HomeMy WebLinkAboutPermit Electrical 1991-10-1
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SPRaIEL:J
225 FIFTD STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1 ~. LOCATION OF .INSTALLATION
4421 Ivy Street
LEGAL DESCRIFTION
18 02 05 21 TL 8000
JOB DES!=RIl'!ION
.. S F Residence.
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Pe~mits are non-transferable and expire
if york is not started vithin 180 days
of fssuance or if york is. suspended for
180 days. \
2. CONTRACTOR INSTALLAn9N ONLY
Q
Electrical contractor"-f/,1cp~",,p
"
Address
89976 Day Lane
Ci ty Eugene
Phone
686-0905
Supervisor License Number
1568S
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Expiration Date (.10:01.,92
Constr Contr, Number 54431
Expiration Date C=.9~30-92
Signature of Supervising Electrician
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ELECTRICAL PERIIIT APPLICATION
Ci ty Job Number q II D zj
3.
COMPLETE FEE SCHEDULE BELOIl
A,
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items Cost
lDOO sq ,.f t. or less /
Each additional 500
. sq. ft or portion
thereof . Z
Each Manuf'd Home.or
Modular Dvelling
Service.or Feeder
Sum
$ 85,00 ~~
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$ 15.00 rt::id.::..
$ 35.00
B, Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35,00
C. 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 volts
D. Branch Circuits
Ovners Name Capstone Homes, Inc. of OICegon
Address P.O. Box 22636
Ci ty Euqene. OR Phone 689-5567
97402
01lNER INSTALLATION.
The installation is being made on
property .1 ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
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DATE: /~ -~7~ I'
RECEIPT ,: .-;z ~~~
RECEIVED ny: ...---::;
, -"
y'
$ 35.00
$ 40.00
$ 80.00
see "B"
above
Nev, 41teration or Extension Per Panel
One Circuit
Tvo to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$.50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation ,
Pump or irrigation $ 36.00
Sign/Outline Lightinv. $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
#~'. >CA
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