HomeMy WebLinkAboutPermit Electrical 1992-8-18
SPIIINC,FIELO
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. ( Jfcr~(x1J7J/}YULJ
LEG~DESCRII'TION /'\ q(Y
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((\ ~JOB DESQUPTIlW ""--A--'
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Permits are non-transferable 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
lO/llq a.
Constr Contr. Number 63137
Expiration Date
12/271 q rJ-
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~---~~T~:~~~~------------
RECEIPT 1l:~ . _ ,",YLf')
RECEIVED BY:tej./ LAl /. I
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
C//071/
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
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 volts
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
Signature of Supervising Electrician
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7.~ M1VVh I y _ D Branch Circui ts
Owners N~~eU.Y J '/ JfJj;{J~ mlll~ .
//qq cJ) r-: ) New, Alteration or Extension Per Panel
Address 'I~ One Circui t \ $ 35.00 ,~
City_fl J(p[flLphoneJo RR O.d..oC!9 Each Additional
^ Circui t or wi th Service
OVNER INSTALLATION or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "B" above
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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