HomeMy WebLinkAboutPermit Electrical 1995-1-30 (2)
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ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
940743
City Job Number
COMPLETE FEE SCHEDULE BELOV
3,
1. LOCATION OF INSTALLATION
1200 Gatewav Loon A.
LEGAL DESCRIPTION 17 fil!.2.:;D oz:lCO
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 85.00
1000 sq.ft. or less
Each addi tional -500,. ,
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Servi~e or Feeder
JOB DESCRIPTION
Connpct to py;qt';no .::.JJ.J:,....,.{t-
$ 15.00
.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
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
B.
Electrical Contractor RAY-a-LITE SIGNS, INC.
$ 50,00
$ 60.00
$100,00
$130,00
$300,00
$ 40.00
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
101 N. Seneca
Address
Phone hRR-7'i00
Ci ty Eugene
Supervisor License Number 29tSIC/20-160CLS
10-1-96/ 10-1-95
Expiration Date
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number 71400
$ 40,00
$ 55.00
$ 80,00
see nB" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date 2-1-05 Rping rpnpwpn now
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Owners Name Grocerv Carts. Inc.
Branch Circuits
D.
New, Alteration or Extension Per Panel
Address 1200 Gatewav Loon
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
Phone
City
7/,7 6/,Q()
Snrino-f;pln
$ 2.00
OVNER INSTALLATION
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00 ~
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
40.00
7,00
1 ?('I
43.20
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
DATE~~----------l:~l5-~~-~-------
RECEIPT If:. J . \ I 0 \,y\
RECEIVED BY: CJ'\~) ,
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