HomeMy WebLinkAboutPermit Electrical 2000-10-27CITY OF OFEGO'U,,
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'rh€ following project as submitted has the
Zul}ir'lQ aod does not require specific land use
approval
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PBRITIT APPI.ICATION
SPRINGFTELD, OREGoN 97477
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0FPICE: 726-3759
225 FTVtg SIBEET
1
I.EGAL
Date
,ALI.ATION
O .-' L1 -d1
Electrical Contractor ADT Security
666ssss 1501 Pearl St.
Ci ty Eugene, OR Phone 5aL3!2:El3_
Supervi-sor Licens e Number 853JLE
Exp iration Date t0/02
Constr Contr. Number 26209CLB
Expiration Date rcloLrcl
Signat of Superv tsl Electrician
ovners NaneLh @
Addres s l9Lt1
Ci ty €€t=i Phone -7q 7 - S1L Z
Job Nunber (>>-o /s?.2 -o/
3. COI{PT.ETB FEE SCEEDIrI"E BELOS
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:Items Cost Sun
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home. or
Hodular 'DveIIing
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
.8. Services or Feeders
Installation, Alterations
or Relocation:
c
200 amps or less
20L amps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amPs/vo1ts
-
Reconnect 0n1Y
TemporarY Services or Feeders
Installaiion, Alteration or Relocation
over 4b1 to 6oo ambs I $ 8o'oo
o;;; 600 irp. ot--i5oo *rt" see xBtr aE66
Branch Circui ts ; .'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
s 3s.00
$ 2.00
o3
Permits are non-transferable and expire
ii vortc is not started vithin 180 days
oi ii"u"nce or if r.rork is suspended for
180 days.
2. COI{TRACTOR INSTALI"ATION ONLY
$ s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ {!'q
-llsl(u'li$;I)fl:'[ins= i ii:ffi ,w
Limi ted Energy/comm o do.H Hk
.sr,lBrorAl oF ABovE e{?i;ii
(Zfi) State Surcharge Js#Xl5Z edministrative Fee _-H#H:rorAl Pa:iil [* l,-l
D
{
OITNER INSTALI.ATION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, lease or rent'
Omers Signature:
DATE:
RBCEIVED
C)o
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