HomeMy WebLinkAboutPermit Electrical 1998-3-2
. . . I
I 16 0 OWing project
zoning, and does at as SUbmitted has th& 101
approval, n requlre opeclllc land use
Zonlna f c..
Date 1- 2..- q" ' ,
225 FIFTH STREET - <...L..
SPRINGFIELD, OREGON 974~SIsnature, ,.,~
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION -b_
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor IUILDER1EUCrIIC
i~......,
Address EUGENE, OR 97402
City Phone 4-XC-. ~CR??
Supervisor License Numb~r ~<1~()-~
Expiration Date iO-I~'1~
Constr Contr. Number 7n.....f'zC
Expiration Date 10 -1 -q 9,
Signature of Supervising Electrician
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Owners Name~....,,_ M'-'.~"J/<".
Address /~ ~!~.~ ;:k'~Lc.d?
City ~~LP..
Phone
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OVNER INSTALLATION
The installation is ,being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~ignature:
... .
DATE: -;;1.2 -q;:::;
&.,....r...L~i If: ~~~~
RECEIVED BY: ~C~
ELECTRICAL PERMIT APPLICATION
C.L~J'" Job Number
'9?/h'..56
New Residential-Single or ~
::::: ::::'::0". ...
Service Included:
Items Cost Sum
3.
. A.
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular, 'Dwelling'
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ~
201 amps to 400 amps
401 amps to,600 amps I
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
2~
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.
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
,,'
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00 ::z/~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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