HomeMy WebLinkAboutPermit Electrical 1992-2-19
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S..JIINGFIELO
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225 FIFTH STREET ~. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 tIJ::,r nl"'v\! ~ Q
INSPECTION REQUEST: 726-3769 ~~\o\-:"?""'""' City Job Number '-1d.J ~ h-J
OFFICE: 726-3759 '0\\<J" "c.ooe& - -
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1. LOCATION OF INSTALLAT:rQW'Q'l 1.o~ .
5256 Main St., Springfield~R A.
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LEGAL DESCRIPTION 0" ~
17-02-33-3-1~04500 ~ .
JOB DESCRIPTION
Connect pole sign to existing circuit
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
Electrical Contractor RAY-a-LITE SIGNS, INC.
Address 101 N. Seneca
Ci ty Eugene
Phone 688-2500
N/ A "'\
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Constr Contr. Numb?20-160 ~
Expiration Date l~:qcCf~)
. X11..fJ 1.1 ,O-::l.
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Owners Na~f'(\O l:'v\--\7) r<\ho 0 D.
Address\ ~A~ t 0 m~ ~ 1\ ?rt--
Ci ty ~{Irt PhoneJ1tr-~3l0
Supervisor License Number
Expiration Date
N/A
OlINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 2---L q ft.2---
lRECEIPT 11: 17777
RECEIVED BY: c.;v-..
OHP E SCHEDULE BELOV
ew Residential-Single or ~
Multi-Family per dwelling unit. ~ .
Service Included:
\ Items Cost' Sum
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:
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 55.00
$ 80.00
see "B"
above
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting 1 $ 40.00 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
40.00
2.00
42.00