Loading...
HomeMy WebLinkAboutPermit Electrical 1999-3-3 . .e/T '.,. lVI/owing protect a6 6 b "rlg, and doas not re U m'lI~e "p- II" 'olloWJruL 225 """ ""''' -""'"~, ~~""" ,.,. _== ""'IT qPLICATION SPRINGFII>LD, OREGON 97477 Zoning VL-/ q 00 ^1 INSPECTION REQlIEST: 7'+,6-3769 . n--- Ci ty Job NlliIlber d OFFICE: 726-3759 . ate ~ ' . '1 ~ 1. ROCOA'.fIO()N .Q.F_IN~AL~J~~" Si9.[\a.lu:frUJ.. . " wm~ FEE SCHEDULE BELO\l . '., ~\ \ \ '\ '\l' ,\~ )l(1V' A~ New Residential-Single or Multi-Family per dwelling unIt. . J.f(~:rQ~TWN -v--Y\ Service Included: \\t) JcJ.. .J ....~'--'\. (Je:;::::, \. JL..,/ . Items Cost Sum ...... ( ~BQ DEffJ{f~~~u.f\ ~O t-I U~ 1000 sq.ft. or less Each additional 500 . sq. ft or portion Permits are non-transferable and expire thereof if \lork is no t started wi thin 180 days Each Manuf' d Home. or of issual1ce or if work iNeljspen~ed for Modular Dwelling 180 days. 11,,1:. Service or Feeder THIS PERMIT SHAll EXP.'RE In . 2. CON'BACTOR INSTALLATION ONLY .B. Se!fl.fi~/Q;9~r Feeders MU I HUi1fLED UNDER THIS PEr:\'\~1<!-!H.~ion, Alterations Elec trie ,1 Con trac tor .mCF:r:!'1-'f.~C::)n~~J.\BANDON>fD~OWca tion: ^"V 18'." '" Address 4065 W. 11 th, 1118 ' . ERlor,. 200 amps or less . 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only ATTENTION:Oregon law requires you to follow rules aoopte~Ql&<lltra~e~e!llVJliB~ or Feeders 1 04929 ~1~H!;~,,'iJJn center.:rlIJfb~:~lil~il!!l'JJ,sa\l<tlehra t ion or Reloca t i on 3/14/00 in OAR 952-001-001 0 throughC?AR 952-001- $ ~')!''' v"'.\ may Obt~~fbdjl'1f?:90Plh~ by J ~~iling the cente Ntll'\F.e le1e6RQn~mps $ ising Electric~&h6i rf rtheOr 'Oft ~'~yF.lOti~g9tiarPPS $ I '. A.............. e oe- ,am~s or 1000 vol ts see "B" above /L"' - Center is 1- uO-3 - "....I. I / \'v::...^,~\ D Branch Circuits Owners N.,i\rf; \ U\ \ ) - . Address_4t Q '.9 ~_f\ .~-Qc{) City~M.rt Phone\4lbJ \4,C:S O\lNB I~TALLATION City Eugene Phone 687-5770 Supervl:;,)r License Number 38728 Expirathn Date 10/1/99 Constr C0ntr. Number Expira ti. Signa tur, The i~st.llaticn is being made on property I ovn which is not intended for sale, lease or rent. Ovners Signature: --------.-------------"'2:- ---------- DATE: f.l..,.0 GlU RECEIPT ~: ; F JI, - - .~~Gv RECEIVED BY: 0lV.J0---1 $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 40.00 55.00 80.00 " Nev, Alteration or E~tension Per Panel One Circuit Each Additional Circuit or \lith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL \ ~~ $ 35:00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 O~.ro i. -IS - L..Ll1) 1...1')~