HomeMy WebLinkAboutPermit Electrical 1995-06-12SPCIINGFIET-.C'
Service Included:
JOB DESCRIPTION
ALAR},I SYSTEM
Electrical Contra g16r.ADT SECURTTY
Address 1501 Pearl Suite B
Ci ty Eugene Phone 342- 1313
Supervisor Lic ense Number R-L777
Expi ra t ion Date 10-1-96
Constr Con tr. Number 59944
Expiration Date 4-I-95
Signature of Supervising Electrician
1000 sq.ft- or less
Each addi tional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Sertice or Feeder
B- Services or Feeders
Installation, Alterations
or Relocation:
200 amps or I
201 amps to 4
401 amps to 6
601 amps to 1000 amps_--
Over 1000 amPs/vo1ts _-
Reconnect OnlY
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAI
TemporarY Services or Feeders
ir,"tirr"iio", Alteration or Relocation
Items Cost Sum
s 85.00
$ 15.00
$ 40.00
20
--:zo-7iT7-
I^EGAL DESCRII"IION
Permits are non-transferable and expire
if vork is not started vithin 180 days
;; i;;;"tce or if vork is susPended for
180 daYs.
2. COMRACTOR INSTALIATION ONLY
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
ess
C0 amps
00 amps
.00
.00
.00
llBlr
Address
ci tv vnone(SO:;)714 -i thP/
OVNER INSTALLATION
The installation is being made on E
piop"t,y I ovn vhich is not intended
for sa1e, lease or rent'
0sners Signature:
C
200 amps or les
201 amps to 400
0ver 401 to 600
Over 600 amPs or
amDS
1000 volt a56vE-s see
D- Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
s 3s.00
s 2.00
Hiscellaneous (Service/feeder not included)
-Each ins talla t i-on
Pump or irrigation
-
Sign/0utline Li-ghting--
Limited EnergY/Res
-*Limited EnergY/Comm
40s
55
BO
amps
$
s
$
rsN
ws 40.00
$ 40.00
s 20.00
s 36.00
5
DATE:
CITY OF OFEGO'V
rrlr.IrT\rtrn BY:
225 PIFTS STREET
SPRINGFIELD OREGON 97 477
INSPEGTION REQIIEST:726-3769
L.OFFICE: 726-3759
1 oF TNSTALLATT@I'rc'r:e'c
EI,EqIRICAL PERHIT APPLICATION
City Job Number
BEI,oV
,
)
A.