HomeMy WebLinkAboutPermit Electrical 2019-11-26CITY OF SPRINGFIELD, OREGON
a"'' Electrical aPntNoFrst-oPermit A on
225 Ftfth Sh eetlsprlnglteld, OR 97477OPH(s{r)72637s} oFAX(5{l)726"36E9
DEPARTMENT USE ONLY
Permitno.: \1OU2SO t
Date: t\\&\r q
This permit is issued uuder OAR 918-309-0000. Permits are uonh'ansferable. Permits expire if work is not started ryithin 180
days ofissuance or ifwork is suspended for 180 days.
Znineapproval verified? E yes E No Qty.'',:,.639.,::.. r j:'ql:,:r,.r:
TotAl
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Resldentlal, per unlt, servlce lncluded:
Residential E Govemment E Commerrcial
1,000 $q. ft. or less (4)$186.00 $
Job site address:
Each additional 500 sq. ft. or portion
thereof $36.00 $
Crty: 5 oL State: C|YL ZIP Limited ererry (2)$44.00 $
Reference:Taxlot.:Each nrrnufactured honre or n:odular
dwelling service or feeder (2)$89.00 $
I -\-0 0)5D 'a Services or feeders: inslallalion, alteratioa, relocation
t0D L 200 amps or less (2)$r r2.00 $
i:201 to 400 amps (2)$131.00 $
Name:401 to 600 amp.s (2)$22r.00 $
Address: I 5 n4.:fjn Lrurn- ($285.00 $
ciw : >:Te1itl fi']fl .iL I &State: AL zw:71 Over 1,fi)0 omps or volts (2)$654.00 $
Phonef Fax:Reconnect only (2)$89.00 $
E-mail:sfJrr a Temporary services or feeders: installdtion, altemlion, rclocalion
200 ulps or less (2)$
OAR
201 to 400 amps (2)$122.00 $
401 to 600 amps (2)$177.00 $
Over 600 arnps or 1,000 voltq sce scrvices or fecders section above
Brench clrcults: new, alteration, detsian per pa.ael
Business name:a. Fee for branch circuits with purchase ofa service or feeder fee:
Address:D Each branch cirrcuit $8.00 $
stat6: CJ'12-b. Fee for branch circuits without purchase ofa service or feeder fee:
phoneb?iwS ]-r3x Fax:First branch circuit (2)$89.00 $
Bmail:n u Each additional branch circuit $8.00 $
CCB license no.:\BCD license no.:Miscellaneous leeet service ot'feeder not included
license no,:585 Each punp or inigation circle (2)$E9.00 $
Pdnt name of signing fY or outline lighting (2)$89.00 $
Signature of sigring sup Signal circuit or a limited-energy pancl,
altcration, or cxtension (2)$89.00 $
Eech additional incpection: (l)$102.00 $
(A) Enter subtotal of above fees
(Mlnimum Permit Fee 9102.00)
$
@) Entu 12% surcharge (.12 x [A])$
(C) TechnologyFee (s% of [A])$
TOTAL fees and surcharges (A through D):$
Last edited 7lll20l9 Blones
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601 to lO00
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