HomeMy WebLinkAboutPermit Electrical 1995-6-7
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_06 ., , . ELE. PERMIT APPLICATION
97477 (Sh.OYtu.:>occl 0' q - -
726-3769. B'\ \, Je.j)O...>'"~~+c..L\.- C1 ty Job NUClbel."" 5 b I 44.
P - -r ~~~\ e:..1 C'1O-vn~. (\ \. j :)
\~3: 'eOMPu:n: FEE SCHEDULE BELOY ~'^-
~2~,ji, FIITli STRLt"t
. SPRINGFIELD, OREGON
INSFEC!ION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTAllATION
. ")00 . (N~;j"TicCJr'K.. '-.-1'<'{
LEGAL DESCRIPTION
170~ j ~_ ,. rl -;),/() 7
'-' .J V V '..!...,
,,,I" JOB DESCRIPTION
~'\"- /2,( e:rJ-I<:'k\.... 0;:;,11.. \.:\ cCD ~.;;:, I1k..&.
Permits are non-transfel.""able and expire
if work is not started within 180 days
of issuance or if work is suspended for
18.0 days,
2. CO!mACTaR INSTAllATION .oNLY
Electrical Contractor .
Philips
Address 3170 Meadow Lane
Ci ty 'Eugene
Phone
688-6121 '
Supervisor License N~mber
?710<::
. Expiration Date 10/<;3
Constr Contr, ,Number 20-l79C
,
A. .
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1.0.00 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modulal."" Dvelling
Service or Feeder
B, Services or Feeders,
Installation, Alterations or
Relocation:
Items
Cost
Sum
$ 85.00
S 15.00
S 4.0..0.0
2.0.0 amps or less ~. fD $ 5.0..0.0 SOD
2.01 amps to 400 am~ r;., $ 6.0,.0.0 360
401 amps to 600 amps 5100.00
6.01 amps to 1.000 amp~ '2- $130.00 'Z...be::>
Ovel."" 1.0.00 amps/volts"<., $300..00 '100.
Reconnect Only S 40.00
2.00 amps or less
201 amps to 4.00 amps
OVel."" 4.01 to 6.0.0 amps
Ovel."" 6.00 amps oe 10.0.0
Beanch Ciecuits
..-
C. Tempoeary Seevices or Feedees
Installation, A~tel.""ation or Relocation
Address 5?'=>,-,..., ~~ ~ AiD.cl\.lln- w f'o;v(
, S 4.0.00
S 55.0.0
$ 80..00
volts see IIBll above
Nev, Alteration or Extension Pee Panel
- One Ckcui t S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Pel.""mi t (4').. $ 2:.00 '2, q L{
no t included)
Ci ty -1>P2..t N t..n.V\-<\ .Phone
01lNE.'t INSTALUTION
The installation is being made on E: Miscellaneous (Service/feeder
p ropercy' I ovn vhi~ l~illl~lI>rdjm:enlS>dllttedh"lh. foIlQlI!i\iQ:h ins talla tion
for sale, lease oez,ilrriltanddoesnotrequireopeciflclandllS"pump 01: ireigation
epprovar, S' /0 ,. L' h .
(""' 19n u t_lne ~g Clng
Ovnees Signature: Zoning .;:-"L..-r Limi ted Energy/Res
D- ,__,-""" Limited Enel.""gy/Comm
""IllJ. \SI .1
", "".M
""";"''''~''''O ~lnn8tL:r...
~~~~~- r;, - 7 - ??~'.' ,- -
RECEIPT t: jlt/~ 17(~'
RECEIVED n y: 1tJ()
....
Jl:/iITOTAL OF ABOVE
5Z State Surcharge
TOTAL
-t 3~.
Expiration Date 1.0/93
Signatuee o~upe~~sing Electrician
(~ '
Jolacnan l:'ru.nps D.
Ov.nel.""s Name $~E\;..)=t-, Di\..!U(~-p\..
I
$ 40.00
5 40.00
5 20.00
S 36..0.0 510
1.L.{~t1.()O
{2:'7:..S 0
rL <..-~ tSo
d.-to ,-\:(0.00
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