HomeMy WebLinkAboutPermit Electrical 1991-11-26 (2)
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ELECTRICAL PERMIT APPLICATION
City Job Number Q\\)\\.2)
A. New Residential-Single or
Multi-Family per dwelling .
Unl t .
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 d 4()
Service or Feeder $ 40.00
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
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
3.
COMPLETE FEE, SCHEDULE BELOV
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_ ,lO~ l{ES~PTION
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Permits are non-transfera 1 and expire
if work is not started wit in 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/
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 volts
Signature of Supervising Electrician
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. Owners "Na.~e A. ~ U QJO
. Address a \AD~ CY)~
City ~M~ Phone\4lrr::)~O
OWER IN~Jr.LATION ..
D.
Branch Circuits
$ 40.00 .
$ 55.00
$ 80.00
see "B" 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 Additional
Circuit or with Service
or Feeder Permit
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Owners Signature:
---------------------------------------
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
DATE:_ _ II-~ r _
RECEIPT i: C'~ iL.9p-
RECEIVED BY: . '/I~~:A
. ';'
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
'$ 36.00
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