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HomeMy WebLinkAboutPermit Electrical 2001-2-20 Th f II' .' ~~, e. 0 oWing prOject as su~mitted h~s the following ELECTRICAL PERMIT APPLICATION ~t~:t;t ~nd does not require specific land use . ,.~g-~769 ~ Ci ty Job Number Of - () 0 I Lf (- 0\ ZOning Date "-.- 11>'~ 1. COMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION. 840 Belrline Rd Suit 2o'~m6nze(fS,gnature 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 LEGAL DESCRIPTION i 7-0:3 ) S-J 0 OO/'~C> JOB DESCRIPTION Network Cabling Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY . Security Plus Alarm & Elec tri cal Con trac torPrntprtinn Address P. O. Box 26413 Ci ty Eugene Phone (541) 687-6474 Supervisor License Number3012JAL Expiration Date10/13/2001 Constr Contr. Number125673 " 10/13/2001 ExpIratlOn Date Signature of Supervis~ng Electrician ~A/J.n ~// O~ner~ Name ~.Zn-B Add 840 Beltline RD. Suit 202 ress Ci ty Springfield Phone 746-8444 OVNER INSTALLATION The installation is being made on proper~y I o~n ~hi~h is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT fi:: RECEIVED BY: C) l- 'lj::) 0 t 4'1 f'( .\)11 h. N~w K~sidential-Single or Multi-Family per d~elling unit. Service Included: Items 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or ModularD~elling 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. Cost Sl $ 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"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits Ne~, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or ~ith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi ted Energy/Comm ONE 5. SUBTOTAL OF ABOVE I ~ State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 55.00 $ 80.00 see "B" abovE .' $ 2.00 not includt $ 40.00 $ 40.00 $ 20.00 $ 36.00 36.( :3:: -f I ~ -.-",,-- ~::r:::D 39.60 Hi rri to c-J 0 .,., ;; :D .. /T10 (.0 ""'.3 to f-L ::I: I r-i ("J -E:<3- 1"-,) 0 IT1 ::I: 0 0 :::D :D L.J 0 .. :z:: ',.0 1'-..3 ..j:::', OG1. O+:' 0-. IT1 0-. 0 co f-L .. 0 f-L 1"'.3