HomeMy WebLinkAboutPermit Electrical 2002-02-08225 FIFTH STREET
SPzuNCFTELD. OREGON 9 7+77
ELE STRICAL PERMIT APPLICATION
INSPECTION REQUEST:'7 26-37
OFFICE: 726-3759
Citv Job ()/
DESCRIPTION
Z
1 TIONo8
LEGAL
170
Mutti-Family per thvelling unit.
Sen,ice Included:
JOB DESCrrcdt RIPTION II I( m*€-( ba L o?-
approval
DAte-
prolect as submitted has the tollowin
not reguire specific land use
1000 ft. or less
Items Cost
_ $ 106.00 ----
$ r9.oo _
C
Iter is 1-8{
63.00 _
75.00 _-.-
125.00
163.00
Permits are non-transferable and ffit€eo Sr gnatu re
if work is not started within 180 days
of issuance or if rvork is suspended for
180 days. .. .
2 CONTRACTOR INSTALLATION ONLY
Christenson Electric. Inc. D.B.A.
Electrical Contractor_p_foi1:ip1E1gc !ri-c
:
Address 1298 Bethel Drive
of Superrising Electrician
B. Seryices or Feeders il
Installirtion, Alterations
Relocation:
500
Each Manufd Home or
Modular Drvelling
Service or Feeder
,/ //L-*fiaLhan Philips
OWNER IN TION
D. Ilranch Circtrits
Nqr,Alteration
E. Nliscell
Liniited
$25.00
$4s.00
I\'linimum Electrjc Permit Inspection Fee is S.15.00 * Surcharges
1. SUBTOTALOFABOVE
7oh Strte Surchitrgc
8% Administrativc Fce
oo
TOTAL 5Zso
Eugene, OR Phonc (541) 688-6121
Supervisor License Nurnber 2719S
Expiration Date lOl1]r/ 03
Constr Contr. Numb er -------26:3 & ---_
3. COMPLETE FEE SCHEDULE BELOW
A. Neu' Resitlential-singlc or
Sum
200 amps or less
201 amps to 400 amps
401 amps to 600 anips
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only ::
C,
$ 50.00
ExpirationDate 70/01/N"
Orvners Name
3
The insttrllation is being made on
properg'l olvn uhich is not intended
lor sale, lease or rent.
Oryncrs Signature: