HomeMy WebLinkAboutPermit Electrical 2001-8-1
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zoning. and does not require specific land use
approval.
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'6"/1 101
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.
Date
Authorized Signature
97477
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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LEGAL DESCRIPTION
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051.00
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Christenson Electric, Inc. D.B.A.
Electrical Contractor Philios R]pctric
Address l?qR Rpr]'pl nrivo
Ci ty Eugene
Phone(S41) nRR-nl?l
Supervisor License Number ?71q~
Expiration Date 10/01/01
Constr Contr. Number
26-34C
Expiration Date
10-01-01
Signature of superv~~trician
n (' {&atnan l'm~l.ps
Owners Nah1eK~~ \-.Q rr./lr"\
Address i L\ q 9, D \ \2 (') <:;Q
CityS\Kl~q<t\d Phone 14l-lv 19 3
OVNER INSTALLATION
The installation is being made on
property I own which is not:intended
for sale, lease or rent.
owners Signature:
---------------------------------------
DATE: C::>'7 z. 5" 6 i
RECEIPT #:
RECEIVED BY: "j, -..('
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~CTRICAL PERMIT APPLICATION
Ci ty J~b Number4te=! I :',J
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf',d Home. or
Modular .Dwelling .
Service or Feeder
$ 85.00
$ 15.00
. $ 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
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' .'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
0'
New, Alteration or Extension Per Panel
One Circuit I
Each Addi tional
Circuit or with Service
or Feeder Permit
$35.00,ZS.oO
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/Outline Lighting ~
Limited Energy/Res ----- $
Limited Energy/Comm $
no t included)
5. SUBTOTAL OF ABOVE
Im~ State Surcharge .....,
o~ Administrative Fee/
TOTAL
40.00
40.00
20.00D
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