HomeMy WebLinkAboutPermit Electrical 2002-06-2805/23/02, TEU 08:48 FAX 54L72' "8S
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
II\TSPECTIOX REQUEST; 726.37 69
OFFICE: 726-3759
I. LOCATION Otr INS'TAITATION
9OO SOUTH 32ND STREET
LEGAL DESCRIPTION tNE tollowing
S
JOB DESCRIPTION Zoning
Permirs are non-tmnsferabt e 6H$sif frt
s i s n at u r e
if work is not started within 180 days
of issuance or if work is.suspeuded for
180 &ys.
2. CONTRACTOR TNSTALU,TION ONLY
ElcctricalConkactor SCOFIELD ELECTRIC
Addr.r=_PO BOX 276f
City EUGENE 97402 Phole 686-8612
Supervisor Liceose Number 3240S
Expiratiou Datc
Coruu Conh. Numb.r--! 8703-.
ELECTRTCAL PERMIT APPLICATION
CityJob Numbcr OZ-oo -7 8t-O
3. COMPLETB FEE SCT{EDIJLE BELOW
dwelling unit
CITY OF SPRINGFIELD
?u
@ oor
I
Itcus Cost Srsa
s106.00
$ 19.00
$ 50.00
$ 53.00
-$12s.00
$r63.00 _
$ 50.00
$50.00
$69.00
s100.00
3- l-D
o
500
sq. fi tportion
tbcrcof
EachManufd I{omc or
ModglarDwellin8
Servl'ce or Fccdcr
B. Services or Feedcrs
Installatiort, Alterr tions or
Relocrtion:
lcss
200 amps or Iess
201 amps to 400 arps
401 amps to 600 amps
601 arnpsto l000.an)ps
Over 10fi)ampdvolts
Reconncct Only
Expimtion Date 12-21-05
Signature ot Supcrvising Electriciao
f,"Btt above
D. Branch Circuits
0wners SPRINGFIELD PUBLIC SCHOOLS Ncw.{hflatiog rt
Addrcss 5Z{One Circuit
5?tL phoue ?26 -3bo
OWNER INSTALLATION
The installation is being rnade on
propcrty I owu which is not intcnded
for salc, lease or rent,
Lighting-
Owncrs Signature;Limitid EnergylRcs
LimiEd Eucrgy/C,omm
I s+r.oo 43
or with Senrice
_$3.00 _
(Service/feeder not lncluded)
s50.00
s50.00
s25.00
$4s.00
Minimum Electric Permit fnspection Fcc is $45.00 +
Surchargcs
C- Temporery Services or Feedcrs
fnstalletion, Altcrrtion or RelocaUon
20Oarrps or Iess
201 arnps to 400 umps
9ver 401 to 600 anrps
Over 500 anrps or 1000 volts see
ioo4. ST'BTOTAL OB.ABOVE
77o Statc Surchargc
t% Adnlnistretivo Fee
TOTAL 5 t.1f
not