HomeMy WebLinkAboutPermit Electrical 1996-4-16 (2)
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225 FIFTH STREET Zonl"" L D c.2- ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477,'. ,----.. -71\ f\hVl f'..
INSPECTION REQUEST:. 726-37M.~-(j(l-'1j~:7 City Job Number~. 0\ }'-..);:)t )
OFFICE: 726-3759 Author1zed Signature S-p. . .
--!': 'UVII.t. 'Utii~' '':i."~~' ,.:,CHEDULE BELO\l
1. LOCATION OF INSTALLATION
_2_'SD'l "D.....l ~E"eT A. Nev Residential-Single or
Multi-Family per dvelling unit.
\~ W:ff1\IFTION (\~) Service Included: Items Cost Sum
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^ JOB DESCRIFTION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular. 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor...Al''1' c::,,o.,.........;~,, c:,"c~ms or Relocation:
Address l~nl PeRTI Street. ~Itte R
Ci ty Eugene. OR Phone 541-342-1313
Supervisor License Number R1777JLE
Expiration Date 10/01/96
Constr Contr. Number ~qq44
Expiration Date 04/29/97
cSignature of Supervising.Electrician
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~ej;ame~ m,L~
AddressG:'iD4 V".} S~€T
Ci ty~, (')f(q1411Phone 5LJ.1. '7~. 7180
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------~-- --------------
DATE: '-t'.\h.q\a--I\\\" ~
RECEIPT I: t .r.' d.. .:rr
RECEIVED BY: y:!\IJ 11 ^ J
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
D.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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