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PBRHTT PLTCATION
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225 PxYtBsrRrsr i.,,',,'ir''i'.;:,i,t;il1l,
SPRTNGPTELD, OREGON 97477
TNSPECTION REQIIESTz 726-3769
OPPICB: 726-3759
1.OP
JOB,
Ci ty Job Number
COHPLT'TE PBII SCTIEDTILE DELOV
Nev Resldentlal-Single orMuIti-FamiIy per dvelling unit.
Servi ce Included :
I tems Cos t
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lou 6aop pue 'Ouluoz
loetord 0ularollol
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3
A
Sum
Permits are non-transferable and expire
if vork is not started vithin 180 daysof lssuance or lf vork ls suspended for
180 days.,
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereo f
Each Hanuf 'd llome or
-Hodular DueIIing
Service or Feeder
Services or Feeders
Ins talla t ion, AI tera t ionsor Relocation:
2. COIIIRACTOR INSTALI^ATION O}ILY
EIectrrlcal Contractor ARC ELECTRIC
Addres 7 3 99 SOUTH
Ci ty EUG ENE Phone 741-0494
Supervisor Llcense Number A0f9S
Explration Date 10 01 9B
Constr Contr. Number 20-403C
iration Date l0/01/97
trician
ers Name i>o
Address
Ci ty Phone
OSNER INSTALI^ATION
The.installation is beirig made onproperty I ovn vhich is not intendedfor sale, Iease or rent.
Ovners Slgnature:
DATE: I
amps . -amDs
amps
orts
-
s 8s.00
$ 1s.00
s 40.00
s s0.00
$ 60.00
s 100. 00
$ 130.00
s300.00
$ 40.00
B
200 amps or less
201 arnps to /r00
401 amps to 600
601 amps to 1000
Over 1000 amps/v
Reconnect 0n1y
Exp
C
D. Branclr Ci rcu i ts
r,
Temporary Services or'FeedersInstallation, Alteratlon or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps.
0ver 600 amps or 1000-v6T[s
00
00
00
Sao
s5s
sB0
see 'tgtt "[fr[
JT Nev, Alteration or Extension per panel
oneCircuig I g35.OO
Each Addi tional
Circui t or r.ri th Serviceor Feeder Permi t , $ 2. OO
&
Hiscellaneous (Service/feeder not included)
-Each installation
00
00
00
00
Pump or irrigatlon SSign/0ut1ine Lighting- $Limi ted Energy/Res
-
S
SUBTOTAL OF AI}OVB
5Z State Surcharge
rCIP*L ZaQ)
40.
40.
20.
36.
A
,')d)
i lzz
C'TY OF OREGO'U
RSCEIVED B
5
sq qb