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HomeMy WebLinkAboutPermit Electrical 1992-6-8 SP'IINCt:IELD ~ 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 ~{),~~ y:;4 (1.)