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HomeMy WebLinkAboutPermit Electrical 1991-12-16 S"I'INC~IELO .' 225 FrITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 1. LO~Y~ O~ I)~WtsoN6 LLt\ ) LEGAL DESCRIPTIQli, --1.!J..D Q.,fJ '/J ~ ~~ D~~~) !)n8C() Permits are non-transf r ble and expire if york is not started vithin 180 days of issuance or if york is suspended for '180 days. 2. CONTRAC'l'OR INSTALLATION ONLY Electrical Contractor Heritaoe Elect Address 855 West 24th Avenue City Euaene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ Constr Contr. Number 63137 Expiration Date 12/27/ Signature of Supervising Electrician ~ LJ. ~ C;tfS-S j Owers Name Address City Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. OwF) Si~a;uref-:l l~ k l'A~.t;)h",- ----------~----lt~-- ------ DATE: __ ' (;2-4 4~ 1\I:."",u't I: '7'92.-""-- RECEIVED BY: :..--:?"~.. -/' 3. COMPLETE FEE SCHEDULE BELOIl A. Nev Residential-Single or Multi-Family per dvelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Owelling 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 unit. Cost Sum $ 85.00 $ 15.00 d 80 $ 40.00. $ 50.00 S 60.00 S100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 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 "B" above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ M.CO '~ QC) p,q. .m 40.00 40.00 20.00 36.00