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HomeMy WebLinkAboutPermit Electrical 1996-7-29 .. SPRlh..eLO 225 FIFTH STREET SPRINGFIELD, OREGON INSPEctION REQUEST: OFFICB: 726-3759 Zoning ~ rI\ 97477"~ 7~69:lSlgnalu'" ']Vl ELECTRICAL PERMIT APPLICATION 'Cil>' Job Number q It? 0;; 7 1. nWC-A1bON ,0,,1{ INSTALI:ATION <.Jrll)':J (\')\lI(M~) \~,:9{~~oN9iL1 A N9B. DESCl}IPTION . '-\-U\ ).A , "'Q .n ,i r Q.. ~ \ 0 (\l l'J'. I; to Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. ! 2. CONTRACTOR INSTALLATION ONLY , Electrical Contractor ARC ELECTRIC Addre~85783 HWV 99 SOUTH Ci ty EUGENE Phone 741-0494 Supervisor License Number 20985 \t). \.q<1( .. Expiration Date " Constr Contr. Number 00603 Expiration Date IdJLO' qLo Signature of Supervising Electrician <ij;O~L~" O:ner; Name'!.l ~B^~.M. Address. .3iOS ~ D(b CitY~10~<& Pho~e l'-,h.ID31 O~ ~STALLATION The, installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: 7~ 2 (., ~q (/> RECEIPT. .:. ~'1tSY RECEIVED BY:. . l. 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 50.00 $ 60.00 .JQ.U $100.00 '$130.00 $300.00 $ 40.00 C. 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 volt s see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit' $ 35.00 Each Addi tional Circuit or vith Service I~ or Feeder Permit --1JL $ 2.00 ~ E. Miscellaneous (Service/.feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 f"J9.~ ~.\,{) ...... .lLn ll.llo SUBTOTAL OF ABOVE 5% State Surcharge TOTAL