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
)4485 Ivy Street
LEGAL DESCRIPTION
18 02 05 24 TL 1400
JOB DESCRIPTION
S F Residence
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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
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Electrical Contractor Rose Corp.
Address 89976 Day Lane
Ci ty Eugene
686-0905
Phone
Supervisor License Number
Expiration Date 10-1-92
Constr Contr. Number 54431
1568S
Expiration Date 9-30-92
Signat~ Superv~g Electrician
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3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
$ 85.00
Sum
~
AS
Items Cost
1000 sq.ft. or less \
Each additional 500
sq. ft or portion ~
the r eo f .:::....:L
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
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
$ 15.00
$ 40.00
$ 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
D. Branch Circuits
Owners Name Capstone Homes, Inc. of Or~gon'
Address P.O. Box 22636
Ci ty Eugene" OR 97402 Phone 689-5567
OllNER INSTALLATION
The installation is being'made on
property I own which is not intended
for sale, ,lease or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
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10M
$ 40.00 t./O
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per,Panel
One Circuit
Each Addit ional
Circuit or with Service
or Feeder Permit
$ 35.00
'$ 2.00
E. ,Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF' ABOVE
5% State'Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
S 20.00
S 36.00
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