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HomeMy WebLinkAboutPermit Electrical 1993-9-1 The, followlno p'ole'" es .ubmlttorl h h- '_"...J__ ' ~ 225 FIITH STREET zonlnO, ,. "" f ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 I () I:l c:: () INSPECTION REQUEST: 726_378;;re, "Ot"~(' ~_' ~ \J)?- "~;:: JOIiI Number ~I.;,)O 5 -...) L- OFFICE: 726-3759 c." l ~J --.. - 3. COMPLETE FEE SCHEDULE BELOIl 1. ,~CA:fm.N 0J..J~T~1.I9N""''Xm~~8~tJ..4''-' I _I ,<'), -'), ~ I r 1(1 Icr'{l7"> ,,-') - . A. New ResIIIent"ral-Single or , Multi-Family per dwelling unit. Service Included: \ ~r.c5~N DR4C() ,... - L JOB DjSpu,.j.TION A -A-/-... ':)Q.0) ,('(1\. '(ilJ1CIJll'-LJ I / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations or Electrical Contractor Scofield Electric Co, Relocation: Address PO Box 2765 Ci ty Eugene 686-8612 Phone Supervisor License Number 508S Expiration Date 10-}-92 Constr Contr. Number 38702 Expiration Date 12-21-92 Si,gnature of Superv' [lng #oCian ~ ' Owners Name I nS ,h 11 f\ (" M Address \~=\~ DIN)) j( .CJ:t Ci ty",~,~ Phone O~ ~~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -------------~r-7 DATE: '-1 - - L-1----) RECEIPT It: A-... If. r' _ i (,) I.:J. 0...::::. RECEIVED BY: \ A ILL^- ) 200 amps or less ~ 201 amps to 400 amps ~ 401 amps to 600 amps I 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 ~ Lac) C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps' to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Ci-rcuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t ,~'-\ l $ 2:00 1LL. no t included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ $ $ $ "t:S3 9, ,00 ,~ g~',ll~ 40.00 40.00 20.00 36.00