HomeMy WebLinkAboutPermit Electrical 1992-1-3
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225 FIITH STREET , o~ ~~':O:;'~?Vc\"v'
SPRINGFIELD, OREGON 97477 ",c.<;\1?1~?~~{,C(\,\\'J 2\
INSPECTION REQUEST: 1&.~\-11'fJi9 deo" {)-
OFFICE: 726-3759 .oi\\f'i..jt,\. \~
1. L~AT;J;O~ OF\ JtiSvu.~;'IO -.:.cr:\:?2- '0 ~ 3.
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LEGAJ.: ~~CRIPTION ~~
11>0 ct 0+ 14- (Y:/GUJ
~~.::: :::~~~"bl' ..d .,,;,.
if york is not started yithin 180 days
of issuance or if york is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaqe Elect
Address 855 West 24th Avenue
City
Euqene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/ qL-
City Job Number
E FEE SCHEDULE BELOV
unit. ~,
Cost T
$ 85.00
$ 15.00
~
$ 40.00
?'b
New Residential-Single or
Multi-Family per dyelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
, Each Manuf' d Home or
Modular Ovelling
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
$ 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 ;Cf'L
Signature of Supervising Electrician
~ /JJ. &~ rf5-S
owners' N~~e ~'J\s:>{)j-- l t.liA1im
Address"",t)()'L4 m() 1~ f\
City ~lf'L' Phone 12-hlI7/
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
. :g' .
- - - - , ---------------
DATE:_ _ I ..:)- ~ r, '7
RECEIn lI: =---+a I I 'l~i/ c~ ~ )
RECEIVED BY: {!JfA 'lI. _
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bu
above
Ney, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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