HomeMy WebLinkAboutPermit Electrical 2003-5-8
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'" CITY OF ~A~lNGFIELD, OREGON U
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726.3689
ELECTRICAL PERMIT APPLICATION
City Job Number (",.;f 2.~J~
L LOCA110N OF INSTALLA110N 3, COMPLETE FEE SCHEDULE BELOW
L In.)/ !.o&1f.J~ f1,i~ ':;pM'--':; {;del
LEGAL DESCRIPTION A, New Residential - Single or Multi-Family per dwelling unit.
r _.~ , - - ,- - ~ --, -
C. : Temporarv Services or,J?oItI(~s
. . , ulte,::> Y';:~~\i\'! .
Ia,~ te~ nOn U 1\'
1~~\!JlJilTh, N.t\l!j:ffi!'~'il[~\ft~n
~ 'r~E.~fiIO~~&Pl!~ ~J~ tu\e~~f' 9S2~:. ' $ 50,00
p-'\O~ tu\e~o~t~mps' O.4(\QJ~"s . \"e tu\ .r> $ 69,00
'0\\ . '('\ B ....n.'\ ) \.\ lAC; 0' ~U"-
'\ice.\\O bp"ml" 0 60~mps \e\e~ ,\~n $100,00
~O\I 9'62- nWlt'v '9' \"e li\iCa....
~t' 0f'.?- '(ouqy,er~2R\i~il.Sl~~~\y&It9\~e "B" above,
e of Supervising Electrician 0090. , q, \~T1Inch'~\!<i6ii's n~"-2.y.A ,
\\In" -- \"aU ' 00-""''' .. .
Ce. eN1otAI" -,-I'> E . P P I
"",\) ~w teratlon or xtenslOn er aue
nu'" (:0\\'''' I
One Circuit. $ 43,00
Each Additional Circuit or with 2.
Service or Feeder Penn it
n
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.
CONTRACTOR INSTALLATION ONLY
City
/
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/
Expiration Date
(Owners Name f?u.sse.t.L..j, Lee.
Address IOS'1 WCJ,(ItV~.J 11v~
City $/tt';';'3-He!J Phone ";)11/-013 Lf
UI..l. S"OI- 6j5J1.f
OWNER INST ALLA nON
The installation is being made on property lawn which
is not intended for sale, lease or rent.
Owners Signature:
IudII it
I ,~y
Inspection Request: 726.3769
Service Ineluded
1000 sq, ft. or less
Each additional 500 sq, ft, or
portion thereof
$106,00
$ 19,00
Each Manufact'd Home or
Modular Dwelling Service or n~ $5000
. Feeder i\\t. ,tin" ;\ "
. - ... -. r'I\,\Rt. \r \ \s 1'10 .... -...
r'\~.B':'~'~en'i<;e~l~\..li:el'dl'n,:?!!'itVI\dtioI\\Alterations or Relocation:
~v \ \ t.R~\i ~D Dt.? WI::> OI'lt.IJ \"1) ~ .
i\\\S :tqQ\~p~~?e~e, I>-'OI>-I'IIJ $ 63,00
!~\.\'\ 20t~;li ~i1nf3'ihps $ 75,00
c'()\~4~~~iiiP~1O too Amps $125,00
I\~ 60 I Amps to 1000 Amps $163,00
Over 1000 AmpslVolts $375,00
Reconnect Only $ 50,00
$ 3,00
~.(j)
I.!> pO
E, i J\1is~e]]aneo.u~(S.erv~c~l!'e:~"':. ~t.include.<l)~~~~h Insta~lation :
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4, . SUBTOTAL OF ABOVE
4C\r;;o
~~~~
4 .Gt()
5'1.~?:>
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding Fonns/Electrical Pennit Application l-03.doc