HomeMy WebLinkAboutPermit Electrical 1991-10-17 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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E~?'RlCAL PERMIT APPLICATION
City Job Number ~'\ Dll ~
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1.
3.COHPLETE FEE SCHEDULE BELOV
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
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J,O~ DE~CRIPTION
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Permits are non-transfer b e 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
HeritaqeElect
Address 855 West 24th Avenue
City
Euqene
Phone 344.;.1500
Supervisor License, Number 945S
Expiration Date
lO/lA'J-
New Residential-Single or
Multi-Family per dwelling, unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
~
$ 40.00 ~O
Constr Contr. Number 63137,
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Signature of Supervising Electrician
Mv tV . ~ 9cf5" -- 5
ownersfNa~eA.~ ii..1~t
t>Z\ \ f'. r\A. ~ .. -I.L{....L' New, Alteration or Extension Per Panel
Address~\ () 0 l ) \. A 1 f -H-ttL ' "
. All f21,./]/7 One Circui t $ 35.00
Ci ty '-.. A~ ...Phone . (){!:/(L--Each Addi tional
Circuit or with Service
or Feeder Permit
Expiration Date
12/27/Cf(
D.
Th~ installation is being made on E.
property lawn. which is not intended
for sale, lease or rent.
Owners Signature:
:~~l'r-::-tr'f~--l ~T~l-Vz~~ 5.
RECEIVED BY: ~l w.AJ". '
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see '''B''
above
Branch Circuits
$
2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sigh/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00 ,
$ 20.00
$ 36.00
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