HomeMy WebLinkAboutPermit Electrical 1991-09-25SPTITNGFIELO
C'TY OF OREGO'U I.
225 FIFTE STREEI
sPRrNcFrEIJ, oRBGON 97477
INSPE0IION REQIESTT 726-3769
OFFICE: 726-3759
1 LOCATION OP INSTALI.A:TION
1408 Mohawk Blvd.
EIJCTRICAL PERHTT APPLTCATIONq\\tq?-
JOB ,oN
Connect (wa11 si (one directl above the
o rto S c t
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI.ATION ONLY B.
Electrical Contractor RAY-0-LITE SIGNS, INC.
Address 101 N. Seneca
Ci ty Eugene Phone 688-2500
Supervisor License Number
Expi ration Date
c
constr contr. Number 20-160 cLS
Expiration Date 10/92
Signa
City Job Number
3. COHPI.iETE TEE SCEEDUI.E BBLOS
Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 4oO amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
A
200 amps or less
201 amps to 400 arps
-0ver 401 to 600 amps _0ver 600 amps or 1000 voltr
Sum
s see trBtr a60ve
s s0.00
$ 60.00
$100.00
s130.00
s300.00
$ 40.00
of Electrician
$ 40.00
$ ss.00
$ 80.00
Owners ,
Address
Ci ty Phone
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00OSNER INSTATI,ATION
The installation is being made on
property I own vhich is not intended
for sa1e, Iease or rent.
ovners Signature:
DATB:
RECEIPT
Hiscellaneous ( Service/feeder
-Each installation
Pump or irrigation S
Sign/outline LightingT $
Limited Energy/Res $
Limi ted Energy/Comm S
E
5
not included)
40.00
40. oo m:oo
20. oo
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
40.00
2.00
RECEIVED BY:
42.00
/