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HomeMy WebLinkAboutPermit Electrical 1991-7-17 r- 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 1. \Of^o2\rfF ~~ CJX" \ ~~~(S)~~NR- nQ<6CO " f.!\D~lf~n n OC'-h.M./ 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 Heritaqe Elect Address 855 West 24th Avenue City Euqene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: unit . Items Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Ovelling 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 Cost $ 85.00 $ 15.00 t 111 $ 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/ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Signature of Supervising Electrician ~ uJ ~'11~~8 - t. - ~ ~_ _ ^ _ ~ ~ranch Circuits Owners Name-1 \\ 1 f\O)"'\.\\~..l). AddressJ I n4'Ldc1 j)h~ New. Alteration Ci ty ~ Ii I'hone :12l.ol, Cl J OWER IJsiALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~;~-----~~~,,~~-T-~------~------ RECEIPT II: r.---Ji" ~ --.; 1 tl RECEIVED BY: (_ /)~ _ -I_ U-..J volts $ 40.00 $ 55.00 $ 80.00 see "B" above 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 tional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ 4(),cd 4JE) ~ 40.00 40.00 20.00. 36.00