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HomeMy WebLinkAboutPermit Electrical 1995-08-15SPRII IELO SPRTNGFTEU), oREGoN 97477 TNSPEcf,IoN REetEsT| 726-3769 Zon },i,I!'1"*'llsJlji:l as submlttaci has m per dvelling unir. uded: ftems Cost 225 PTYTE STREBT OPPICB: 726-3759 1 7'7 require sp;-,r: City Job Nunber 5t COHPIJTE PEE SCEEDT'L8 BELOU ingle orIINSTALIATTONno( 5/- I^EGALl1o 5 DESCRTPTION 3 b rZ czqEr) A B. c. vI HuIti-FamiI Service fnc Sum Permi ts are non-trans ferable and expireif vork is not started vithln 180 daysof lssuairce or lf vork ls suspended ior 180 days., 2. CO}ITRACTOR TNSTATI.ATTON ONLY ElecLrlcal Contractor BUILDERS Address 293 MONROE ci EUGENE Phone 485-0922 Supervisor Llcense Nurnber 2970S Explration P"1g 10/1/95 ,, Constr Contr. Number 04296 a:. Explratlon'Date Slgnature of Su 12/ to/ % 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanufrd Home or -Hodular DveIIing Servlce or Feeder Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less y 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps Over 1000 amps/volts -Reconnect 0nly s s0.00 s 60.00 s100.00 $130.00 $300.00 s 40.00 s 8s.00 $ 15.00 $ 40.00 s 40.00 s 40.00 s 20.00 s 36.00 l, ,o T ing trician Temporary Services or'FeedersInstallation, Alteratlon or Relocation 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 voTis see 'B', affi-t 0wners Name Address 1 n ci Phone OUNER ALI.ATION The. installatioir is beirig made on property I ovn vhich is not intendedfor sale, Iease or rent. Osners Slgnature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel One Circui[ $ 35.00 Each Additional Circuit or uith Serviceor Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res -Limited Energy/Comm SUBTOTAL OP AI}OVB 5Z State Surcharge#+*-37o Ad'wttl6l'lRECEIVgD 5 5' PERfiTT APPLICATION [T) l;' .1 1.,.0T' f3t[:1,.1 b.c1" t.$iJ? NortT}l- L:Ulll|:i]-Flt-lC I I t]l{ f:nt'lF'l- f1'I LiD I f: I f.lf:\l... I NSit:,LrUI'I t.lN Dit"f H r Fi[::li I'OHf-\'f'I CIH UOI'lt:'t.E-t LiLt I ti .rrn Eil-,r.8.r. -"- g E' t't F-: R t._ A T' ER t\t... Cfl t! tS T. fq] C. l. r fl ,\r I J'L:i.I-tt A I rt 1 ii:.!:i't' t 8zlstru ./Ai <- sfrefr,*l s laet 0 Al a 3'3- s- y- 3-s--ffi. 6@,tliilp I'I0 fir_) \ lrtfl[:i.L l::l lr i1:;il:: I I I llrri:il,:: ;,:ll ll 1l lt lr f:l.t,liit.- IFl{:ift::(.1-l-Inl'l DATE' - - J^. 'l-/:?' 77t or*to { slrP?;E S/")o es- /s' fcr/ * {" ?irte / {u//<< I (,o, / 7r.5 r /-E-€' / e)o /f ,n+i,r,l / 6 *{b y* pt/C filqtc* /7' *\cc z-r',,ttJ oF fe-ruce . CouC 1v 1 E I