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HomeMy WebLinkAboutPermit Electrical 1993-8-26 225 FIFTH ~;TREET The foU"VJio,o p.,''\jpM "1'" subm\tt",rl hl'lS the fcRLECl'RICAL PERMIT . , - '. "'IIVV"lh~ . Sl'JUNGFIELD, OIlEGON 97/17l-onm" ..'. v;Qilduse ' INSPECTION REQUI~ST: 726!37(;'tf' ~V Ci ty hob Number OFFICE: 726-3759 , ZOflin\=l t Oat::: ~.;, 7}o -q..3 3. COMPLETE PEE scnEDULE DELOY 1. LOCATION OP INSTAL~TIOff".'~) . 1, A \ 7\ C?') ~ ')rnP<}toc~~ Slgnature~~ N.eM-Res ide.~ t i a I-S i ng le 0 r , Multi-Family per d'Welling unit. LEGAL DESCRIPTION Service Included: \CJ(1QcQ loC)"\ nQ...\~~ Items Cost, Sum J..20B DESCRIPTION ~~) rc~mits ~~e non-transferable and expire if 'Work is not started 'Within 180 days of issuance or if 'Work is suspended for HIO day~. 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each M~nuf'd Home or Modular D'Welling Service or Feeder $ 85.00 $ 15.00 $ 40.00 2. CON1~CTOR INSTALLATION ONLY D. Services or Feeders Installation, Alterations or Electrical Contractor Rose Corporation Relocation: ^,1\' 89976 Day Lane u( I:CSS City Eugene Phone 686-0905 , 1568-8 Supervisor License Number ' Expiration Date 10-01-93 Constr Contr. Number 54431 Expiration Date 9 - 3 0 - 95-, Signat~pervising Electrician , {~-:/~ o\lners~~9J} 0 ,l\~D t ,-S-- ^ddress &\S Q ~\}u.Q 1- City The installation is being made on property I o'Wn 'Which is' not intended [or sale, lease or rent. O'Wners Signature: ~~~-----,---~--~-----~3'. -.--.----- ----- ", ,,/2';,< l' ' DATE: ';r--J' (). ~. . " :. RECEIPT #: , 8~ :;--~ tel l6{- HEcnVTm BY:' \ .. ..., ...' __~....._....n ..__m______ 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 Installationl Alteration 'or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Dranch Circuits $ 40.00 $ 55.00 $ 80.00 see "D" above Ne'W, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting LimIted Energy/Res Li~it~~ Energy/Com~ One Ci,rcui t' Each Additional Circuit or 'With Service or Feeder Permit E. 5. SUDTOTALOF 'AD'OVE 5% State'Suicharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 I $ 40.00 1:1) $ 20.00 $ 36.00 , 4fJ.0D, "':.a.-cjh t,~ : { -'"