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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 l-J 5+"" + _~ l)f J -.J LEGAL DESCRIPTION . JOB DESCRIPTIQ.N ~ 21)0\... \\'J~ 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 CL---,-,'f-/ 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..~ IO+-CL\ 1.11 4-."3,11 _