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HomeMy WebLinkAboutPermit Electrical 1995-5-22 v .~.,,(.. '.;- \ ." .' . 0 ''It.S 'd \.I$e . \l\:)~\\'te ~'\\c \fln , ... a!: S ,_ _r;?8v\ , ~(O\e""\ iElC\"j'I\~' . \o\\O,#\n9doe;, (\O~ ' - r"n . "t"e &,no L- \ J "- ton\nQ, \' , ...--.. e~?(o'Ja, .~ 225 FIFTH STREET z.on\n9~~L"......, , SPRINGFIELD, OREGO.N 9~4~ N fv\., . . INSPECTION REQUE9ai~~-37~?a . OFFICE: 726-3759 \,zed S\Qn9: ~\:i.l.'r.o 3. COMPLETE FEE SCHEDULE BELO'IJ . 1. ~~~~OF~~ \~~N()2S\OO ~~ D~?\tl'C9-- UE\e 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 r----- +-.-----.------. - --~._.__~__~_ _ ~.1"... ~ : ::., t. \ 1 ~ ----I , I I I BILL'S ELECTRIC !/3170, W 11 TH A VE- EUGENE OR 97402 ; ~ ~. : SUPERVISOR L1C. #980S E EXP,..DA 1:E, 1 0/30/95 CCB #21351 d EXP ,FDA TE 4/28/9e? . L, I Expiration Date -------.-,-1 ELECTRICAL PERMIT APPLICATION City Job Number C\~O~ A. New Residential-Single or Multi-Family p~r dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dwelling Service or Feeder 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/l000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum ~ ~~ \ :3 S 85.00 S 15.00 $ 40.00 S 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 ~~~e IJ:3pervwng"Elec'Fcian . ~ ~ ~ -C\ ~, {".CJ "--<. __ D. . Branch Circuits , Owners Name \~~ Address 4'\<\ C\ ' ~~CL/ Ci ty ~\l~\J\ .. Phon. 't{S4.~~ OVNER INSTALLATION The installation is being made on property I own whi~h is not intended for sal~, lease or rent. Owners Signature: ~A~~~---------~---~~~~'~----~-- RECEIPT #: " . i , ",,^A_~ \~l RP.r.F.TVF.O RY: --(f~- . S 40.00 $ 55~00 $ 80.00' volts see "B" above ,. New, Alteration or Extension Per Panel One Circuit' Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 ,. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharg~ 3% Administrative Fee TOTAL not included) $ $ $ $ re:e:ap - , 14I5~ 40.00 40.00 20.00 36.00