HomeMy WebLinkAboutPermit Electrical 1995-7-6
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The following project as submitted has the followin
225 zoning, and does not require specific land !,;se
FIFTH STREET approval. ' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~cJ
INSPECTION REQUEST:, 726-3769 Zoning ,......' Ci ty Job Number 15/ J / 7
OFFICE: 726-3759 Date 7-& -~ )
1. LOCATION Of INSTALLA'l':EONrized Signature
1L/ y oS m,vA1 4T
LEGAL ,DESCRIPTION
/7!J/_ S2.... '3 I Df. 7,D.C) ,
A1~ ~~~~~ 7~
;ermi ts ar{ non-t~nsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Ny.,
Electrical 1S~tflr8kElsELI::G-TRI"', ~""
Address .l121 Frank.lin Blvd. Whse #1
Eugene, U~ ~/'W~
Ci ty (50~J'D4)&442-
Supervisor License Number ';7/~,J
Expiration Date //J-/- 9s
Constr Contr. Number.;l()-/11e.
Expi~ation Date 4- /5- 91"
:.zz;:dhJZ/ ~
~ D.
Owners Name _ 9l..n..-. ::}..u~e.-
Address '2 5" / / L / /./" A-l/;c'.
. -7
Ci ty &/,0' /740~ Phone
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----,-----------;f;r;.:~----------------
DATE: ~ ,...r
RECEln ii: l ~""A69!. '
RECEIVED BY: ...r/~
"l::.-'
A.
COMPLETE FEE SCHEDULE BELOll
New Residential-Single or ~
Multi-Family per dwelling unit.. ','
Service Included: "
Items Cos t " Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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 100u volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
$ 35.00 ~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit L $ 2.00 /),/)O
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE +Z~
5% State Surcharge -:f- :is-
3% Administrative Fee J,~/
TOTAL r<:" 7-'
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