HomeMy WebLinkAboutPermit Electrical 1997-4-1
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225 FIFTH STREET \\ !2-
SPRINGFIELD, OREGON 97477 Zenina ty\ V
INSPEctION REQUEST: 72';'7~7694-_1 /17
OFFICH: 726-3759 . D.o.. .
. Authorized Signature_fJ I'v\ ?
l.\O,\^^:,\N \ O~~~~liot
\.!fA^i~~~rcJfA()11
.JOB DES,QqFTION _
, ~\'..Q l ,,' .-u\ (\ Ll11:'" 1\
Per - ~s are non-transferable and expire
if 0 k is not started vithin 180 days
of issuance or if york is suspended for
180 days.
I
,
: 2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty EUGENE
Phone 3RS-OQn
Supervisor License Number ~~
Expiration Date 10/l/9~
Constr Contr. Number 04296' ,,,
..
Expiration 'Date
12/10/~,+
Signature of SupervisinOT Electric.'....,
" ~Je. LY' '.
i/ (/ ~~
Ovners Name ("'fl\;..Il'\
Addr~IS "\ ~~ \ ,N'\r\ ~ i\ 1-ThOltl
Ci ty ~ Phon~'~lo
o STALLATION
The, ins talla tio" is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~---I?:/-:1-1'--~-----------------
RECEIPT f: 1,.") ,.; "7
RECEIviD BY: i/ _
A.
ELECTRICAL PERMIT APPLICATION
C\l \) \\0 ~
~E-FEE SCHEDULE BELOY
Nev Residential-Single or ~
Multi-Family per dvelling unit. ,
Service Included: .
Items Cost Sum
'City Job Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular Dvelling
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
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
$ 40.00
$ 55;00
$ 80.00
see "n"
above
D.
Branch Circuits
Nev, Alteration or
Extension Per Panel
J $ 35.00 ~')
S 2.00 ~
One Circuit
Each Additional
Circ~it or vith Servic~
or Feeder Permit ..
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4~~
~. ''0
, , 'J_C\
410M
SUBTOTAL OF ABOVE
5% State SU2;~harge
Tartt 0'10 '