HomeMy WebLinkAboutPermit Electrical 1992-6-8
SP'IINCt:IELD
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225 FIFTH STREET .:"....olJowinn. ELECTRICAL PERIlIT APPLICATION
,~n'/t) t: proJl~ct
SPRINGFIELD, OREGON 97 4ill7proe~ and does nO! as s~brnitlGd I. n \ anA
INSPECTION REQUEST: 726-3769 rGqo"ecpecifj~~~;t1',,:..q.EY Job Number '-'\ ) It
OFFICE: 726-37.59 (pnio '~i", ~
Ottzt, . 3. COMPLETE FEE SCHEDULE BELOI/
. ~
1. LqCAT~O~~F ~T~TJ,p1i
toL.\~) Ol\r\l~n,
- -
\~bD?;~f\I~ 4 nlo'\cO
~~S~IXi ) ~ rVv
~mits ~re ~on-transfer:~~ and expire
if work is not started Wi~ 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaoe Elect
Address 855 West 24th Avenue
City
Euaene
Phone 344'.1500
Supervisor License Number 9455
Expiration Date
10/1/
A.
New Residential-Single or
Multi-Family per dwelling
'.ce. Included:
unit.
Cost
Sum
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
$ 85.00
$ 15.00
~
<i)
$ 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
/l4;tv U). ~ 9''1.5'-5
Ii .'
Owners Name
Address
City Phone
OlINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------7--- - . -'--------------
DATE: _u? .R. <f fJ... /)
RECEIr 1 11: _ Ii .4;]94-
RECEIVED BY: L'-1 / /.. J/7' ~
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 "Bit
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 Addi t ional
Circuit or with Service
or Feeder Permit
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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y:;4 (1.)