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HomeMy WebLinkAboutPermit Electrical 1997-05-02225 FIYTH STREET SPRINGFIELD, OREGON 97 477i:','','. sPRth .€Lo} L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home' or Modular'DweIIing SerVice or Feeder D. Branch Circuits E @ft, EIJCTRICAL PERHTT A?PLTCATION b Nurnber '/ 7Dlq84 Nev Residential-Single or Multi-FamiIY Per dvelling unit' Service Included: f tems Cos t $ 8s.00 s 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 20L amps to 400 amPs - 401 amps to 600 amps - 601 amps to 1000 amPs- Over L000 amPs/volts --Reconnect OnIY 5-) 7 2 6 - flA'S&ii-ecl si g:r ature )3 ,,1 - & INSPECf,TON REQI.IEST: OFFICE: 726-3759 1 LOCATION OT' INSTAII..ATION I,EGAI DE o 3. COHPI.ETE FEE SCMDULE BELOV Residence JOB DESCRTPTION o A .8. c Sum aEF .00 .00 .00rBl, s 3s.00 $ 2.00 AA Alarm Ins nl latinn ci tvs,arrrfi'ie l] Phone ot*$rtrAlt-ArroN Address city Eugene - Pho ne 34 2-t it 3 Supervisor License Number 949 JLE Exp iration Date 1l Cons tr Contr. Number 59 Expiration Dat e4/,7 lqR Signature of I Eleetrician Ovners Name Temoorary Services or Feeders -i;;l;iI;iion, ntteration or Relocation s s0.00 s 60.00 s100.00 $130.00 $300.00 s 40.00 40 55 80 e 200 amps''or }ess $ ioi ;;; io aoo amPs - i Over 401- to 600 amps , D Over 600 amps or 1000 vol-ts se The installation is being made on ;;;p;;iy r ovn vhich is not intended for sa1e, lease or rent' 0vners Signature: Nev, Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit -HiscellaneouS (Service/feeder not included) -Each installatlon Pump or irrigation - Sign/Outline Lighting- Limited EnergY/Res -1-Limited EnergY/Comm $20.00 r .00 l- ol 5. SUBTOTAL OF ABOVE 57" State Surcharge 3Z Administrative Fee $?o 00 s 40.00 s 40.00 $ 20.00 s 36.00 DATE RFCE A,ftll,L--*f1l Fi il. Permits are non-transferable and expire if vork is not started vithin 180 days oi i"tr"nce or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATTON ONLY Electrical Contractor A.DT Security . 1 C+ /o1 I 944 AI eaaress ?6"3S lJ. #h I