HomeMy WebLinkAboutPermit Electrical 2001-6-14
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The fOllOwing project a .
:pOp"lOg, and does not ~e~Uu~~ltted h.a,s the fOllowing
roval. _ specifIC land Use
ZOning ~ ELECTRICAL PERMIT APPLICATION
97477Daf~ . C. -/<f- - _ .
726-i,7b';1 0 I Ci ty Job Number 01 -0060'7-01
ufhorized Signature _ qlJ"""';
.1. eallP' "'1'1': l:EE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1. LOCATION OF INSTALLATION 8L
19?_O ()L'jfv?PIL. VD
LEGAL DESCRIPTION
i7D3 ZS'J>! 0'7700
() JOB DESCRIPTION
KE:PU+ CB Pix.- 11.H2.HS
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
/
180 days.
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included: '.
Items Cost
1000 sq.ft. or less
Each additional 500'
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Beacon Electric or Relocation:
Address 2585 Roosevelt Blvd
City Eugene ,'c .' :Phone.1l.o: 1_n"'" 1
.. ".~.
Supervisor License. Number .
34855
Expi ra t ion Da te
10/01/01
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
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
.$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 38497
Expiration Date 01.; 10/02
ervising Electrician
rs Nam ~WJ^,r{) r:::onDS
I{, ')0 CC;-vt ~",,;../ E/,J.
City s.PP1:\ 'Phone 1'C/,t-{,,')'7]
OVNER INSTALLATION
The ins.tatla t-ion .is : be~ng made on'... . .. _
propeny 1. ovn..vhich is not intended
fii"r;'sale;:rlease' or rEmt'.-.c' .... ,
owners Signature:
DATE:
RECEIPT D:
RECEIVED BY:
Obl'fO /
)f]
""'b vi
200 amps' 'or less
201 amps to .400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
S 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
"
-L- $ 35.00 3500
Miscellaneous '(Servi~e/ feeder'.no t . included)
.,Each ins.tallation...."..- - :J ~ '" ~ .. .
Pump or irrigation' $,40.00
Sfgn/Outline Lighting - ... $40.Q_Q -l
Limited Energy/Res $ 20.00~~
Limited Energy/Comm $ 36.q~~~
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~ (Jc......
.0 . co
-nO "l"""'j--1.
7'~5~ 6
l:J! '..c:..'" g
-3- ;:../iii(') ~ H:1
Ll"'rrlU1C)t"V
1-10..0........,.......
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUB~OTAL OF ABOVE
7.7.'State Surcharge
37. Administrative Fee
TOTAL
$
2.00
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