HomeMy WebLinkAboutPermit Electrical 1991-11-18
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
4467 IVLl 5treet
LEGAL DESCRIPTION
18 02 05 24 TL 1500
JOB DESCRIPTION
5 F Residence
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
IBO 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 9-30-92
signatu~Supervising Electrician
/ /dr~./ ~
3. COHPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq.: ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
-- $ 85.00 ~oe.
"3 $ 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 or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
D. Branch Circuits
Owners Name Capstone Homes, Inc. 6ff Oregon
Address P.O_ Box 22636
CityELlgene, OR 97402 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:
DATE: II-, \7 -0 I
RECEIPT #: ')."yO
RECEIVED BY: 'l\JV'l
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 not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /? tt:?
5% State Surcharge 6, ~
TOTAL I '3.&;.~