HomeMy WebLinkAboutPermit Electrical 1999-2-11
The following ;rOjeCI es submitted has lhe fO_
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tHlNGFIELD
Date
Autnonleo Signalure ATTENTtON'O
fOllow rUles . regon law re . -
.Notification adOPted by th qUires you to
225 FIFTH' STREET In OAR 952_~~nter. Those r~~G'l!RI.Q4Jy PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 0090. YOUm -0010throug~" aresetfOrth a .
INSPECTION REQUEST: 726-3769 cal/ingth aYObtaincOPie'Ci~Y1~~~/,,!,"b7r ,&f/'}?-ob .
OFFICE: 726-3759 nUmb e center. (N s of the rUle . *
er for the Blre dgl{J{rlFJrS?lflAfo ~CllliDULE BE LOll
1. LOCATION OF INSTALLATION Center is l'8~n ,~ tility Notifica/ e . ,... .
~$i~1 m~ ~d- . A. Ne,,1;ae'Si9~nti'a'!j'-Single or "
Multi-Family per d"eIling uni t. .
t.EGAL"DESCRIPTIOl:l / Service Included: .
/7 () 'j;-:>/ 'r/ Oz,i'tJt:> Items Cost Sum
JOB DESCRIPTION 1000 sq.ft. or less $ 85.00
N.t0 ~.W.:ur... ^._ Each additional 500
,vVIICE. sq. ft or portion
Permits are non-transferable aqgHe~Rire thereof $ 15.00
if york is not started "ithin 180odaY~~TSH. Each Manuf'd Home. or
of issuance or if york is susp~Hde-dIAtolD 'ALL E,Mq.q~.~,er;. 'D"eIling'
180 days. COMMEN UNDER Tk,&rv~ceHorll&li~der $ 40.00
A AI" CED ORIS A' PERMIT 1<:: ^'"
2. CONTRACTOR INSTALLATION ONLY 180 I)AY po- B'. fser:.'O,f:~~ ~or Feeders
cRIOD. Ins tarJ.fad'6n , Alterations
Electrical Contractor ARr. FTr-rTRTr. TNr or Relocation:
Address 85783 HWY 99 SOIlTH.
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
Phone 741-0494
Supervisor License Number 4079S
Expiration Date 10/1/01
C_
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
CanstI' ContI'. Number 20-403C
Expiration Date 10-1-99
Sign~~lectrician
o"k:s Name 'l)d~ -+It
Address \ \ .CJ1") VY\~,-, SttuJ-
Ci ty :5.n I,) Phone
i V
OIINER INSTALLATION
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps Or 1000 volts
Ne". Alteration or Extension Per Panel
One Circui t \ $ 35.00 -1> 3'5.
Each Additional
Ci rcui t or "i th Service') -If> . i _
or' Feeder Permi t C^..... $ 2.00 If.
not included)
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
D.
Branch Circuits
The installation is being made on
property I o"n vhich is not intended
for sale" lease or ren t.
Ovner~~ignature:
E.
-
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DATE:_:J.;/llft ~
RECEIPT if: tI~:J.~ NJ
RECEIVED BY:
5. SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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