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Home My WebLink AboutPermit Electrical 1994-05-12g, project asooes not r $ubrndi equire sp Qtu {]i6 Sum st'tilN(:FtGLl) The followin zoning, andapproval.ecific225 FTFTE SIREET SPRINGFTEIJ, oREGON 97477 INSPBCTI0N REQUESTz 726-3 OFPTCE: 726-3759 1 LOCATION OF INST Ci ry Jo LETE PEE b Number SCEEDULE BELOS A, Nev Resi den -Single or PERHIT APPLICATION it. Cos t s 8s.00 s 15.00 s 40.00 s s0.00 s 60.00 s 100 .00 s130.00 $300.00 s 40.00 () P t oo6 JOB DESCN,IPTTON (+1 ii C'r r,:x L J.-L\{-/)+o X[q{^) Electrical Contractor P aImer,/PhiIips Address 3170 Meadow I-ane Ci ty Eugene Phone 5gg-5121 Supervisor License Ndmber ?71qc Expiration Date 10/ 93 c.Constr Contr. Number Z0-L79C Expiration Date L0/y3 Signature of Su pervising Electrician Lt- rps Hulti -Fami.ly per dvel1i ng unService Included: f tems 1000 sq.ft. or less Each additional 500sq. ft or portion thereo f Each Manufrd Home or -Modular Dvelling Service or Feeder Services or Feedersfnstallation, Alterations or Rel-ocation: LEGAL I 7oa DESSRIPTION Permits are non-transferable and expirei f vork is not started vi thi.n 1g0 daysof issuance or if vork is suspended for180 days. 2. CONTRACf,OR INSTALI.ATION ONLY kt ntl B. 200 amps or less 20L amps to 400 amps -401 amps to 600 amps -601 amps to 1000 arnps- over 1000 amps/volts -Reconnect only -- Orlners Address Ci ry Name Jrr €Phone 7 OIINER INSTALI,ATION The instalLation is being made onproperty I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: RECEIPT Temporary Services or FeedersInstallation, Alteration or Relocati.on 200 amps or less $ 4O.OO 201 amps ro 4oO amps - $ 55.00 over 4ol to 6oo amps - S go.oo 0ver 500 amps or 1OOOE'fts see ngtr "ffif D. Branch Circui ts Nev, Alteration or Extensi.on per panel One Ci rcui t s 3s.00 Each Add i. t i onal Circui t or vi rh Service or Feeder Permi t tl 5 $ I 2;oo a\? E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation S Sign/out1ine t,ighting- S Limi ted Energy/Res S Limi ted Energy/Comm S 40.00 40. 00 20.00 36.00 65SIJBTOTAL OF ABOYE 5Z State Sulcharge Jeo *er;Atq Sli,r, -1- r/o+cL\ 30 t-a ; RECEIWD BY: v\g<- - @rz Authorizori 1 /, so ?o st2!q0 zzs FrFrE srREEr 11,il3,''#xsi:j;$ff##;l_,tr# SPRINGFTEID, oREGoN 97 47Tpro'tat. INSPECTI0N REQUEST: 726_376 9 OFPICEz 726-3759 1. LOCATION OFJ"85 tjf DESCRTPTION o 2. JOB DESCRTPTTON if vork is not started vithin 180 daysof issuance or if vork is sus pended for180 days. Z. CONTRACTOR INSTALI,ATTON ONLY Electrical Contractor Palmer/Philips Address 3170 Meadow lane Ci ty.Eugene phone 688-6121 - \!-nd\ur \s-u -q-rerml ts are non_ t r nD Ag-.u, P ansf erab]-e and expire thereof SI'IIINGFIGLo PEzu{TT APPLICATION LD{L ci ty Job Number #l --:_Q=9? 3 COHPLETE PEE SCTEDULE BELOgSignature ,J. A nt ia1-Single or MuI t i-Fami Iy p er dvelling uni t. ,'i:[,]-ncn Service fnclud ed: b @ Items Cost Sum 1000 sq.ft. or Iess s 8s.00+qtfo.U,t,Each additional 500sq. ft or portion s 1s.00 /b 5o_oo /7 B Each Manuf,d Home or Hodular Dvelling Service or Feeder Services or Feedersfnstallation, Alterations or Relocation: s 40.00 50.00 60.00 00.00 30.00 s300.00 s 40.00 .00 .00 .00 il8il above Supervisor License Ndmber Expiration Dare L0/ 93 200 amps or less L201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/voIts -Reconnect 0n1y s $ $r s1 Constr Contr. Number 20-t79C Expiration Date t0/Y3 Signature of S upervising Electrician LL 0vners Name ci ty Sov.irvrAp f d phone -lclt-3tEK T OVNER INSTALI"ATION The installation is being made on property I ovn vhich is not intendedfor sa1e, Iease or rent. Onners Signature: DATE: RECEIPT Temporary Services or FeedersInstallation, Alteration or Relocation C 200 amps or less $ 201 amps to 400 amps - $over 401 to 600 amps - $Over 600 amps or 1000-voffs se 40 55 80 o D. Branch Circui ts Nev, Alteration or Extension per panel one Circuir S 35.00 Each Addi. t ional Circui. t or vi th Service or Feeder Permit =R S 2.00 6.oO E Hiscellaneous (Service/feeder -Each installation Pump or irrigation SSign/outIine Lighting- S Limi red EnergylRes S Limi ted Energy/Comm $ not included ) 40.00 40. oo 20.00 36.00 .--.:- SI.MTOTAL OF ABOVE 5Z State Surcharge TOTAL RECEIVED BY: 5 5b" 6g c-)% /o LEGAL ?71q5 e eaaress I.l85 LrJq,rJs,& Lf,u-t[