HomeMy WebLinkAboutPermit Electrical 1996-5-13
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The follov.'lng project ." Il.lt)mit\~. OM 1M ~
zoning, and do"" nol "''lUIIQ.~ ~ ~
225 FIFTH STREET apprCNaI. (' Q/ ELECTRICAL PERMIT ~LICATION
SPRINGFIELD, OREGON 97477 Zoning. I ~r~/l f\
INSPECTION REQUEST: 726-37D~1~ S-(.I_.?!Ci'~ City Job Number oLAlitl)
OFFICE: 726-3759 ~~ I v II
Authortzed Signature LPoI" """ C;CHEDULE BELOII ~
1. LOCATION OF INSTALLATION
~nQa Mo<n ~. A. Nev Residential-Single or
Multi-Family per dvelling unit.
~l}Iy DE~ON ~ oJ f'\/"""'-, Service Included:
\- \l Y / 2-) ~ ~.'V.. Dci'QA..../ Items Cost Sum
JOB DESCRIPTION
connect to existine circuit
.Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor RAY-O-LITE STG~S+ INC.
Address 101 N. Senp~~
City
Eugene
Phone
688-2500
Supervisor License Number
2Q1STG
Expiration Date
10-1-96
Constr Contr. Number
71490
Expiration Date
2-1-97
Signatu~u~cian
~ fy .. .
Ovners NaU 1<:,j Wi 1 0""
Address % 5094 Ma-in St
Ci ty Sorindield Phone_7bf\_nl f\Q
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for' sale, lease or rent.
..!.
Owners Signature:
DATE~---------------5~ \ '" --qtz7~--
RECEIPT jI: J ~ _ .:J'\<2~0\
RECEIVED BY: C'l\\)'\r ~ '-"" Uv \
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Servi~e 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 liB" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting 1 $ 40.00 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
2.00
1. 2 III
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