HomeMy WebLinkAboutPermit Electrical 1997-04-03225 FIFTS STREET
iirrNcrrnlD, oREGoN 97 477
rirspgcTroN REQITEST: 726-3769
OFPICE: 726'3759
ffi,
ELECTRICAL PERHIT APPLICATION
City J ob Number
3. COHPT,ETE FEE SCffiDTILE BELOV
SPRrN .IELO
Nev Residential-S
Hulti-FamilY Per
Service Included:
1.LOCATION OF INSTAII-ATION A ingle or
dvelling unit.
Cos t
s 8s.oo
$ 1s.00
s 40.00
$100.00
$130.00
s300.00
$ 40.00
)\q\TI nf,
LEGAL DE
Re
JOB DESCRIPTION
q t -oo I tems Sum
Alaru I stal latia
1000 sq.ft. or less
each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home' or
Modular Dwelling
Sertice or Feeder
Permits are non-transferable and expire
ii-""if is not started vithin 1B0 days
of issuance or rf vork is suspended for
180 daYs.
2. CONTRACTOR INSTALI.,ATION ONLY .B
Electrical Contractor Sec ri fw
Address 1501 Pearl sr
City Eugene Phone 342-tgtl
Supervisor License Number 949 JLE
Expiration Date 11 lor I
Constr Contr . Number 59944
Expiration Da te 4l 27 /9A
Signatu ing Electrician
0wners Name
Address nA
ci Phone 14t-tql
OVNER TNSTALLATTON
The installation is being made on
property f ovn uhich is not intendedfor sale, lease or rent.
0vners Signature:
C
40.00
55.00
80.00
see rrBrr aSove
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t
$ 3s.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
Services or Feeders
installation, Alterations
or Relocation:
200 amPs or less
201 amps to 400 amPs
-
401 amPs to 600 amPs
-
601 amPs to 1000 ?mPs-
over 1b00 amPs/vo1ts
-
Reconnect OnlY
TemporarY Services or Feeders -insiattaiion, Alteration or Relocation
200 amps'"or less
201 amps to 400 amPs
--0ver 401 to 600 amPs .
0ver 600 amPs or 1000 volts
s
$
$
-Each installarion
Pump or irrigation
Sign/ou tline Lighting-
Limited Energy/Res TLimi ted Energy/Comm
SUBTOTAL OF ABOVE
2( S\^re Surcharge
3Z *Adnini.s t ra t i ve Fee
s s0.00
$ 60.00
x D
40.00
40,00
20.00
36.00
s
$
$
s Id,
3
n
DATE:5.
q1l 6n
$zg. oo
r .00