HomeMy WebLinkAboutPermit Electrical 2008-3-11
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2251<U uI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERNllT APPLICATION
City Job Number COIA--'t 'Lo 0 8' - CJ 0 z.. l I
200 Amps or less $ 70.00
201 Amps to 400 Amps $ 83.00
~.. ,AO,l, Amps to 600 Amps $138.00
" .; .'6.ojiJ,~.)p!'~ t~rr~ocond.~~lequires you, to $180.00
~. ... ~,""" ....,t;;.;. aaufJlea 1J I me Oreao'l . -",
.>7/ 17'0 ~'Ci(m6Y~I)lL1U.o!rr"~pm~ rules are sc~-$"4131)0
In OA.Rl~6~~QWyO through OAR 952 OO~1 $ 55.00
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InsYattratfi&J~ li~eq.g~~ation'
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Sign,~ r/. S /,;pervjsin~le:/: / / /'
I/~./ ~ij ~h- .NCJ11~uit $48.00
L:~e ..ffi0r.,.~~C . r~;.ItN~~~~E,~~~~400
Address-Zb 2-7-' J/~ l ~'iEiL__~(lL GP.
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City :l.4:-~AI j) Phon~ LZk''/r :9lJ'C. Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
,Limited EnergylResidential. -$28..00 ~
------- -------~. ---.- .._~ -.. -" ---
~Tbe installation is being made on property I own which Limited Energy/Commercial $ 50.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
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Shared Drive(T:)fBuilding FormslElectrica! Permit Application I ~O&,doc
1.
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LEGAL DESCRIPTION:
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JOB DESCRIPTION:
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Permits are non-transferable and expire if work is
not started withiil180 days of issuance or if work is
~--~~ -~Suspended..fOl:.180-days_ - -- ~-------
2.
Electrical Contractor T;fA/b!cJ, r-Iee '
Address ;20819 ~ ef-
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CIty
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l'none 57/
Expiration Date
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Supervisor LiCense Number
Constr.Contr.Number
Expiration Date
OWNERINSTA:LLA-TION
Owners Signature:
Inspection Request: 726-3769
Date,
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
_..Ee.e.d.eL.-
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J
$117.00
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$ 21.00
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps ...'<,
Over 600 Am s or 1000 Voits:see "B" above.
D.
SS"
$ 55.00
$ 76.00
$110.00
New Alteration or Extension Per Panel
4.
- 12% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL