HomeMy WebLinkAboutPermit Electrical 1991-8-28
S"'IINGt=I~LO
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. ( 01A~ON," ?t;~1W~Ih CO II)
\ LEGAL DE~rnON
'1 n ~'roll I H. cq
MrYQ
, ,:::':~~"~~~:": .",,,
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
Ci ty
Euaene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12127/
Signature of Supervising Electrician
~ tV, ~ qrf-5'-S
I ..
Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
- ,,*,----- rm--' ----------
DATfit~X I).?,_
RECE.1u 11: "\ A) -d,p
RECEIVED BY: ~:1i41 ~./
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or port ion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling rG Rb
Service or Feeder $ 40.00
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
$ 50.00
$ 60.00
$100.00
$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
$ 40.00
$ 55.00
$ 80.00
see ItB"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
,
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~/~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL