HomeMy WebLinkAboutPermit Electrical 1996-2-28
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225F'I~. .H~STRE.' . ET.i.\ ;,i,'.:'.i"I"'lf.;W1<;'~:" ".;!~. ~.' '." ~t\'...~i\::':""i'i?:1E. IiliCTREC.. AL...... .,~. PERM.. I. ~PI:;.-ICA.TI. ON. 'il;..
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INSPECTION REQUEST:-:-726::3700i\h0i\i0d'~- '. . ...:..__.",,~.[y."'JobLNwi1b',:;'r' : '~\.0_~I211GJ.~
OFFICE: 726-3759 .
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1. LOCATION OF INSTALLATION .~
'SIC1S rY)~ .
LEGAL DESCRIPTION
.11t);:::). 33 3L <t'J(o..'~(\7)
JOB DESCRIPTION '
t J't Jl1' A.A ~ ".A' ;:t <:;L~ ~
Permits are non-t~~ expire
if work is not started'~ithirlJ180 days
of issuance or if work is suspended for
180 days, .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractoroc Gi r-L'r -"""-..&:\L.
Address--'?r) (;i",.,,/ ~)
CityJ:;IA~c)' JL Phone.3~- lia'/?I
Supervisor License Number 1.E:l;;.;) .:$
Expiration Date /0- 9&
Constr Contr, Number. c-:)o...)iO c.....
Expiration Date q - 4&
~Si7c:e~;;;:~lectrician
Owners Name i3LU./ (J/2m YJ
Address / em / R_JVee L(J'I.
Cit~ Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~A~E~~::~6r:-~7~-~---------------
RECEIPT tI: ( 'rf( fJ!i-/ ' I
RECEIVED BY: ' l1A1'PuVJUf
3.
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000.sq.ft, or,less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts'
Reconnect Only
"
uni t.
*
Cost
Sum
. $ 85,00
$ 15.00
$ 40,00
.
L- $ 50.00 .~---'
$ 60,00
$100.00
$130.00
$300.00
--L- $ 40,00 ~
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'oT 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
v61ts see lIB" above
"
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
not included)
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
3% Administrative Fee
TOTAL
40,00
40.00
20.00
36.00
$
$
$
$
ldo""""
c-5.0-0
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City of Sp~ingfield
225 Fifth Street
Springfield, OR 97477
(503) 726-3753
Tr'.~nsBct. ion nUfllber- 020543
Feb~uary 23, 133& 3:01 PM
.
Receiyed f,-.om: OREGON ELECTRIC SERVICE
Contract/O~n : FOR 5135 MAIN STREET
Addr'es5: P.O. BOX 2237
City: EUGENE St, OR Zip. 37402
~
-Blli Iding-
Job ~: %0280
. Descr-ipt.ion
Elect.r'ical
State Sljr'char'ge
3% Adn,in Fee
Fee
40.00
2.00
1.20
Total:
tAmt Received;:
I Check ~: 1748&
43.20
43.20 Cned,
Thank you, N;'Jncy M.
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