HomeMy WebLinkAboutPermit Electrical 2003-1-28
-,. " CUY OF s1' "NGFIELD,'OREGON .,,- ',,':'.'
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ect as submitted has the following
not require specific land use
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: l'5'4'f\"Y2k-3689 L!:>,e.,
ELECTRICAL PERMIT APPliCATION Zoning
/,;; Date 1- 2'6 '03
~.ity (:~~~;~N~; ;;::~~~~Olf Date 3. ~~~P~:EFEEiE.~~Ld&J;!~}JiOl~J~~'~1
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LEGAL DESCRIPTION
17032.3'13
JOB DESCRIPTION
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Permits are non-transferable and expire ir"work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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2. ...5!lNTRACT.9.R 1NfT{lLI,ATlpiV,oIYL:...c
Electrical Contractor DIVERSIFIED ELECTRONICS
Address r. (). ~" Lf D91 'K
City
'17,-/u'/
~e..NL.
.J
Phone
"'~'-f- g07/(
Supervisor License Number ~ c.r; p
Expiration Date I a / I / () '<.
~onstr. Contr. Number I 'i 4 &, 3'5
Expiration Date Co I ') I to
:'"f~;7:l1~mo; "
, Owners Narn.r;- ~ -t-tA (C ~ /
Address \~ 0 X 7Jf'Z -S-
City f:::u.G-&V~'
OWNER INSTALLATION '~
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
A. ; New Residential - SiI;gle or Multi-Family per dwelling ..nit;
, , ..'
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Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
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B. :," Scn:iccs or Fcedel~s - IHstallaliOli~ AIi'cJ";ltiollS 01: Relocation:',' 1
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200 Amps or less $ 63.00
201 Amps to 400 Amps ,0 $ 75.00
401 Amps to 600 Amps ....0"> .,\'~ ._ $125.00
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60IAmpstoI000A~0~ 0,\0';0'" $163.00
. Over 1000 AmI'~IO\0~ ~0C;; ~'l}l ,. 'O~ $375.00
Reconnect r;&i? >i$'0 ~0",'l>...<?-q,-,,~<i()~ D $ 50.00
\0($ ....'O~ 0\~ or......0. 0". ~
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'i" 'o~~~ft/W~o'S~fi~r~~t"~n
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\~~~~&~ ~ps $100.00
~rve~~t~~0~.~00 V?ltss~e."B~2~ve..
D. Brandi Circuits ,'.,' " : .
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New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with 'f
Service or Feeder Permit &. ':'\~~6~0 .
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Pump or i~a.tion s'(-.'?' \\ \" ,''0\)\~ $ 50.00
Signl~lt,Xe'Lill.n'ir..g'0~\)S S 'r-~'r-" $ 50.00
Lim~d'Eng.':;-~~lden',!" ",(\\). r/... $ 25.00 :15.=
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Limited.ED'e~/Cohunerc?S. $ 45.00
F ~\-l\V \)1'"
Minimum EleCigi:.~e~o<;'lt Inspection Fee ~ Surcharges
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4.[ SUBTOTALOFABOVE ." , '. ...1 :lL?S.(l(--,
7% State Surcharge ~ .:? &..
10% Administrative Fee 'i 5"b
5.., (,,$
TOTAL e-
$ 50.00
$ 69.00
Shared Drive(T:)IBuilding Forms/ElectricaJ Pennit Application 1~3.doc