HomeMy WebLinkAboutPermit Electrical 2004-6-25
..' ': -1-' .': CITY OF si ~jNGFIELD, OREGON ' ,-'I.
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~a.~~lroiect as sub'miNed~',th .
a Des not req . . _. 'f e tOJ/owing
ELECTRICAL PERMIT APPLICATION PprOval. U1re sp'e1ti3 land USe
City Job Number Cowz.oOLi -DO 67 '7 Date ZOning 1!.Ji.
Date 1_
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3. ,_COMJ>.LE~!! FEE.S~~#afuf.OW 9( '<L
1.
LO~FO~ 0]' IN8,TALIATION
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LEG& DESCRIPTION /703:> >'( z.
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
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CONTRACTOR INSTALEATION ONLY'
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Electrical Contractor \.-G><'W' s:. <" """ li-.." C zl
Address ~ D -:l-- h t::.,
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Phone Ffi \ -9"21(- I;,?GZ
City AL \r.,p, "'-,/
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Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date
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Signature of Supervising Electrician
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Owners Name +-\-.A \... L:::-::, 1'1/ <> k...
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Address
City
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Phone
OVVNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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'SPAINGF!E!....:;:) .
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A. ..;N~w Res,idential7:Si!lgle or Mul~i-Family per dwelling unit.
-....,...... ,-' ,'''- ,.'. .',,_. .-' ,. -... '-
Service Included
1000 sq. ft. orless
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
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B. 'Services,or Feeders::' Installation, Alterations or Relocation:
....-.....:..._'!.::'-~:..t-~'-~J;2L.dZ.,..~'nl:--=-';:..l._ _,:", .c. ._ __ ~',. _ '_i
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolls
Reconnect Only
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit-
TOTAL
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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1,23 >f ~ f~~'\;l~f{~~~~~i~':[r'~~~~.;~'
\ O~~~~IOp.~\1 S\1t>,I.~ 1\11~ftiRMib\.~~~eration or Relocation
\~~r\O?l\lCO \lI'lO~S t>,B~l)fA~Qor9r.s
\ Y. L.\ ~1'-~t-,\(',t.O Q\\ \QO 201 Amps to 400 Amps
\.I~~'\8\) OP-'i \'t?l . 401 Amps to 600 Amps
o f{: r>: Over 600 Amps or 1000 Volls see "B" above,
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E';~~W'/YON?,~_~~ilI~ch !nstalIation;
~lollow.rules adopted by the Oregon Utility
PU1r,9,~~fa'tl9~0~nter. Those rules ~ sbfll:lltl <:>_. _
, SI'1ifO'.ltI!{'95~10throUgb.O Qad~~. -"""' ~
Li~\59lf."fWW.~&ialn coplell of the rfill!!S~1
Limit~1~.,'lfrounteria(Note: the telepllQ!l!110
Minimum BIeffiR@rp,grn\\tEl:Qm9R[;\.lUD~ty<'iW~fi~charges
~ 0-' .. ,""' Center is "~;.800-3~2~). - IV'"
4. s,U11TOTA!Co.F~~?,.':~., :~ ,W
7% State Surcharge ~ - 50 v
10% Administrative Fee ~ 0<;::'
$ 50.00
$ 69.00
$100.00
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$ 43.00
$ 3.00
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Shared Drivc..iT:)/Building Fonns/Electrical Pennit Application l-03.doc