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HomeMy WebLinkAboutPermit Electrical 1991-11-26 ",t. SP"INGr-I~LD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 3. ~ . ELECTRICAL PERMIT APPLICATION City Job Number C\,\() \J1-r' COMPLETE FEE SCHEDULE BELOV 1. )J>CAT,rO~OF INSTALLATION ,,,,- ~\Q\m) ~.. ~I\U. 1i \1l.) A. New Residential-Single or . \J Multi-Family per dwelling \<K~~ ~~\\O~lD \()~* \1L()1o \otervice Included: 0\\o~s~rru ~)JiA _ permi~s are non-transfera~e an~ expire if vork is not started vi thin 180 days of issuance or if work is suspended for -180.days. B. Services or Feeders Installation, Alterations or Relocation: 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Heritaqe El ect Address 855 West 24th Avenue City Euqene Phone 344-1500 Supervisor License Number 945S - Expiration Date 10/1/ 1000 sq. ft. or,less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder 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 Items ~ . unl t. Cost Sum $ 85.00. $ 15.00 $ 40.00 ?[) $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 63137. C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 12/27/ Signature of Supervising Electrician ~.." U). ~ 116-5 Owners Na~ . 21\ )\1 Address?JM~ (\Jx .u Ci ty W(\Q X\Q,~Phone \ 0 ~ to ~ leA 2... OWER IN~ALLATION D. The installation is being made on property I ovn which is not intended for sale, lease or rent. E. Owners Signature: ------------------------~-------------- 5. DATE: RECEIPT t: RECEIVED BY: ~ I/'--;?'~~ ~,)J/~;: ~ . ,- '/ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ 55.00 $ 80.00 vol ts' see "B" above New, 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 with Service or Feeder Permit SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ p()q) 400 _ .-ra 40.00 40.00 20.00 36.00