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HomeMy WebLinkAboutPermit Electrical 1993-09-24a t acml l'rlrN(;Ftt Lct 225 FIFTE STREET SPRINGFTEIJ, oREGoN 97477 INSPECTION REQIIEST | 726-37 0FPICE: 726-3759 IJGAL DESCRIPTION atu Nev Residential-Single orHuIti-Family per dvelling unit. Service fncluded: ELECTRICAL PSRHIT APPLICATION $',,, --Q,LL42 Ci ty Job Nuurber 4..i..,,:: t..BELOg I tems 1000 sq.ft. or less Each additional 500sq. ft or portion thereo f Each Hanufrd Home or -Modular Dvelling Service or Feeder Services or Feeders InsEallation, Alterations or Relocation: z Cos t s 8s.00 $ 1s.00 $ 40.00 s see ttgu "ffi 35.oo 1. LOCATION OP INSTALI.ATIONu.ir N ezr" S6rr,^rlG<_d 4., 1]48rrtn co 11 \bc t 1 O2ooo Sum \}4rr .i.{- Permits are non-transferable and explreif vork is not started vlthin 190 daysof issuance or if vork is suspended ior180 days. 2. COMRACTOR INSTALI-ATION ONLY B Electrical Contractor Palmer/Phil iPs Address 3170 Meadow Lane Ci ty Eugene Phone 5gg-6121 Supervisor Licens e Nrimb L0/ e2Expiration Date Constr Contr. Number Z0-L79C Expiration Date L0/92 Signature of penrising Electrician L 0r,,ners Nane {9461 t,rJrtttvrF< - Address 4t'l Ci ty Phone t!4 t1 OVNER INSTALI.ATION C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 arps- over 1000 amps/voIts -Reconnect Only 200 amps or less 201 amps to 400 amps -over 401 to 500 arps -0ver 600 anps or 10OO-ETi Pump or irrigation Sign/outline t ighting- Limi ted Energy/Res -Liml ted Energy/Comm 50. 60. 100. 130. s s $ s $ s s $ $ 00 00 00 00 00 0! eE2 gs 300 40 00 00 00 40 55 80 The lnstallatlon is being made onproperty I oun vhlch is not intendedfor sale, Iease or rent. D. Branch Circuits Nev, Alteratlon or Extension per panel one Ci.rcuiE I S 35.00 Each Addi rional Circuic or vith Serviceor Feeder permit S 2.00 Hiscellaneous (Service/feeder not included) -Each installation E 5. SI.ETOTAL OP AIO'E 5Z Srate Surcharge TOTAL s s s s 40 40 00 00 00 00 20 36. 0sners Signature: DATE: RECEII/ED BY: 3 , 75: -- .1 6., 7f.