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
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