HomeMy WebLinkAboutPermit Electrical 2020-01-08Pe itA lication
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OEPARTMEHT USE OiILY
FEE SCHEOULE
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LOCAL GOVE RNMENT APPROVALZonlngapproval verified?I Ycs I tto \rrrnlrr r of inspr'tlionr p(r ltr m ( I ()l)'
lCATEGORYOFCONSTRUCTION
Rerldentirl, per unlt' rrvice locluded:Residential CrovcTnmcnt D Commerciat
C!.tta.I TotrlI cmt
_lc:JOB SITE INFORMATION I,tX)0 sq. ft. or less (4)
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500 sq. ft' or portion
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AND LOCATIO N l*.*Job site oq ila
Citl J.*q thcreof
Limitcd encrgY (2)
Temporery servlces or fcederg: installation,
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S
ZIP
Taxlot Each manufactured home or modular lt.r.*
a"'iiling scruice or feeder (2)
Servlces or feeders: inslallation, alleration, relocalion
sr 12.00
$131.00
s221.00
s285.00
$5s4.00 s
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OESCRIPTION OF WORK
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s
(
okeraion. relxatian i
s89-00
s89.00
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SThis installation is being made on residential or farm prope4y
owned by me or a mcmber of my immediate family. This
properry- is not intendcd for sale, exchange, lease, or rent. OAR
479.s40(t ) and 479.560(1 ).
Signature
Business name
S fiSsuwfv iror's license no.
Print name of
Sign*we of signing suPcrvisor
s122-oo I s
s177.00
Over 600 arrys or 1,000 volts, see servics or feeden section abore
Bnnch circuits: new, alteration, *ension per patel
a. Fee for branch circuits with purchase of a service or feeder fee:
st.00
b. Fee for branch circuis without prmhasc of a service or f:,ods fee:
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Miscrllrncous fecs'. service orfedo rct il'c/rldt:d
s
Signal circuit or a limitrrl-encrgtr punel
allcrotion. or cxtcnsion (l )
Erch rddltlonrl lnspcctioo: ( I )
1A) lrntcr suhtotul rll {ho\c lt('s
(lltlulnrunr I'rrmlt !'crl tl0f.0$)
PROPERW OWNER
State:
Namc
Ad&ess
Ci AP
Phone Fax:
E-mail
CONTRACTOR INSTALLATION
Address
State:C
FaxP
E-mail
BCDCC:B licenxno.
200 amps or less (2)
20, !o400arngs(2)
401 to 600 arPs (2)
601 to 1.000 amPs (2)
Over 1,000 amPs or vols (2)
Reconnect only (2)
200 amps or less (2)
201 to zl00 amps (2)
401 to 600 amps (2)
First branch circuit (2)
Each branch circuit
Each additional branch circuit
Each pump or irrigation circle (2)
s8.00
SSe.00
$${.mEach sigrr or outline lighting (2)\
5$1.00 i
$ltr"e
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