HomeMy WebLinkAboutPermit Electrical 1994-11-28
"
,
'te
e:
The following project a. submitted tia. tho fall
loning, and does not require specific land use
epproval. f\ h j
225 FIFTH STREET L-t? ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonina n4 \01'\/ _
INSPECTION REQUEST: 726-3~ LI -l '7,..--11 t1 Ci ty Job Number ~\ ~J
OFFICE: 726-3759 I'^-
Aulhorized Signalure ~ . 3:lKP:'::'I'1l :'IlB SCHEDULE BELOII
1. LOCATION OF INSTALLATION
1863 Pioneer Parkwav. ERS~
~GAL DESCRIP179.NO 32' _ 23 Ol3D J
-1:f~,lhnvr:>~. ~ l.:)
JOB DESCRIPTION
Connect to existinq circuit
.Permits are non-transferable and expire
if-vork is not started within 180 days. .
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor RAY-O-LITE STr.NS. INC.
Address 101 N, Seneca
City
Eugene
Phone
688-2500
Supervisor License Number 20-160CLS
Expiration Date 10-1-95
Constr Contr, Number 71490
Expiration Date
2-1-95
;:;;.re of SU~Vl~'7S' g Electr'cian
~........ gL-A
/ / ,.. Properties D.
Ovners warne Hayden Corp, DBA: Hillman NW
Address %220 N, W. 2nd Ave.. 7',...-",
Ci ty Portland, OR Phone 1-503-224-6344
OIlNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
~A~~~---------J.-----~\-:7~ct~------
RECEIPT 11: \.. " '\ \ c:..c:... "'-1
RECEIVED BY: \\/}..}'-/ ..., -' -
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t,
Items
Cost
Sum
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Servi~e or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 85,00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
C. Temporary Services or'Feeders
Installation, Alteration 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80,00
see "B" above
Nev, 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 $ 40,00
Sign/Outline Lighting 1( $ 40,00 41L.O..O-
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40,00
2.00
1. 20
41.20