HomeMy WebLinkAboutPermit Electrical 1992-03-31l,u!,rguirS
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ELECTRTCAL PERHTT APPLICATION
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City Job Number
PEE SCHEDULB BELOV
Services or Feedersfnstallation, Alterations orReloca t i on:
1ru 5/7
1 OF
LEGAL
PTTON
Electrical Contractor palmer /*ritips
Address 3170 Meadow Lane
Ci ty Eugene Phone 688-6121
Supervisor License Ndmber
Expiration Date t)/gt
Constr Contr. Number 20-L7gC
Expiration Date t0/91
Ar"o>
Nev Residential_Single orHulti-FamiIy per a"Iffing unit.Serviee Included:
ftems
1000 sq.ft. or lessEach additional 500sq. ft or portion
the reo f
Each Manufrd Home or
-
Modular Dve1ling
Service or Feeder
A
J Cos t
$ Bs.oo
$ 1s.00
$ 40.00
00
00
00
s130.00
$300. 00
$ 40.00
Sum
aa)
Permits are non_transferable and expireif vork is not started "ithin-ie0 daysof-issuance or if vork r"-;;;p;;ded for180 days.
2. CONTRACTOR INSTALI.ATION ONLY B
200 amps or less I201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
-Reconnect 0nly
S so.
$ oo.
$100.
c Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-over 401 to 600 amps
-0ver 600 amps or 1000loT[s(t
$ 40.00
$ ss.00
$ 80.00
seg ttBt'
Ouners Name
Address
Ci ty Phone
OVNER INSTALI,ATION
The installation is being made on
property f ovn vhlch is not intendedfor sale, lease or rent.
Orrners Signature:
DATE:
RECEIPT
t
D. Branch Circui ts
Nev, Alteration or Extension per panel
one Ci rcui t $ 35. OO
Each Addi tional
Circui t or vi th Service
or Feeder Permit g 2.00
E
5
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/outline t ighting- $Limited Energy/Res
-
$Limited Energy/Comm S
above
not included)
40.00
40.00
20. oo
SUBTOTAL OF ABOVE
5X State Surcharge
TOTAL
RECEIUED B
5D OC)
225 FIFTE SIREET
SPRTNGFIELD, OREGON
INSPECTION REQUBST:
OFPICE: l26-3159
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Signature, of Supervislng Blectrlcian
/