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Home My WebLink AboutPermit Electrical 1996-5-9 j \., ,.. '" ,....' ' ~ 1l1'-""~t..~=I\I.-'- %<JIU'.o. ~, ' .... ,L, ,(1) Zon\nQ (1_/';... J r 5.--,C)-'1 ~ . ~.~ ii I ~l~. ::..f~',..' ~)!".. f\.~~',\B"tOO ~ 'Rl\~ ",," ".."i ~fl'~"""". ~(,;; , ,ELECTRICAL PERMIT APPLICATION Ci ty Job Number creeo& '3 2, 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ~\~\"""",.. INSPECTION REQUEST:, 726-3769 ' .' OFFICE: 726-3759 \'~:",.. ~,"'.~.~':',"',,,"'" ~"~.'i.\'4IJlllt_MI" 1. LOCATION OF INSTALLATION ' - -, 580A MA-ftJ ST #-II.fl08 ' LEGAI.~PTION J7 OL~!}7I /'J,2.30 I JOB DESCRIPTIOlj ; R~o,/[:, Ptl<;.-r LIGl-l-ni..\(l I NSlAU. Nb\f Li61..niNc, LI.~IN(:' e-XIST/Nu C.llUuIT!o Permits are non-transferable ana-explre if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. ' CO~CTOR INSTALLATION ONLY :El(i!ctrical Con.trj!ctqr Beacon Electric . . 1" , :. :'. ";" 0...:. ..... :... li~. - ~ ' - Address, 258 5.,Roosevel t ;,.Bl.vd. Ci ty Eugene" , ,Phone 461-0291 Supervisor License Number 34R~.~ Expiration Date 10/1/91, Constr Contr. Number 38497 Expiration Date 1/10/9& Signature of Supervising Electrician 'f:1---~L--- ' ~w~s r Name h;OUTJ..\ LAN 0 coe..fl Address '5eOp-. \'1\ Prl tJ s:-r- 'Ci ty SP12.ll\Ib~\l2U.:LPhon~~ ., 'OIiNER INSTALLATION,. . ....... --" . ~j. . -' .~, The installation: is- being',made, on- . - . f',. . -.' ", ,-, " ' '" t~~~,~.i~ ,\~~~e"~~:c~.e~~_,:n~t ..i~,tended Owners Signature: ~~~E~---~~q-:q-LO----~l.tI-7~------- RECEIPT 1I:.:4; , IV, Iiz..-." 3~" (;OHP~..FEE SCHEDULE BELOlI *, ' A. NewResidential~Single or , Multi-Family per dwelling unit. . Service Included: .. Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 , , sq, it or portion thereof $ 15.00 Each Manuf'd Bome or Modular Dwellin~ Service or Feeder $ 40.00 B. Services or Feeders 'Installation, Alterations. ,or Reloc",iion'," , " :-, - -- ,- ~ . -. -.. '.", - - . "," 200 'amps ot'less" $ 50.00 ;2'01: amps];i:o~'400: am'ps-" ,-, ';':$60'.00 401 amps to 600 amps.. ..___, $100,00 601 'amps' 'to 1000' amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps '$ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits ," E. New, Alteration or Extension Per Panel One Circuit $ 35,0035,00 Each Additional Circuit or with Service_ or Feeder Permit~',",-L__ $:--2;00 "2.00 , , . ~ . ~. '. "" ;.. ~ ' Mi;celianeousC(Servicel.f;~dei riot~inciuded) ':E'aclFiri'staU'ation ,? ;)(,' ';'1 '.. Pump or.i~rigation $ 40,00 Sign/Outline'Lightinl! $ 40.00 Limited Energy/Res ' $ 20.00 Limi ted Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee 37.00 (. a5.- ' 1.1.1.-~/"