HomeMy WebLinkAboutPermit Electrical 1993-9-29
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he following prolect 69 Gubmltted has tho foilowi ~
225 FIFTS STREET ~~~i:;'~af.nd docs ne! require .;>eo;lie l~et'CTIuCAL P'ERliIT APPLICATIO.P
SPRINGFIELD, ORECON 97477 ,N,0' 1.1 ~JL.l/~
INSPECTION REQUEST: 726-3769 Z~n~g (; Ci ty Job Number ~ /5'~ I
OFPICE: 726-3759 Dele.i1d/I'-'.2_
Authorizod Signuturo 3~OHPl.ETE PEE SCHEDULE BELOII
1. LOCATION OP INSTA4LATION '
,r;'(j'r:) M;9fj.) A. . Nev Residential-Single or
1re:>:z-~.s---7y-,?t!i'~// Hulti-Family per dvelling unit.
LECAlt DESCRIPTION ^- tf) --- Service Included:
:<;)O~W()'Fl ~ht, U \11,< Items Cost Sum
-S:~~B;~IO~ '
\I ~ '"'tC- .v\
I
Permits are non-transferable.and expire,
if work is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
,
2. CONTRACTOR INSTALLATION ONLY wcij/.J B. Services or Feeders.
...Lr'\4-e0(' t.el<> Installation, Alterations or
Electrical Contractor Palmar/~I~~:~~ ~~elocation:
Se~ h.eA, A,f"",
200 amps or less
, 201 amps to 400 amps
Phone 688-6121, 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Address
3170 Meadow Lane
City 'Eugene
,Supervisor License Number .2l19~
Expiration Date
101~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f ...
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. .Number 20-179C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 10/9J'
Signature o~upervising Electrician
( ~ / '
<--" ~tnan t'nJ.llpS '
Owners Name ...v.,...~......,.+ (10(: ;',.".J/T l'"iJd'V~
Address.::J.n(U;' /11fY.E
City~ Phone 7UO",?&L.
OVNER INSTALLATION
The installation is being made on
property'I own which is not intended.
for sale, lease or rent.
Owners Signature:
------------------------~--------------
DATE: Q-:?9-'73
RECEIPT I: M> .g'7"'>'
RECEIVED BY: /L~ ,.
or
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ BO.OO
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm )(
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
, '
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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