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HomeMy WebLinkAboutPermit Electrical 2008-5-19 3. ZON \ (ill INITIALS '0 (\-. .A!.. DATE 5-2-\ ~-C)'-C: ~ SOURCE~~ S/;J~~ / / COMPLETE FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION 6 City Job Number C~ ~~c{(.2 C 8 -00 Lf, Z C. Temporary Services or Feeders ATTENTION: oregon law requires you to foll.~w r~'IA.ftgm~\f:cl R~Ahfi,Qb~OOfJ1ob!m~y NotIficatIon ~C'enter. '(iiose rules are set forth In OAR 9s1!L~o.'M3~fDIWifough OAR 952-001 $ 55.00 0090. YOtl~a"yWt~I4Qfu{)t!!BSOf the rulA<:: hv $ 76.00 calling tha ~1tD ~(i))~~se telephone' $110.00 number f-Qr th~'olELCL(;Jn qtJJM ,~IGl'ltlcaU'B'r.l bo cenleY'1~ ~gtJD~3:)~':';;!34<4 ~ see ave. D. Branch Circuits Pump or Imgation $ 55 00 SIgn/Outline Llghtmg $ 55 00 OWNER INSTALLATION Limited E~ergylResidentlal $ 28 00 The mstallatlOn IS bemg made on property I own which Limited Energy/Commercial $ 50 00 I NOTrt:~um Electric Permit Inspection Fee is $50.00 + Surcharges THIS P'tRWl~t9tf5~~EWORK /<. ;>J---> AUTHORI~~~lSBTcEdd&PERMIT IS NOT le.~ COMMEN~cro ~ISsA8ANl!}ONED FOR /' J.J...') ANY 180 OAyTmfbm' Fee ~ ~ C(--:., · / ?S r-:L C:, TOTAL- ~~ :;-~ Shared Dnve(T )/BUlldmg FormslElectncal Penn I! Application 1-08 doc 1. LOCA nON OF INS1'ALLA nON: ,"j .J 7 S 0' <IL Yh LEGAL DESCRIPTION II J 70335""3'1' . JOB DESCRIPTION ObroO ft-~ .Y~ 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 INSJ'ALLA110N ONLY Electrical Contractor ...7;.../e-o.J:.../e.. a;~~ Address /Lc:J- /)"::')C '7.3 c:; Z CIty JA-~n Phone J2>3~J7..3-22..:2..3 SuperYlsor License Number L/ rF'l J Expiration Date _ / t!) "7";20( 0 Constr Contr Number I (7/:2-1 Expiration Date 9.- :S-...-.::sy Signature of Supervismg ElectriCIan r--z.-- /?ICf:: r~..p E J , Owners Name /JAvel) SWAIC....rSn::./LJ Address .~3 is. S+l- S+- City s~F:h Phone ~Z( - Cj JjO IS not mtended for sale, lease or rent Owners Signature Inspection Request: 726-3769 Date A. New Resldential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft or less I $ 117 00 /17 Each additional 500 sq. ft. or I portion thereof $ 21.00 :1...-1 Each Manufact'd Home or Modular Dwelling Service or $55 00 Feeder B. Servjce~ or Feeders - InstallatIOn, AlteratlOn~ or RelocatIOn: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V 0115 Reconnect Only $ 70.00 $ 83.00 $13800 $18000 $413.00 $ 55.00 New Alteration or Extension Per Panel One Circuit Each Additional CirCUIt or,wlth ServIce or Feeder Pemut $ 48 00 $ 400 E. Miscellaneous (Sen'lce/feeder 1I0t included) -Each Installation