HomeMy WebLinkAboutPermit Electrical 1993-06-15h
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PERHIT APPLICA
City Job Number qfi
DES ON
Permi ts are noif vork is notof issuance or
180 days.
si
transferable and expiretarted vlthln 1gO daysf vork is suspended ior
COHPIJTE PEE SCHEDI]LE BBLOV
;---B. Services or FeedersInstallation, Alterations orRelocation:
3
D. Branch Ci
SUBTOTAL OE ABOVE
5Z Stare Surcharge
TOTAL
. , I"y Residenrial_Single orHulti-FamiIy
Service rn"ru5!l,dverling uni r.
I tems
1000 sq.fr. or lessEach additional 500sq. ft or portion
thereo f
Each Hanuf,d Home or
-
Hodular Dvelling
Service or Feeder
Cos t
s Bs.oo
s 15.00
$ 40.00
Sum
a.
2. CO}I'ISACTOR INSTALIATION ONLY
Electrical Contractor pa
Address 3170 Meadow lane
ci Eugene Phone 588-5121
Supervisor License Ndmber ^71 0s
Expiration Date
Constr Contr. Number
Expiration Date
Signature of S slng Electrician
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-0ver 1000 amps/volt
Reconnect On1y
200 amps or less
201 amps to 400 arps
-over 401 to 6oo amps
-Over 600 amps or 1000-v6Ifs
$ s0.00
s 60.00
$100.00
s130.00
$300.00
$ 40.00
00
00
00
$ao
$ss
$eo
see uB" a56E
vnone rf za _51?3
OVNER ALI.ATION
DATE:
\Equn
, Alteratton or Extension per panel
ir I S 3s.oo
d r o
Circu t or vith Serviceor Feeder Perml t $ 2.00
0vners Name
Address
Ci ty
E Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation g
sign/ourline Lighring- $Limi ted Energy/Res
-
S
Limi ted Energy/Comm S
40
40
20
36
00
00
00
00
5
$.,ttl\!,s \\:
35,DL)
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1 LOCATION OF
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' The lnstallation is being made onproperty I ovn vhlch is not intended.for sale, lease or rent.
Ovners Signature: