HomeMy WebLinkAboutPermit Electrical 1997-1-23
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SP.CFIELO
Th'"' fo'1ovlinq proinct t".S {P;bitJttcd h:L": tt::J to~lowing
225 FIFTB STREET ,.-, .:, and ~"e" no< rc:;u:r~ 'pooi]" l.cnd u,,~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974"7'l'""01. 0'
INSPEctION REQUEST: 726-37(i9,ninq (~O 'City Job Number_7"'(;;,1(h/O
OFFICR: 726-3759 *
Dal. 1-7_3 -::!1+- 3. COMPLETE FEE SCHEDULE BELOV
l.LO~TION OF INSTAL~Jnq!td Sianatu,e Iv /'VI
:1&'2 ~AY~ A. Nev Resid"ential-Single or
Hulti-Family per dvelling unit. '
Service Included:
, LEGAL DESCRIPTION
1'7/J 2- "11 3, z..
012<;:;/(
JOB DESCRIPTION ~)
/ &A7bL/r(~' ""f (/ft'lb4'../I?')
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
I
;2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty EUGENE
Phone 4R~-nq??
Supervisor License Number ---2!l7n~'
Expfration Date
10/1/98'
04296' "'"
Constr Contr. Number
Expi'ration'Date
12/ 10/~1.
Signature of super:;Qvisin... Electric",'';.,
uJIJ - " A(
,,~~ ~A'U~
Ovners ({Jj~ .d1.r>d/.(Jf
Address 37LJ'S" ~(d
-
Ci ty hA-r.../1/I.fJ, Phone.~~ 7-$/(.7
OVNER INSTALLATION
The. installation is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
----------------------61---------------
DATE: {-Z~-{7
RECEIr<. ,: ./:- vf L; / '1
RECEIVED BY: 14?~'.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to ~OO amps
401 amps to 600 amps
601 amps to 1000 amps
'Over 1000 amps/volts
,Reconnect Only
C.
Items
Cost
Sum
$ 85.00
$ 15.00
$ ~O.OO
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
. $ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "D"
above
Nev, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 _~5tkJ
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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