HomeMy WebLinkAboutPermit Electrical 1995-4-17
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225 FIPTH STREET Zoning L.- /
SPRINGFIELD, OREGON 97477 'f/n-4"
INSPEctION REQUEST: n(iE'jJ6<., .
OFFICB: 726-3759 ,\\f.horlzed Slgnalure
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1. .LOCATION OF INSTALLATIO~
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, LEGAL DESCRIPTION
17~~~~~3"Y. ~~t:?t9/
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JOB DESCRIppON
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor ARC ELECTRIC
Addres85783 HWY 99 SOUTH
Ci ty _EUGENE
Phone 741-0494
Supervisor License Number
20985
Expiration Date
J~ -/~5
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Constr Contr. Number
.-
006'0'3
Expiration Date J'2...../~.:P~
S~~e~f Supe:vising Electrici~
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Ovners Namek ~~WV ?~.
Address~~ _~~ ~ "5"l'SP 5><.
City ?~~. Phone 7~f?9'7'r
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OIINER INSTALLATION
The. installation is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~\
DATE:
RECEIPT. I:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
'.::i-4< Job Number 95"0 ya2
COHPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 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
$100.00
$130.00
$300.00
$ 40.00
.140
. MoO
~
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ "0.00
$ 55.00
$ 80.00
see "nil
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ "0.00
Sign/Outline Lighting $ "0.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
":% V'.o. -0
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