HomeMy WebLinkAboutPermit Electrical 1999-3-1
, d he the following ~~,
225 FIFTH STREET The following project as sUb.ml~epec' IC land us~LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974i~lIng, and does nolrequ ,
INSPECTION REQUEST: 72flPm'69 , \ r~y Job Number q ~'jtI2 ~
OFFICE: 726-3759 ZOning ,- (j/..1
1. LOC~~STALr.Rf1'btl '''>', '....,J-(~3aKi....." ,FEE SCHEDULE BELOIl
1224-G,\:"':::: r.SSE AUlhsM,'fl~G." vlM,w N\ijlJiIRe,~,i-d.en tial-Sing1e or
.v:':-" '.'''''~ 'mopted by tMl(j)l:<t~e)F<mI~jl.A' per dwelling uni t.
LEGAL DESCRIPTION Notrflcatron Center, Those rS,et~s'te+IlJt1r!Jded:
/7lJ 3 Z. S 4..... 0'7 )661 OAR 952-001, -001 0 through OAR 952-001- I terns Cos t Sl
vv"u. YOU may obtain copies of the rul~s b
JOB DESCRIPTION Callingthecenter'(Note:lhQ,qglel:J~l hb' Yor less $ 85.00
Alarm System Intsall number forthA Oregon Uti:fi~'f!bt~J/;X~onal .500
Center,is 1-800-332-t~'1I:f or portlon
Permits are non-transferable and explre thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular 'Dwelling
180 days. ' Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION 'tONl..X AI
::iecun y Plus arm
Electrical Contractor And Protect/on
Address
P.O.Box 26413
Ci ty Eugene
Phone 687-6474
Supervisor License Number
3012 JLE
20417CLE
Expiration Date 10-01-99
Constr Contr.' Number125673
Expiration Date10-13-98
City
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------------------;7~~---
DATE: l' /( fr
RECEIPT I: 0 ~'>o(~. .
RECEIVED BY: af IN"'(
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
5130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00 -
$ 80.00 ~
see "B" abov.
"
$
2.00
200 amps' 'OT less
201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
/1 /1 I l /J /' 1\I01IC~: 'Over 600 amlls or 1000 vol ts
/' '-1./ V 1/ f/ / / ../ 1'4 'EXPIRE lFTHE WORK
_ /,/ THIS PEHIVIII "HAID.. Branch Ci1t'oui'ts
Owners Name CTlaracter Homes. '_' ,..,ol7l':n IINDER THIS pE::HMII v "V'
'w.. :~.. 'OR IS AB\i.\1:'liOt.(Y[te?aJtion or Extension Per Panel
Address 835 Sand ~ r,Oilf1iIENG,- ')
?EF\\O; One Circui t $ 35.00
Euoene Phone 3S'li;Q395 . Each Addi tional
Circuit or with Service
or Feeder Permit
E. Miscellaneous (Service/feeder not includ.
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res 1 $ 20.00 ~
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 20.00
5% State Surcharge 1.UU
3% Administrative Fee flO
TOTAL 21 60