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HomeMy WebLinkAboutPermit Electrical 1991-8-28 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 1. LOCA~ON O~::\?'J:&LATION --...., ~ 3 rl'n()~ f' f\---, LEGAL,.J;lE~PT!QN \\D()'o.'\\ ~ ()';\ ,fD JOB DES9l.IPTION d 1 \ '% \-\ ~\u(\) 0J..^ Permits are non~transfe~~e 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 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 Dat~ 12/27/ Signature of Supervising Electrician ~ fA). ~(./ 9~5-5 tt Owners Name Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~:J~~~I.~ ! RECEIVED BY: rrr~ ~ - 3. COMPLETE FEE SCHEDULE BELOI/ New Residential-Single or Multi-Family per dwelling unit. Service Included: A. Items 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Jl2 'n $ 40.00 Service or Feeder ~ B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permi t E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?n~ ."'1UJ ~~pu