HomeMy WebLinkAboutPermit Electrical 1993-4-2
c, ~
'h. fOI'Nv,o ' , .
zonln(', <"O~pr~;oel ao submitted h _ h ELECTRICAL PERMIT APPLICATION
974 77pprov,I, o~ - r,ot requiro spoeifleO'a~J ~~~owlng
726-3769Z' ~. 'City Job Number 93037~c::,
on'"OJ"'/> 1L
Dat.--J/.~~'1.3 3.
1. LOCATION OF INSTALLMJIOliadSign t 0.
I~So ' P~IJJLEJW aura 'R#A.
J1. D. Branch Circuits
l U-Ai:.L: "CPT $
New, Alteration
')
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
llf~~S~ON ()/J&iY)---
JOB DESCRIPTION
PAno l./6'./-rTu,J(;. - go /ANn-So
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Palmer/Philips
Address 3170 Meadow Lane
Ci ty 'Eugene
Phone
688-6121 .
Supervisor License Number
27195
Expiration Date 10/92
Constr Contr.Number 20-179C
Expiration Date
10/92
Sign~~Of :upervising Electrician
rf-:- '
Nathan Phili~s A
Owners Name ~J"'BOW
Address
Ci ty
Phone J....l)(. - ~~
OVNER INSTALLATION
The installation is being made on
property'I own which is not intended,
for sale, lease or rent.
Owners Signature:
~~~~~--C~-~~~~~-~--~-----------
RECEIPT #: _.4 I'\'l::.~
RECEIVED BY: ~~_~--:-./ '
SI.fIINGt:I~l..O
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Murtr:Pamily per dwelling
Service Included:
unit.
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
$ 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
$ 40.00
$ 55.00
$ 80,00
volts see "B" above
or Extension Per Panel
One Circuit I $ 35.00 '35.~
Each Additional
Circuit or with Service
or Feeder Permi t .::E1.... $ 2.00 /S!?'!!:?-..
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE Fl,~.~
5% State Surcharge 9~5
TOTAL 1<< ~;:;r,.~~
,