HomeMy WebLinkAboutPermit Electrical 2002-03-28225 FIFTH STREET
SPzuNGFIELD. OREGON 97'177
INSPECTiON REQUEST'. 7 2(t-3'7 69
0FFICE: 726-37s9
L OF
EI-EI-TRICALPERN'flTAPPLICATION :
Cit' Joh N.mrrcr C>Z - EC:S tS ' o /
3. CON,IPLETE FEE SCHEDULE BELON
,ll
A. Nerv Residenti:rl-Single or
Multi-Family per dn'elling unit.
Service Included:
Items Cost
$ 106.00 =-
$ 19.00
LEGAL 3 63200
JOB DESC ON The tollowing Prol
and does
Zoning
are non-transferable and expire
if r,vork is not started rvithin 180 &8!3
ofissuance or ifrvork is suspendodrfoortzed Slgnature
180 days.
2. CONTRACTOR INSTALLATION ONLY
Christenson Electric, fnc. D.B.A.
T:i ?#.?r:'+[!?' mHLIH**;,.
LD)(L sct. ft or portion
-dL tliereof
or
Senice or Feeder $ 50.00
eedersFrorvrcesB.
stirllirtion,In
eS
Alterations
J-$ 6,3.oofT!
$ 75.00
$125.00
--_$ 163.00 _
$375.00
Services or Feeders
Installirtion,Alterntion or Relocation
$69.00
Over 600 volts see
D. Branch
Per Panel
Cih Eugene, OR
Supen'isor License Number
Expiration
Constr Contr
Expiration
Signitture of
Orvners
OWNER
The installation is being niade on
propertv I olvn rvhich is not intended
lor sale. lelse or rent.
200 arnps or less
201 aurps to 400 amPs
,101 anrps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or
201 amps to
Over 401
E.
4. SUBTOTALOFABOVE
77o Statc Surchirrge
8 7o Administratil'e Fee
s43.00
Circuit or rvith Service
Pennit $ 3.00
(Serrice/fcerler not incturled)
oo
D
.Each instaliation
Pump or irrigation
-
$50'00
SignlOuttine Lighting .=-- $50'00 ._
Limited Energv/Res $25'00
Limited Energv/Comm
-
$45'00
Ntinimum Electric Permit Inspection Fec is S-15'00 * Surcharges
Orvncrs Signature.
TOTAL /5