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HomeMy WebLinkAboutPermit Electrical 1999-10-18 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REOUEST: 726-3769 OFFICE: 726-3759~\~~ 1. LOCATION OF INSTALLATION 1125 Dale Rose JOB DESCRIPTION Alarm System Intsall , 2. CONTRACTOR INSTALLATIONtyONLY AI 15ecun prus arm Elec trical Con trac tor And Protection O-'Z ..--- 0:J 0 - (..~, E C) <0 0 ",.. Q. ~ ELECTRICAL. PERMIT APPLICATION 3!!!.~)>g.o-l cr=,-<JJ",:Em //n()O C7 . CD <3 0 <0 :::!; 2 Z Ci ty Job Number VJ~/ ( & (')::.-c::Rjgro~ ffi. ~ 16 ~ i;: a? COKPLETE FEE SCHEDULE BELOI/ CD::3'g'<:1.::)CJ,.f-: ::.m::Jo:,.....~O en b:;; g4:, ~ ~Vi Residen tial-Single or c, (t) ." !!!. <5 -I~:1iti-Family per dwelling uni t. LEGAL DESCRIPTION g'g z;; :T 5'Ser:vice Included: f -->-" :>. / n ,"I I :s 0 0 ..... en '< Q:I I I/)-' d'~ U Lj, 2> (; U ,,,) '-lii '0 0 CD :T :;: tems VJe"' a;"c5 ~ (1) "'" ~~ ~ ~ C; lhOOOsq. ft. or less ~?lii ~)>~~c~. additional 500 "T' -' -::r:IJ -.. r;; (I) f . .,.... ~.:g. m <0 CD :!q'~ t or portIon Permits are non-transferable and expi~e5'~~~ ~h~reof if work is not started within 180 dayg.~ m 62fach, Hanuf'd Home. or of issuance or if work is suspended farCD cr::1 ::d10liular 'Dwelling 180 days. ''< , :; Service or Feeder Address P.O.Box 26413 City Eugene Phone 687-6474 3012 JLE ;!u 'n I vLt: Supervisor License Number Expi ra t ion Da te 10-01-99 Constr Contr. Number125673 Expira tion Date 10-13-98 Si~U~iSing ~~ician o:ner~ Name Charactaes ,. 0 S ro g Address 835 Sand Ave. Ci ty Eugene CD Phone 354-9395 OI/NER INSTALLATION ~ " 0> C ro The installation is being made on property I owr. which is not intenled for sale. lease or rent. ~~. ~ __________________________________ _ J. DATE: 10 - 1'1>.0, '1 RECEIPT 11: :3 U<" /4- RECEIVED BY: 'K.lu Owners Signature: B. Services'or Feeders ~ ~nstallation. Alterations oc Cbr Relocation: oZoc ~ ~C@ amp's or less F :g~ amps to 400 amps u. ~vz aml>s to. 600 amps jjj l!6O;B amps to 1000 amps ~ Y)vgr 1000 amps/volts !i!< FBe~nn.ec t Only UJoc~o ~ \!.!:efllPcli?ary Services or Feeders :J: ?3nli:J:&ation. Alteration or Relocation enooO- .. ~ ~~ a%Ps' 'or less ~ ffi iiOlD~s to 400 amps - 0- ~~ JIll to 600 amps ~ en ~vt5 ~O amps or 100U vol ts ZF<lu<( D. Branch Circuits "'~... "Og~ a.&2. <. 6" o>o>=; . ::1__ ~ Q.::J " 0.'" :::; 0-0 o (\) a \ ~~. 0- ~ _0> - '" b"'''' - ~,& Miscellaneous (Service/feeder ,,~ ro ~ -Each installation -ll ~ Pump or irrigation g.6' Sign/Outline Lighting ~ s.Limi ted Energy/Res I ~~Limited Energy/Comm 0.0 cg 5.\\\ ~UBTOTAL OF ABOVE ~% State Surcharge 3% Administrative Fee TOTAL Cost Sl $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 ~ see "B" abOVI .' New, Alteration or Extension Per Panel One Circuit Each Add i t i onal Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not includ. $ 40.00 $ 40.00 $ 20.00 $ 36.00 iu:1: 20.00 I.UU .60 21.60