HomeMy WebLinkAboutPermit Electrical 1993-8-20
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225 FIFTH STREET 1" '" ...;~~ ~,nin"'" .ubmi\tpd~ps Ih~ fO:EtE-m1uCAL P'ERMIT APPLICATION
SPRINGFIELD OREGON 97471, ^ ^ n ." :Jul'. sp.,'i1C I~II use ,. ;""'1/ \ n 3cD.
INSPECTION REQUEST: 726;3769 City job Number ~::) ex C-J
OFFICE: 726-3759 Zonina (CJ- \
._, y _ '2-0-'12 3. COHPLETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLAfION- - - ,.' ~ '
1'1 Z() . 0 l'(r""'f' I f Aulhor;coJ ~,,,.,~Me -Nev- I\eslaen"tial-Single or
J7('3"~~IO~~ Hulti-Family per dwelling unit.
LEGAL DESCRIPTION L/. ~~ Service Included:
~ICA'W\ (,,,~J C:-;{\Nn( 0 _ Items Cost Sum
JOB DESCRIPTION
~ I (.Lh~."A I r\d-~...QlM9'!~.r~
,
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Ele~trical Contractor Palmer/Philips
Address 3170 Meadow Lane
City 'Eugene
Phone 688-6121.
'Supervisor License Number ?71 qc:
. Expiration Date 10/92
Constr Contr. .Number 20-179C
Expiration Date 10/92
Signature of Supervising Electrician
(~/ .
<-.....--. _ rNa than t'hH~pS .
Owners Name~ .r.c ~/Y'o (V'-""AO 0 h",,-"'r~,
Address (C17t.l Ola?' r _
City SN',,,r(:,.,,lol Phone 7Zk-'530 I
, J
OIlNER INSTALLATION
The installation is being made on
property'I own which is not intended.
for sale, lease or rent.
Ovners Signature:
------------------- ~77~ ----
DATE: I b."CXi .'[3
RECEIPT i: J.-./, cll; "74./'
RECEIVED DY: ( -/ lVn:r- If') n{Y2-
/- I
1000 sq.ft. or less
Each additional 500
sq. ft or portion
the reo f
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
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
C.
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
Pump o. irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 3,:\00
$ 2 ., 00
.00 ~
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
"?:J700
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