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HomeMy WebLinkAboutPermit Electrical 1991-7-15 spnINGt:IELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECfION REQUEST: 726-3769 Ci ty Job Number q /tP '3.2/ OFFICE: 726-3759 1. LOCATION OF INSTALLATION :~ \ ,", 'IL-V"""?;..... n. l' J ~ ?' 7 ~ ///';;4Y -;;>7 . LEGAL DESCRIPTION /')"e12.' '3 7-Y~ r=..<;?..; c-- / JOB DESCRIPTION McKenzie Crossing Parking Lot Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 3. COMPLETE FEE SCHEDULE BELOI/ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85,00 $ 15.00 $ 40.00 2. CONTRACfOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations or Electrical Contractor Arc Electric, Inc. Relocation: Address 85783 Highway 99 S City Eugene, OR 9740Phone 741-0494 Supervisor License Number 2098S Expiration Date 1992 Constr Contr. Number 20-6 C Expiration Date 1992 ~7lt of srer:"isin~~rician ~ ~!J4dYL) , Owners Name Albertson's Address City Phone OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: D~~;~--------/ ?-"<:: y- /i:--;:;;:;-;------ RECEIPT II: "'7~4A,~~ RECEIVED BY: /' ~~_ __ ::::-"'::;::;:__~ ,.., r. /_ _ 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampslvolts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 t1Bn above New, Alteration or Extension Per Panel One Circuit / $ 35.00 ~ <f;:o>r:> Each Additional Circuit or with Service or Feeder Permit L.f $ 2.00 4 -.::>' 0_ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20,00 Limited EnergylComm $ 36.00 5. SUBTOTAL OF ABOVE t/~--=-=- 5% State Surcharge -;;;? . / ~ TOTAL q' L:": / '5'