HomeMy WebLinkAboutPermit Electrical 1996-7-29
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SPRlh..eLO
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPEctION REQUEST:
OFFICB: 726-3759
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97477"~
7~69:lSlgnalu'" ']Vl
ELECTRICAL PERMIT APPLICATION
'Cil>' Job Number q It? 0;; 7
1. nWC-A1bON ,0,,1{ INSTALI:ATION
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A N9B. DESCl}IPTION .
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor ARC ELECTRIC
Addre~85783 HWV 99 SOUTH
Ci ty EUGENE
Phone 741-0494
Supervisor
License Number 20985
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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
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL