HomeMy WebLinkAboutPermit Electrical 1999-3-3
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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
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