HomeMy WebLinkAboutPermit Electrical 1991-12-19
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225 FIITD STREET,
SPRINGFIELD,' OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
_ .b-?.20 /l{,q / A.J
LEGAL DESCRIPTION
p~. /::>~ . OiL
J.Q.B DESCRIPTION
:7 0' {L:.:YA./V 672..T =' :R.
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. COtlTRACTOR INSTALLATION ONLY
Electrical Contractor Biu (de.u Ek~1iit ~
Address :21'3 #terNt:rl:
City f=~'
Phone yy~ - c:1''1.2-. '2
Supervisor License Number :2..."1?(J S.
Expiration Date /0 - / - 7'..2-
Constr Contr, Number 0 <;~7't1"
Expiration Date /;1.. - /~ - 9/
(;i ty Job Number
3,
COMPLETE FEE SCUEDULE.BELO~
CJI/Y/2--
It ems Cos t
~
. Sum
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included: '
A.
,1000 sq,ft, or less
Each additional 500
sq, 'ft or portion
thereof "
Each Hanuf'd Home or
ModliIa:r', 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
Signature of Supervising Electrician
~~'
,
Owners Name 7<. f7.
0'/(.....
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I own which. is not intended
for sale, lease or rent,
Owners Signature:
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
D.
Branch Circuits
$ 40.00
$ 55,00
$ 80,00
see "B" above
Nev, Alteration or Extension Per Panel
One Circui t ----- $ 35,00 3~
Each Additional
Circuit or with Service
or Feeder Permit $ 2,00
111 scel ianeous (Servi ce/ feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Liinited EnergylComm
E.
It:!
~~~;~=-------T?7i,' ~2-~~-:-~----- 5. ;~~~~~; ~~r:~~~e
RECEIPT Ii: ~~= :_,ht ~.t:=;~ ~ TOTAL .
RECEIVED BY: ~' , 33~
not included)
$
$
$
$
3()~ -
{'7, .
'? 0' 7~ ~
40,00
40.00
20,00
36.00
.
Ye~
.
..
./
City of Sp~ingfield
225 Fifth St~eet
Sp~ingfield, OR 97477
(503) 721S-3753
T~ansaction numbe~ 00335b
Decembe~ i9 i99i 9:20 AM
BUILDER'S ELECTRIC
OIL
STREET
St
eceived f~om
ont~act/O"'n
dd~ess: 293
it Y EUGENE
: B.P.
MONROE
97402
OR Zip
-BoJilding-
9i i472
ob Il:
Fee
35.00
i. 75
esc~iption
:lect~ical
tate Su~cha~ge
31S.75
3b.75 Check
Total
Received
Check ~
20iH
Melanie D
Thank you
lfilt