HomeMy WebLinkAboutPermit Electrical 2009-4-17
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726,3753 . FAX, (541)726,3689
ELECTRICAL PERltf/T APfLIfATION
City Job Number e Q. - tlc 1Y'J
7 ~ A , New Alteration or Extension'Per Panel
t -R.~ LJ Jk ~ One Circuit l
. - Each Additional Circuit or with
Owners Na~e ~t\N\9 \d~~ ~~~~::;':':~:::~';1:~:~~'<;"~~":ft1P.~n:"~:7i"::~:::'"",." ... .
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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 far 180 days.
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Electrical ContraOafGni\i n ~rrRi!. ~~RVI('~
P.O, BOX 2237 .
Address _I"I~~I~C o~ 9749"
. 111..- _...~ .t., ... I , '"
City
Phone .2.4 1 - 14 1- 1 6 81
Supervisor License Number
1392S
Expiration Date
10-1-10
Constr. Contr, Number C40 8
/181997 CCB
Expiration Date
Sig ).ature of Supervising Electrician
,
Phone
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Iaspection Request: 726-3769
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3. ~'C()l\1BL'ETE'!FEE'SCHEDULE!BELOW,);;;!,~"!:!!:!\'Q!;\';i:;'!'!,;
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A. ~.I~~",:.'R,~~?entiaI~~iqgle!oi'M.u'!i;Fin1.i1y..p~rdi"e.IHngu n it:i.[
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Service Included
I 000 sq. ft, or less
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55,00
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B. lj'Servlces:.or;F;eeders,'-:'iInstallahon,j\Jterahons or..RelocatlOii:' c'.
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200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 70,00,
$ 83.00
$138,00
$180.00
$413,00
$ 55.00
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Installation, Alteration or RelocatioD
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55,00
$ 76,00
$110,00
D.
$y60
5~fP
Pump or irrigation $ 55,00
Sign/Outline Lighting $ 55,00
Limited EnergylResidential $ 28,00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit InspectioD Fee is $50.00 + Surcharges
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4. ,rSUB7;()TA'L'.OF;ABOVE;i'!!;,'t;i';:~:~l;>i"'>'~"'.":'-'" l::::.l1..
~4~r;~;~~s:~~~~;~~\"~~'&~'~~k'~'~~~~~}wd:l~'':~~' t~; '-.J~.4i.o
10% Admmlstratlve Fee Ii!
5% Technology Fee A.,4D.
TOTAL ' ~ ..,.Q~. 11/1.81.0
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