HomeMy WebLinkAboutPermit Electrical 1996-12-09-. t,.:.
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"'*tron* lrDL225 WFTE STREEf,
SPRIT{GEIEU), OREGON 9V477,
INsPBcffiON REQIBST: 726:5169-- "-*
OFPfCE: 726-3759 1' '. .,,. : .,TJA
1. LOCATION OP TNSTALTATIONi+: 3^,,IL L/tr-+\?\,n,
LEGAL
JOB DESCRTPTTON
D\,,e ^ G.=\c,\[
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR TNSTALI.ATTON OIILY
ElectricaL Contractor A_DT Sec.riry Sysrems
Address i50l Pearl Street, Suite B
City Eugene, 0R Phone 5at442 ftf3
Supe rvisor License Number Qqq 5tf
Expiration Date \\ le1
C
Constr Contr. Number 59944
Exp iration Date 04/29/97
Signature of ervising Electrician
(
D
0vners Name <"^Ih
Address *t.,
ci 3rp''*f,.lL phone JtJ/ - ?951
OVNER INSTALT,ATION
Ci ty Job Nunber
3. COHPI,ETE FEE SCEEDULE BEI.og
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:ftems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
-Hodular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Irrstallat ion, Al terations
or Relocation:
BT.ECIRICaL PERItrT
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 anPs_
Over 1000 amps/volts
Reconnect Only
fffilutro
B
s s0.00
s 60.00
s 100. 00
s130.00
s300.00
$ 40.00
20.00
Sum
200 amps or less S 40-00
201 amps to 400 amps
-
S 55.00
over 4b1 to 500 amps
-
$ Bo.oo
Over 600 amps or 1000 voTts see 'Bn a
Branch Circui ts
s 40.00
s 40.00
$ 20.00
s 36.00
60ve
Nev, Alteration or Extension Per Panel
one Circuit $ 35'00
Each Additional
Circuit or'vith Service
'or Feeder Permit $ 2.00
Hiscel'Ianeous'(Service/feeder not included)."
Temporary Services or Feeders
Installation, Alteration or Relocation
-Each installation
Pump or irrigation
-
Sign/0utIine Ligh ting-
Limtted EnergY/Res I
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admlnistrative Fee
TOTAL
T,he installation ls bei'ng nade on '
ptopu.ty I. ovn vhich is not intended
for sale, Iease or rent'
Omers Signature 2
E.
r .00
60DATE:
CITY OF OREGON
RECEIVED
5
?l 50
7n no
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