HomeMy WebLinkAboutPermit Electrical 1993-03-15:;t.rrrr'r(;l:lr:t-Lt
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225 FIFTII STRJ.:IiT
SPRINGFIELD, OITEGON 9
INSPECf,ION REQUEST:
0FFICE: 726-3759
7 477 lb fL726-376e (-2.2 3
PBR}IIT APPLICATION
Ci ty Job Number
One Ci rcui t
Each Addi t ional
Circuit or vith Service
or Feeder Permi t
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/outline Lighting- $
Limi ted Energy/Res
-
$
Limi ted Energy/Comm S
1
I,EGAL ON
DESCRI
Permits are non-transferable
lf vork is not started vlthin
COHPLBTE T'BB SCTIEDULB BBLOV
A. Nev Resid ial-Single or
HuIti-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
tlrereo f
Each Manuf 'd llome or
Hodular Dwelling
Service or Feeder
$ Bs.oo
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
D. Branch Circui ts
Nev, Alteratlon or Extenslon Per Panel
ca:,igr:eiure5ltdgl
OF
expi re
days
Sum
$ 3s.00
$ 2.00
not included)
40.00
40.00
20. oo
36.00
of issuance or if vork Is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
Iilcctrical ContractorBfACON flgCrRtC
Addr:ess 2585 RoosEV T.T BT.VI)
Ci ty EUGENE l'}lrone hil-O2gl
Supervisor License Number 3485S
Exp iration Date IOI L 193
Constr Contr. Number 39497
Expiration Date Ot I IOl94
Signature of Supervi ing Blectrician
200 amps or less $ 50.00
201 anrps to 400 amps _ $ 60.00
401 amps to 600 amps _ $100.00
601 amps to 1000 amps_ $130.00
Over 1000 amps/volts S300.00
Reconnectoniy --Z $qo.oo rciQ
Temporary Services or Feeders
Installatlon, Alteration or Relocation
200 amps or Jess $ 40.00
201 amps to 400 amps
-
g 55.00
Over 600 amps or 1000 volts see rrBrr above
C
Ovners
Add ress
e
Ci ty Phone
OVNFJT TNSTALLATI
The installation is being made onproperty I ovn vhich is not interrdedfor sale, Iease or rent.
0vners Signaturc:
DATE:
$
5. SUBTOTAL OF ADOVB5f State Surcharge
TOTAL
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