HomeMy WebLinkAboutPermit Electrical 1991-11-26 (2)
",t.
SP"INGr-I~LD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
3.
~
.
ELECTRICAL PERMIT APPLICATION
City Job Number C\.\() \J1-r'
COMPLETE FEE SCHEDULE BELOV
1. )J>CAT,rO~OF INSTALLATION ,,,,-
~\Q\m) ~" ~I\U. 1i \1l..J A. New Residential-Single or
, \J Multi-Family per dwelling
\<K~~ ~~\\O~lD \()~* \1L()1o \otervice Included:
0\\o~s~rru ~)JiA _
permi~s are non-transfera~e an~ expire
if work is not started within 180 days
of issuance or if work is suspended for
'180'days.
B. Services or Feeders
Installation, Alterations or
Relocation:
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaqe E1 ect
Address 855 West 24th Avenue
City
Euqene
Phone 344-1500
Supervisor License Number
9455 '
Expiration Date
10/1/
1000 sq. ft. or,less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Items
~
.
unlt .
Cost Sum
$ 85.00,
$ 15.00
$ 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
~.." U). ~ 116-5
Owners Na~ . 21\ )\1
Address?JM~ (\Jx -u
Ci ty W(\Q X\Q,~Phone \ 0 ~ to ~ leA 2...
OWER IN~ALLATION
D.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Owners Signature:
------------------------~--------------
5.
DATE:
RECEIPT t:
RECEIVED BY:
~ I/'--;?'~~
~,)J/~;: ~ ' "
'/
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
vol ts' 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
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
p()q)
400
_ ..ra
40.00
40.00
20.00
36.00