HomeMy WebLinkAboutPermit Electrical 1991-9-23
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225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
5690 Main Street
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JOB DESCRIPTION
Wire ATM
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 Scofield Electric
Address P.O.Box 2765
Ci ty Eugene
Phone 686-8612
Supervisor License Number 508S
Expiration Date
10-01-91
Constr Contr. Number 38702
Expiration Date
12-21-91
S;;~~ician
Owners Name~^ 4. ~j)) QA.~ D.
Addres~j)~ \ \ ~~D r \:' H-h tAre.~
Ci ty Q1ft\c\. GnlfhU \J
OVNER INSTALLATION
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: rGJv ;JI... I'))
RECEIVED BY: '
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3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cos t
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
Sum
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55,00
$ 80,00
see "B" above
New, Alteration or Extension Per Panel
One Ci-rcui t
Each Additional
Circuit or with Service
or Feeder Permit I
$ 35.00 35.00
$ 2.00 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or i rriga t ion $ 40.00
SignlOutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
17 00
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38.85