HomeMy WebLinkAboutPermit Electrical 1998-7-29
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225 HUll .:ll.'U:.lH .;pproval. /J /1 ELE PERHI'r APPLICATION
SPRINGFIELD, OREGON 974n Zoning l.k..i ~ . q'O D f . 0' ~
INSPECTION REQUEST: 726-3769 ;),....,/- ~\'(.~\I'N i\City Job NWllber l) I.JI ltI
OFFICE; 726-3759 DO, ~ ~(;., S ~O .
. :\'\C~', A': ._~...xJl ULE BELOll
1. ).iJCATIQ1J OF IN~:Qff,/l~;;"'~ ~~O a ~
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LEGAl. DESCRIPTION I>-\J "'C.~(,'i:-\) 'fI,\O\)' Se~e'e\\~s ~) 'la\Ua:J \ 0; '06
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Permi ts are non-transferable and expire th~~f' S 15.00
if Ilork is not started Ilithin 180 days Each Manuf'd Home or
of issuance or if york is suspended for Modular Dvelling
'180 days. Service or Feeder S 40.00
2. CONTRACTOR INSTALLATION ONLY
B.
Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor
SCOFIELD ELECTRIC
Address pn J:\nx /7h<;
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
City EUGENE'. OR Phone 686-8612
97402
Supervisor License Number 508-S
Expiration Date
10-1-98
S 50.00
$ 60.00
$100.00
$130,00
$300.00
$ 40.00
Constr Contr. Number
038702
C. Temporary Services or Feede~s
Installation, Alteration or Relocation
::xpi::ation Date
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
12-21-99
Signature of Supervising Elec rician
~ff
0",,, ,.., C.i~i. c:.pr;p rid.- D.
Address d-J-S <t f,,- ~ frp I
City~d Phone'7lJ-~753
O~ ~ST:r.LATION
Branch Circuits
$ 40,00 !:Iil2.0
$ 55.00
$ 80.00
volts see l'BII above
Ney, Alteration or Extension Pe~ Panel
One Ci.rcui t
Each Additional
Circuit or vith,Service
or Feeder Permit
The installation is being made on
property I ovn yhich is not intended
for sale, lease or rent.
$ 35.00
S 2.00
E. Hiscellaneous (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
O\lners Signature:
F
5. SUBTOTAL OF ABOVE
5: State Surcharge
37. City
TOTAL
DATE: '7/;;. q /9 X J
RECEIPT t: . [!-~( n / 'X
RE",-"-v"",,, nY: '1- 'fill A' /1' .
L/-o. 00
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