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HomeMy WebLinkAboutPermit Electrical 1993-8-11 " 225 FIFTH STREET SPRINGFIELD; OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. Cf~ti~N~r1NSTALLA LEGAL DESCRIPTION 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Palmer/Philips Address 3170 Meadow Lane Ci ty 'Eugene Phone 688-6121 Supervisor License Number ?71q<; Expiration Date 10/93 Constr Contr.Number 20-179C Expiration Date 10/9.3' Signature Of~P~iSing Electrician 0\OpY- .bu ~hn1.ih-fu..,- Nat~lPs \" Owneh'rlame rJ li-"~~ :;t)It'l'T,N) ;) Address~6 0tt.u....,o I i:~J City 5~-!ill~ Phone~-~7 OYNER 2NSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: &-/.L '7 ~ '9~o':::> :~y~' City Job Number CO~~&-FEE SCHEDULE BELOY a~\OZ-7- New Residential-Single or Hulti-Family per dwelling unit. Service Included: 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 C. Items Cost Sum '~OB D SCRIgrJQ.N . n (\ 1000 sq. ft. or less \ g Yt:f:nln.tJ'_A.~ KQ~~7rr Each addi tional, 500 sq. ft or portlon IJ Permi ts are non-transfera e and expire thereof , ') if york is not started vithin 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dvelling 180 days. Service or Feeder $ 85.00 ?b 15 $ 15.00 $ 40.00 $ 50,00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less \ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 4CJ $ 55.00 $ 80.00 see IIBIt above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circui t Each Addi tional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35,00 S 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 \lJQ.W p.,. ';'{ ) LJR.'::7 )