HomeMy WebLinkAboutPermit Electrical 1997-1-15 (2)
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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