HomeMy WebLinkAboutPermit Electrical 2001-1-11
. J
DEVELOPIIENT~ DEPAR1IIENT
226 FIFTH STRFFT
SPRINGFIElD. OR 9/4/l
(5411 726.3753
FAX {54 I} 726-3689
RLECTRICAL pERKIT APPLICATION
. d h 5 the followIng
225 FIFTH STBE~!II1<l.jallaWI"a arolaot 00 Bubmllle ~.C land use
SPRINGFIELD, O~g9it<6'~e' not require specl'
IHSPBCTJON REQUE~ova126-3769 CJ!..
OFFICE: 726-3759 toning
1.
LOCATION OF JH5!l'AilIr.,,<+o"
50~, MO';Y\I\.s....Il1..~\~I~
LEGAL DESCRIPTION
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'-1\-01
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JOB DESCRIPTION
Lt r:~ I"r...:'t' (
Permits are non-transferable and e~pire
if vork is not started within 180 days
of issuance or if work is suspended tor
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
~iC ELE~~RI~INC
Address 85783 awy 99 SOUTH
City EUGENE
Phone 741=0494
Supervisor License Nwaber 40795
Expiration Date lO/Ol.LO'
Constr COIltt". Number 20-.403C
Rxpiration DlIte 10/01/01
f 74?Pridan
OI/n s Name :\..h", ~~('l
Address ~~~,.l
City k,,~...fJ. O~ Phone
o\lllER INS'l'AI,LATIOR
The installation is being made on
property I OVll which is not intended
for sale, lease or rent.
OvPers Signature:
--.-----------
DATE: 0/110 {
RBCEIPT .: LIZ- Z. '6
B..,;......i"'" BY: ~("{
Tn'"
Ci ty Job Number 0 t-OCJ03 t- t11
~,QKPLETE PEE SCHEDULE BELOV ~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
..
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each KaDuf'd pOBle or
Modular Dwelling
Service or Feeder
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 aaps/volts
Reconnec t Only
Items
Sum
Cost
$ 85.00
$ 15.00
$ 40.00
S 50.00
S 60.00
Sl00.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
vo~ts see "8ft above
New, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit J
. Each Addi tional
Circuit or with Service
or Feeder Permit ~
B.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TO'lAL
S :35.00 ;15
$ 2.00 -{
not included;
$ 40.00
$ 40.00
S 20.00
S 36.00
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