HomeMy WebLinkAboutPermit Electrical 1998-7-16
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SPRINGFIELD, OREGON 97 ~1I\l, and clO69 ' "
INSPECTION REQUEST: 7~ , l: U _Ci ty Job Number q.e:.o~
OFFICE;. 726-3759 ~_ P. ' :. '
, ,,~ ^ J.r. COMPLETE ~ SCHEDULE BELOll
1. LOCATION OF INSTATTill'! ~
?/A;::"'5' ~A-/A/ ~ A. Ne;r Residential-Single or
',' .. -. -, Multi-Family per d;relling unit.
LEGAL DESCRI-PTION Service Included:
/7-.e?2.-";;f'Z~. ~A:fJ2 Items Cost
. - ,.
rl
JOB DESCRIPTION 1000 sq. ft. or less
/t2!~~~.2'/ ^,~..4/"(/j.........~~~\ Each additional 500
" . I" ,... '( sq. ftorportion
. __.. 200 amps or less
h1\JTI"E; 201 amps to 400 amps
Phone Te~;t\.fi:RSHALL EXPHliE iF\!HE M)RI~O amps
~&e~~RIZED UNDER T~I~l~~dS~q;e~~o~~~s
WMMt:NI,;t:U OR IS ABMllleA\i&fi.Ol3nly
10-1 -9aNV lRn nAY PERIOD.
C.
Permits are non-transferable and expire
if vork is not started ;rithin 180 days
of issuance or if vork is suspended for
'180 days.
2. CONTRAcrOR L'lSTALLATION ONLY
Electrical Contractor
SCOFIELD ELECTRIC
Address pn "'n.x...2.7 h <;
City
EUGENE.OR
97402
Supervisor License Number
Expiration Date
Constr Contr. Number
038702
Expi=ation Date
12-21-99
Signature of Supervising Electrician
ff~~
O;rners Name /"/)<y ~p ~~;_
Address.?? ~ ~ff ~ .
,
City ~ P~. Phone 72(!:'--"I>y;2
:~ n:ST2rl~/
The installation {'s"being made on
property I o;rn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: 'JIlt I r f _
RECEIPT \':t \ V f U/1 /<7Y //
RE.......vr.lJ ny: ,A l/ Wolk../'
thereof
Each Manuf'd Home or
Modular O;relling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
--.
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
O.
Branch Circuits
$ 40,00
$ 55.00
$ 80.00
volts see "B" above
Ne;r, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or ;rith.Servic~
or Feeder Permit ~
.....---
$ 35.00
~",..e>
$ 2: .00
/t?
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin~
.. Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3% City
TOTAL
S 40.00
$ 40.00
$ 20.00
$ 36.00
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