HomeMy WebLinkAboutPermit Electrical 2000-11-14CITY OF SP>...JGFIELo
225 FIytfl sl?EET
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'.i.ffi E@'..-.%tr -d.FMEY- it'.rf tru
SPRINGFTEU), oREGoN 97477
INSPECII0N REOUEST: 726-3769oarc
OFFICE: 726-3759
1.
The fOllOwing protect as Suhmittor{ hAa rha *rrr.-.,ri,r,i,
zoning ano ooes noi rectutrr. iii<rctli! ,a,.u ,.je
Zoning 0<EI.ECTRTCAI.PERI{TT APPLTCATTON
-tD Nnnber )Ct -C'166;{-C
Authorized Sig BELOg
A
approva,
I
Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:IJGAL DESERTPTIONffi i7o.z-?t1ri lotoo
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if uork is suspended for
180 days.
2. COI{TRACf,OR INSTALI.ATION ONLY
Electrical Contractor ADT Security
g66s"5s 1501 Pearl St.
Ci ty Eugene, 0R Phonel4f,:342:_11t3_
Supervisor Li cense Number 853JLE
Expiration Date r0102
Constr Contr. Number 26209CLE
Expiration Date Lol oL t o(
L000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home. or
-Modular 'Dvelling
Service or Feeder
.8. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amlis to 1000 amps-
0ver 1000 amps/volts
-
Reconnect 0nIY
c
D
TOTAL OF ABOVE
State Surcharge
Administrative Fee
ftems Cost Sum
s 8s.00
$ 1s.00
$ 40.00
4 /r*-
ure
Ovners Name
of Supervising Electrician
- /P'<
,ut/
Address (ki {r,*4 N n
Temoorary Services or Feeders
Insiallaiion, Alteration or Relocation
toi ffi; io aoo amPs
- t ::'99il;r-4bi to 600 amPs I $ 80'00
o""i ooo .rp" or-i5ooEft" see rrB, a666
Branch Ci rcui ts : .'
New, Alteration or Extension Per Pane1
-Each installation
Pump or irrigation
-
sigir/outline Lighting-
Limi ted EnergY/Res
-a-Limited EnergY/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 3s.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
L
s s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
$
$
$
$
I
(3(3
L'j
-l
"Jf
ci
0mers Signature:
Phone ')L/, a,
OUNER INSTALI"ATION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent'<r5 :"rJT}€a!'-_{EE-mffr!trz-trf, c)
DATB:
RECEIVED
o
5
TOTAL
ao
00
di
00
66t-.-t
ri:
40.
40.
20,,