HomeMy WebLinkAboutPermit Electrical 1991-9-23
S..,IINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
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Permits are non-transferab ~and expire
if work is not started wit~~ 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaae Elect
Address 855 West 24th Avenue
City
Euaene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
The installation is being made on
property I own which is not-intended
for sale, lease or rent.
Ovners Signature:
DATE:__ _ C? ~~~--------------
RECEIP! II: I, N I.~n '1
RECEIVED BY: ~'(r) J "
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3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling
Service Included: '
uni
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
Sum
$ 85.00
$ 15.00
d
$ 40.00 <30
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
, E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
Signature of Supervising Electrician
~ U). ~ r1~-s
1-' t--\ l\-..\"'-' _ I "'" ::+~. D. Branch Circuits
Owners Name! '" . 'fl IT\ \.\..Q..O.\I\ \ il ~ l-UJ\.~
nO- .h.\ - . _\... ....." New, Alteration or Extension Per Panel
Address ~~ '\"\Q (l1f~
9_ _ l,,}, t::Q One Circuit
City LA...)O~ Phone "'T\,,\ rr?->:.,J \ Each Additional
~ Circuit or with Service
01lNER INSTALLATION or Feeder Permit
volts
$ 40.00
$ 55.00
$ 80.00
see "Btt
above
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
80.00
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