HomeMy WebLinkAboutPermit Electrical 1991-9-18
225 FIFTH STREET ... 9jA
SPRINGFIELD, OREGON 97~?7,'J't t(7.)
INSPECTION REQUEST: 72'~310 ,~
OFFICE: 726-3759 '0"\ %/ '_,
1. LOCATION OF INSTALLATION' "
4433 Ivy Street ..
LEGAL DESCRIPTION "
18020524 01701 '"
'"
'~~
City Job Number
"l W<f '-1f
"
"
3 ;:\; COMPLETE FEE SCHEDULE BELOV
'~" :p.~
A. <"'N~)l Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB'DESCRIPTION
S F Residence
~rPE\\d
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Rose Corp.
Address 89976 Day Lane
Ci ty Eugene
Phone 686-0905
Supervisor License Number
15685 :
Expiration Date
10-1-92
Constr Contr. Number
54431
Expiration Date
9-30-91
Signa~~lectrician
"- -- D,
Owners Name Capstone Homes, Inc_ of OR
Address P.O. Box 22636
Ci ty Eugene, OR 9740;Phone
689-5567
OVNER INSTALLATION
The installation is being made on
.property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----.- -------?:r---~--~~-------------
DATE: __ _ 0\ ,\~) .q \.. _ _
RECEIn 1I: I ,\'-oJ iiliN
RECEIVED BY: ~ ,~( \_,
Items Cost Sum
1000 sq.ft. or less \ $ 85.00 Bs
Each additional 500
sq. ft or portion 3 L\-S
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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 or less
201. amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Ci rcuits
$ 40.00
$ 55,00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
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