HomeMy WebLinkAboutPermit Electrical 1991-5-9
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ELECTRICAL PERMIT APPLICATION
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New Residential-Single or ~
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Service Included:
225 FIFTH STREET
SPRINGFIELD. OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
City Job Number
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3.
L09lA~F INSTALI:ATION
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1.
A.
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Items Cost Suln
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 35.00
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
B. Services or Feeders (10 Branch Circuits
included). Installa tion., Al tera tions
or Relocation:
Electrical ContractotARC ELECTRIC INC.
35
100 amps .or less "'\ .
101 'amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00
$'80.00
$130.00
$300.00
$ 35.00
Address 85783 Highway 99 S.
Phone 741-0494
Ci ty Eugene, OR
2098S
Supervisor License Number
12-90
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
20-6C
Constr Contr. Number
$ 35.00
$ 40.00
$ 80.00
volts see "B", above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps 'or 1000
10-1-91
Expiration Date
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Branch Circuits
D.
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OVNER INSTALLATION
Name ~/~ffi ~0Jl () L
Address BlloID Af~-HJ
Ci ty ~+Jl f./ Phone
New, Alteration or Extension Per Panel
$ 35.00
$ 50.00
$ 15.00
One Circuit
Two to ten Circuits
Each Add t' 1 ten or'
portion thereof
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline LightinJ>: $ 36.00
Signal Circuit or
limited energy panel $ 36.00'
5. SUBTOTAL OF ABOVE 3~. CO
5% State Surcharge J .~.s
TOTAL :~lo. '7.'-';
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT 1I: JC:>iI _ r'YU ), f,.,
RECEIVED BY: L/I~