HomeMy WebLinkAboutPermit Electrical 1996-03-04OREGOTU
225 FIFTE STREET APPTO!g,'
SPRTNGFIELD' OREGON 97477 Zoni
INSPECf,I0N REQLIEST t 726-37
0FFICE: 726-3759
Arnlrorlzed Slgn
1. LOCATIOII OF INSTALI.ATION
^!EL
Th. ,rlowlng project as eubmitted hes tha followi
zoning, and does not require opocific lsnd use
64"
A
ELECTRICAL APPLICATION
Ci ty Job liumber qGo2/z
iiELO'J
r*ev Resident ial-Single or
Yu1:i-Family per d'*clli;;':::i:.
Se:','i:e Irc1udeC:
I tens Crs t
0h
n
2. COIITRACIOR INSTALLATI0N ONLY B. Services or Feeders
Installation, Alteraticns or
lLectrical Contractor Mc Pheetens Electnic Co. Relocation:
Lddress P.O. Box-10796 200 amps or less 1
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 100C amps_
Over 1000 arnps/volts
Reconneet 0n1y
cit Eugene 9744O ?hone 344-5594
Supervisor License l,ldmber 3350S
Expiration Date 1 0-1 -98
LEGAL DESSRIPTION
BDaltajn Efem. School/7eu eg /+ /tza?2
JOB DESCRIPTION
Electnical & Communications upgnade
?ermits are non-transferable and e>;pireii vork is not started vithin i80 days
of issuance or if vork is suspended for
i30 days.
Constr Contr. n*umber 63252
Expiration Date 1-19 91
Signature of Supervisin ctrician
Ovners € School Dis nict 19
Add ress 525 Mi]1 Stneet
Ci ty Spningfield Phone
OITNER INSTALI^ATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT
l aririr ^^ Fr ^- 't ^-^lvvv Jq.!L. Ul 4Err
Each additional 500
sq. ft or portion
t hereo f
Sach Hanuf'd Home or
Modular Dwelling
)ervlce or reeoer
( nq nn
v vJ. v!'
s 15.00
; n0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
55.00
80.00
ee nBrl
Surr
above
$'50 5000
(-Temporary Serviees or Feeders
Installation, Alteration or Relocation
200 amps or less
20L amps to 400 amps
-0ver 401 to 600 amps _0ver 600 amps or 1000 ';olt,
One Ci rcui t
Eaeh Addi t ional
Circui t or vi th Service
or Feeder Permi t 40
Hiscellaneous (Service/feeder
-Each installation
Purnp cr irrigation S
Sign/0utIine Lighting_ $
Limi ted Energy/Res _- S
Limited Energy/Comm 1 S
SUBTOTAL OP ABOVE
5Z State Surcharge
DCIDCILX 3% Acimin
s 3s.00
$ 2.00 80
not included)
0040$
$
$
QC
D. Branch Circuits
I'lev, Alteration or Extension Per Panel
L
40.00
40.00
20.00
36.00 36
5 1 66. OO
q?
PJBCEIVED BY:Total
8.30
5-23 +.---T6--5-6s-+
,