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HomeMy WebLinkAboutPermit Electrical 1997-1-15 (2) . SP."'FIELO . ~ " ~.' ~...... t:-.... 10\10 '"," .........1 _ . ~ I' T" 'c"""'\n~ p~( ..' "~'" .':~ "T,d U:'0 '" ..... .'. ~ r l1.:' ..J ....~............ ,'(1 'J.f'.d (....u5 nc~ ~ ~ .. '~'~;~rO\;nl. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPEctION REQUEST: 726-3769 OFFICB: 726-3759 owo , J!uthorizoo Signaturo_3_-COHP-i:J",.,; ~.,;nCHEDULE BELOI/ 1. LOCATION OF INST4LLATION , ~/5() G,gfwJt4f / (}')L) A. Nev Residential-Single or . . Multi-Family pel" dvelling unit. ' LEGAL DESCRIPTION Service Included: 17() 321.;ZAfl'i t( Of) JOB pp,sCRIPTION :.L. aOO -) U/I'//I/ <, Zoninq Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. ! : 2. CONTRACTOR INSTALLATION ONLY . Electrical Contractor BUILDERS Address 293 MONROE Ci ty EUGENE Phone 4R~-Oq,? Supervisor License Number ~~ Expi'ration Date 10/1/911 04296' ,{.. .. Constr ContI.". Number Expi'ration'Date 12/10/"J~ Signature of Supervisinn' l!:lectric','".". " (!/~L' f2JeAj if (J Ovners Name _7-, ;ff11i? rl 411 t.v1 Address :=5/91 rr-dPAAJ1/1 ~ J! ?h ' City <:)pn~ 'd~. Phone 7;1(0-6&'(/ O\INER lALLATION The, installation is beirig made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE~-~--l'~-r~:'l~----------------- RECElt'r f: ~'18t'zr': RECEIVED BY: I/~ .,-- 'City Job Number ELECTRICAL PERMIT APPLICATION 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof , Each Manuf'd 1I0me or Modular Dvelling 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 1000 amps 'Over 1000 amps/volts ,Reconnect Only C. q0165'~ --- Items Cost Sum $ 85.00 $ 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 Nev, Alteration or $ 40.00 $ 55~00 $ 80.00 see liB" above Extension Per Panel $ 35.00 3 S- Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Servic~, or Feeder Permi t I E. 5. SUBTOTAL OF ABOVE 5% State Surcharge .:ro'l'A:L' 3'70 ' 70/71 ( I $ g- 2.00 no t i neluded) $ $ $ $ l.(3,~ ) Zi<- (, Jc; I V{;, ~C/ I 40.00 40.00 20.00 36.00