HomeMy WebLinkAboutPermit Electrical 1998-7-8
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97477 ~,.nOIIIDd~
726-3769
225 FIFfH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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ELECl'RICAL PERMIT APPLICATION
Cit;:Ob Number Q<tOR ~'l
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3, COMPLETE FEE SCHEDULE BELOV
. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular, 'Dwelling'
Service or Feeder $ 40.00
Sum
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
fV()~ Installation, Alterations
Electrical Contractor_41W. r".7CEYTr' TNr' or Relocation:
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Address 85783 HWY 99 ~~~RMlr~u/,. : 200 amps or less
en,. f7/ZEIl . '~QXP 201 amps to 400 amps
City EUGENE pn1m'~ttl)M1ID,c-9-r. ~RE IF f1]l ami's to 600 amps
"Wit 18. -I) OR HIS p tlu::1~S to 1000 amps
Supervisor License Number V4@.19~_ IS~84IVD ERMfrritci"fOOO amps/volts
<.::'it/OD OIVED ReeCN@;"c t Only
Expiration Date 10/1/98 . FOR
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 20-403C
Expira tion Da te 10/1/98
Sign~~lectrician
oJ/rs Na~TY\e\t)~ }J\Cl~
Address ::l,:2.,O-::; O/~
Ci ty ~g<< Phone .
~wJ VSTALLATION
The installation is being made on
property I own which is not intended
for sale., lease or ren t.
Ovner~~ignature:
"
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DATE: 'l ~ ~ '^1/i~
RECEIPT II: \.J 1\.JO' f\n\
RECEIVED DY: IA LVU J .'
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
S.
SUBTOTAL OF ABOVE
S7. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00 .$.3b.-
$ 2.00
not included)
40.00
40.00
20.00
36.00
$
$
$
s
~.35.-
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