HomeMy WebLinkAboutPermit Electrical 1996-5-9
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SPRINGFIELD
The fo1towrng I'roj<K1 .. au . . t
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eppro.tit
225 FIFrH STREET 'Zoo: C Q.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 "''1/ ' '3W /{i"7
'. INSPECTION REQUEST:, 726-~q >-tiv Ci ty Job Number n lO I/,
'OFFICE: 726-3759 ' --", ,'" . ,'l.
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. J. ,"un..,<-.<- E"r. SCHEDULE BELO\I
1. LOCATION OF INSTALLATION .. ' '~
...J 3Qlo M AltJ '5>, ~ t.8Q..q2. A. Nelol Residential-Single or
Multi-Family per dlolelling unit.
LEGAL: DESCRIPTION S . lId d
17033/0'52 (l3501 erVlce ncue:
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JOB DESCRIPTION
R!;Mnlle:: (;'/. 150.. L,.s.HTI'NG I JoJs~ t, ,Vs::rJ
D6HnNC::. U,>l t-JG. /::Y-I STING- LI e.c.uirs..,
Permits are non-transferable and expire
if 1oI0rk is not started loIithin 180 days
of issuance or if 1oI0rk is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Beacon Electric
Address 2585 Roosevelt Blvd.
CityEugene
Phone 461-0291
Supervisor License Number 14 R <; ~
Expiration Date 1011 I'll;
Constr Contr. Number 38497
Expiration Date 1/10/9&
~r:::PZL~ Elect~cian
o'Wn;t{ Name ~~lA I\U) eok' P
Address 1~'11o MA-lt\,,,l <;:1
Ci ty S.Pll.Il\l6t:'I~Phone 14-1--,/0,'1
O\INER INSTALLATION
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The installation is being, made on
property I o'Wri 'Which is not intended
for sale, lease or rent.
Ovners Signature:
_r--_________
DAi~~---~:q~~----------~ __
RECEr'PT #: -f ":.0;) 21lf/71tt..J..--"
Items Cost : Sum
1000 sQ. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
HodularDloIelling
Service or Feeder $ 40.00
B. Services or Feeders,
Installation, Alterations
or Relocation: , -. " c "
, - i I -, ~ .. \' , .
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 vo~ts
D.
Branch Circuits
Ne'W, Alteration or Extension Per Panel
$ 35.00 35.0V
. . -P
MiS'cellaneous' (Service/ feeder
-Each installation
Pump or 'irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or loIith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
"l"nTAT.
$ 40.00
$ 55.00
$ 80.00
see "B" above
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$ 2.00 2.00
not >included)
40.00
40.00
20.00
36.00
$
$
$
$
37.00
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