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HomeMy WebLinkAboutPermit Electrical 2001-8-1 .' I! I II zoning. and does not require specific land use approval. Zonin-:- 1..I?t. '6"/1 101 ~ . Date Authorized Signature 97477 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1.\\-\L~~TIhoO{ ~~~~TIOIIi 1/ (!" LEGAL DESCRIPTION {7D3 Zi.l33 051.00 JOB DESCRIPTION (:\AA \ - ':2., IJ A(Y\ D (\ rc u ',I 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, -..(' .--.;...- 0/ I ? 'of Ie:? ~ O/-0071)b -0\ ~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 36 . oo='i Cl ::;:; ~...... ;:0 -l z 35 .DO ::q,:,:~ -7 ~"() we...,.. .-,. ..r-a J ......J \-1-1 ,. I :.-. 8'. ''5JL ...)'~ g .. zgh.J~ QG). Of'..) 0-. rr1 (J"l C) ~ ..........01---'-0"