HomeMy WebLinkAboutPermit Electrical 1997-8-11
2. CONTRACTOR INSTALLATION ONLY
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F\Electrical Contractor ARC ELECTRIC
,
Addres85783 HWY 99 SOUTH
City EUGENE
Phone 741-0494
Supervisor License Number 40798
Expiration Date
10/01/98
"
Constr Contr. Number 20-403C
Expiration Date 10/01/97
, .
Sign~~~trieian
ownU Name\l~~~ ~W\f\
AddrHs ~~ 0)\~
City~~ Phone
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OVNER INSTALLATION
The installatioh is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
" DATE: ----g... 77:-q-7--------------------
,;(:,:,,'RECEIPT t: ;) 7~
;f;".':':RECElVED BY: t& r
. .,.,."
/
-1-0eEl ':"1-;-[ t. VL -less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
Sum
$ 85.00
$ 15.00
$ qO.OO
D. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less & $ 50.00 (OO~
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps '$130.00
Over 1000 amps/volts $300.00
Reconnect Only $ qO.OO
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to qOO amps
Over 401 to 600 amps'
Over 600 amps or 1000
p.
Branch Circuits
. . " 1
~~~ K
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225 FIFTH STREET ~. ,,\.\.~" ~~~~~' ~C~ ELECTRICAL PERMIT APPLICATf1N
SPRINGFIELD, OREGON ~~r. ~~\; ~'f;.~
~~~~O~2~~~~T: ~~~~<1~~!~~ ;:;"~~'rl;~,i.:Y ,~Ob . Numbe: Q 1 O~O
,,\ ~~ ~Il~'~: 'er.t a~ G'jb:~r9~J~WP!~,4~~J,;.'f:_(PlEDULE DELOY
1. LOCA]ION <IF INSTAC:A~oniq,,~c e ot mq,Jir<) ~TJCG:,:C i:.1i.; ,:'~.:
\D\ .. ?\'5Clo.t\ cO A~~al. _' A. Ne.... Residential-Single or
. ,--. ~~"\ \ -LJerte_ t5':O "1.1 MUll~Family per d....elling uni t.
kEGAJ.. p~CRIPTIONf"\f\"" NA'C\ho '. . ,: ,Se-r-v-l-ce Included:
\\U:>;.Ift'J___~ ( lJl...U.62e nZedSlgnatUi6---lU'\A Items Cost
b i6\l'r~rIO~ ~ '~~g""t""
Permits are \)n-transferable and expire
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
I
S qO.OO
$ 55.00
$ 80.00
volts see "B"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t \. ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
~30b .
$ 35.00
$ 2.00 lo~
not included)
$ qO.OO
$ ljO.OO
$ 20.00
$ 36.00
\N.o.cV
- - 5,'60
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