HomeMy WebLinkAboutPermit Electrical 1993-04-19I :
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225 FIFTS STREET
SPRTNGFTEIJ, oREGoN 97477
INSPECTION REQUESTz 726-3769
OPPICE: 726-3759
1 LOCATION OFlV t1 r.i
ON
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EIJCTRICAL PERHIT APPLICATION
LEGAL DESCRTPTION
JOB DESCRTPTION
{^....L00 f,*k-Lvie. r.rt?-s.!.-lrch.-s
Permits are non-transferable and expire
if vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI.ATION ONLI
Electrical Contractor Palmer/Philips
Address 3170 Meadow Lane
Ci ty Eugene phone 588-5121
Job Number
COHPIJTE FEE SCEEDULE BELOV
Neru Residential-Sing1e or
Hulti-Family per dvelling unit.
Service Included:
I tems Cos I
1000 sq.ft. or }ess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular DveIIing
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
4
3
A
$100.00
s130.00
$300.00
$ 40.00
$ 40.00
$ ss.00
$ 80.00
s see ItBtt
Sum
above
B
Constr Contr. Number 20-L79C
Exp iration Date L0/Y3
Signature of S upervising Elec trician
Lt-
OLrners Name
Address al.'e tAa-lloy\
Temporary Services or Feeders
InstaIIation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
200 amps or less
201 amps to 400 amps
-Over 401 to 500 amps
0ver 600 amps or 1O0O voTi
SIJBTOTAL OF ABOVE
5f State Surcharge
TOTAL
$ s0.00
$ 60.00
Expiration Date to/ e3
c
OITNER INSTALI"ATION
The installation is being made on
property I ovn vhich is not intendedfor sale, Iease or rent.
Onners Signature:
DATE:
D. Branch Circui ts
Nev, Alteratj.on or Extension Per Panel
Onecircuir I S35.OO
Each Additional
Circuit or vith Service
or Feeder Permit i $ 2.00
E Miscellaneous ( Service/feeder
-Each ins tallation
Prlmp or irrigation $Sign/0utIine Lighring- S
Limi ted Energy/Res
-
S
Lj.mi ted Energy/Comm S
5
3f
e02-
nor included)
40.00
40. oo
20. 00
- -d)ct
i 8i--
RECEIVED B
ag8tr
-d?-?.7/7 az+>
Supervisor License Ndmber ?71q5
city S0rrol elA pnone -tL(4-l*lb