HomeMy WebLinkAboutPermit Electrical 1995-1-18
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
. JOB DESCRIPTIQ.N
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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
Electrical Contractor Palmer/Philips
Address 3170 Meadow Lane
iSL3
Ci ty 'Eugene
Phone 688-6121,
Supervisor License Number ?71q~
Expi ra t ion Da te 10/9:3
Constr Contr. ,Number 20-179C
Expiration Date 10/99'
Signature of Supervising Electrician
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tjathan t'hHJ.pS
----
~
, Olo'ners Name
Address
City~
Phone
/
OVNER INSTALLATION
The installation is being made on
property'I own which is not intended,
for sale, lease or rent.
Owners Signature:
-------------~-~~--~--------------
DATE:_ l-I'9~ '
RECEIn If: I vf??v-.1_\ _
RECEIVED nY:~U ^--rr--
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00 '
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps S 130.00
Over 1000 amps/volts $300.00
Reconnect 'only $ 40.00
C.
Temporary Services or Feeders'
Installation, A+teration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or vith 'Service
or Feeder Permit
$ 35,00 35~
$
2.~
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
37<!:!
1,'lS
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
310 c::ty Sv...r-chc.v..~
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