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HomeMy WebLinkAboutPermit Electrical 1993-10-1 Tho 'o\lowing project as submlttadh"t th~ fo\lQwing t.iir, zoning, and does not requIre specific an use . 'I'I!' 225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974 n Zonina I)j/ , (1.,'"2. ('\0 l4' INSPECTION REQUEST: 726-3769 h~ City Job Number' -1..11') OFFICE: 726-3759 Co" to / \ ~\. J 1M rv---' Authorizad signaturajl ~. cmu" "Tt'~ SCHEDULE BELOIl 1. ~~'l'\ OH'f.~ P, k0 A. \fjC0~~Q~O _ 0 JOB DE~PTION i, 0 S . ~'" 0 i'I\(\ 0 r~l(l _'~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. New Residential-Single or Hulti-Fami1y per dwelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder unit. Items Cost Sum \ ~ 115 $ 85.00 5 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations or Electrical Contractor Scofield Electric Co. Relocation: Address PO Box 2765 Ci ty Eugene 686-8612 Phone Supervisor License Number 508S Expiration Date 10-)-92 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnec t Only , $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 38702 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps' to 400 amps Sign d}a, ture ./ of Is./up~ervisi"~d~7jan Over 401 to 600 amps ~J~A7 /' ~, ~ Over 600 amps or 1000 volts ~ "'f\"-'" L\~ ' <::}\f\. D. , Branch Circui ts Owners ~\'.'U \(~j\ () _) . '( _~'G''( ~:l \ J...LU f\\ "\.n '\ \' , \ New, Alteration or Ex'tension Per Panel Addre~~n 0 ~ - j\.~ \~. \\ One Ci,rcuit $ 35.00 City .___\: D~~ Phone 1\4\- \m1 E~~~c~1~i~;0~~~h Service 01lNER I ALLATION or Feeder Permit $ 2.00 Expiration Date 12-2)-92 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------------------- . -~~----- DATE: ? / U ' I . '-1-..-' RECEIPT 1I:.k---.I , '_ If )q-c:o. RECEIVED BY:--;1)(./\ k ,r' ~ '-- I --- - Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightinp Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ $ $ see "B" 40.00 55.00 80.00 above not included) $ 40.00 $ 40.00 S 20.00 S 36.00 _, fo(\ CO hu::-! -/....(/'l p). oJ