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HomeMy WebLinkAboutPermit Electrical 1996-2-9 " t. ~'-., "'- ....~-_.._- , - ----"- . , \ }.;.- Th.. following proiect ZO!1i;l;J, and doe~' n~ as a~bmlt!ed b:.'1s the. ~:PPI"(.>V1.,i. - r.3Qlllfe sPecific Ie.nd Use ELECTRICAL PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON 97477. ZOiliniLL D K INSPECTION REQUEST: 726-376:9trte ~,'1/ a/- Ci ty Job Number 9 foOJ ? 5' OFFICE: 726-3759 -!--l-~ 1 Authorized Signature 35 ICOMPLETE FEE SCHEDULE BELOV 1. LOCATIpN OF INSTALLATION 1- - '--:<75 -/ltL~J) Al'l=JtJu e A. New Residential-Single or Multi-Family per dw~lling unit. Service Included: LEGAL DESCRIPTION /.7& ~3 ~ "\ t) '1' It i:J-:)... JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor ADT Secur1tv Sy~ms or Relocation: Address 1501 Pearl Street. Sl~P R Ci ty Eugene. OR Phone 541-1L.?-111..1 Supervisor License NumberR1777JLF Expiration Date 10/01/Q6 Constr Contr. Number 59944 Expiration Date~Q/Qn Signature of Supervising Electrician /' ---r~~ /r k.L~ ~ s - Name.1QDJ) ~(> /..f::f:IL.J c... IJ) EJ.-6 Ll-J:'Q D. Addressd.1.~ .rfupJ AvelUu.b Ci ~;::-~ 1) /C, Q7J.7JPhone../')4!.....14r::,. ~,!q~ OVNER INSTALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: ---------------~-7<,~----------- DATE: ":2./ 5'/ p~ ' RECEIPT t: ~ :<: 4- / RECEIVED .BY: ,.i~ ' 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 Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Bra~ch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above ,. New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 20.0Q " 1 20.00 1.00 .60 ?1 f.O