HomeMy WebLinkAboutPermit Electrical 2000-9-28
Th~ following project as' .
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225 FIFTH STREET ' ZOning - [,) fL,.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGOJ''lJ11iT7 Cf- Art /~ '.
INSPECTION REQUEST:Aut~i~~ai ,,- ------ Ci ty Job Number GO - D Np, 7 c'-Qr
OFFICE: 726-3759 ure
3. COIlP LETE FEE SCHEDULE BELOV
1, LOCATION OF INSTALLATION
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LEGAL DESCRIPT;lON
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor_ ADT Security
Address 1501 Pearl St.
Ci ty Eugene, OR
Phone541-342-1313
Supervisor License Number 853~le
Expiration Date 10/02
, 26209CLE
Constr Contr. Number
""
Expiration Date
10/01/00
Signature of Supervising Electrician
~ ------
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Ovners Name 13tzJ. I
Addres:; L A----'"
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City Phone
01lNER INSTALLATION
The installation is being made on
property Iovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
----------------~--------------------~-
DATE:
RECEIPT I:
RECEIVED BY:
O'7Z'iSoO
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. A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder
$ 85.00
$ 15,00
, ,$ 40.00
,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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40,00
$ 55.00
$ 80.00
see "B" above
D,
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E,
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lightin~
Limi ted Energy/Res ..X
Limited Energy/Comm
no t included)
5. qfBTOTAL OF ABOVE
State Surcharge
% Administrative fee
TOTAL
$ 40.00,
$ 40.ERl -<
$ 20,OO~~
$ 36.GiliTlUi
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