'&rl' d,_~ ~
Phone 1-.q (Q-acz.~
OIINER INSTALLATION
The. installa tioil is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~;:~~:~-~~~ q .C11--)~~.-------
U\ V~I
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
C.
$ 50.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55~00
$ 80.00
volts see "8"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lighting
Limited EnergylRes
Limited EnergylComm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t I
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 35.00
$ 2.00 Z . CO
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~7.(\s...l
I,Pl0'~
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