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HomeMy WebLinkAboutPermit Electrical 2005-7-29 \~~ o ~~=t.. n ; t2 I" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 lk ~\ .'1' .'; ~~~~~~~~~~ ,. cD.~_.:_21"~~\'-. 1. ...L'OCATIONOFINSTALLATION. .' '.. 3. "'COMPLETEFEE.c;dif/J>vlJLE LO ,I C>j;5~'-"'- / . l~'.""':s-F~~dr~ L-'-_".'. ---~~~~~~~-1-0<><' -- .;,~7--- -----..-, --- q 0& "P v---- 1', ! " :"'C.'r'" ....~....-. ., ..~-...., .' I 17~3E2,i{(N I S~C> 0 A'~;::~e::::::::aI7~i~~~~~:;oJ~g~~i!tP~~~e~lin~~nil. J I" JOB DESCRIPTION J1 1000 sq. ft. or less A I ..A. ,,"v' +- Each additional 500 sq. ft. or C b ~ - 5:0" C ( (L(.J..A.. -; portion thereof - ~;:~:o~,!f"~' \ .....,'CIIY Of S~hNGFIELD':'OREGbN. ',' }l'l'" - ,:' ~l.., .T , . '"'.~', _ , . Si . , '" .' Y\. C. , Temporary Se~vices 9r,Feede;';-' -"- ,-~- , ":'\:' _""'(<~ W "(\-It INU,~~ ':\ \~ ~ .~.. "~ Su' \..\"InstallatioIl"A1teration or Relocation , ..~,f. 1 \\t"\ IS t'tt\\\Hl\ ,- "(\'\1';) \'(.~:I"~D' IjN\)t\20O\m"~lofiles~OR '-'0,,\ (. "l~Nuu"'-~ fi-Ij'\ \I "~CD DR 1'3201 Amps to 400 Amps COl'l,\,\(.IW~,~ ptRlt;!i}[. Amps to 600 Amps f'..N'< \BCl D.... Over 600 Amps or 1000 Volts see "B" above. rR.:--'---'-'--- -. -------,--~ D. 1 Bra~chCircuits ___.~__ ~~.__; New Alteration or Extension Per Panel / One Circuit $ 43.00 l( J' Each Additional Circuit or with Service or Feeder Permit , Permits are non-transferable and expire if work is /' not started within 180 days of issuall$~QI:liV\vork is Suspended for 180 days. . leo.u\1 0(1 \)\I\\~~ lCONrM~~~: 2. ~~I\B ~oo";' \no'~o~\\O~ IU\e'S"O'I.J Elclthical m)~ot.el. .J'l ,nloug ~ n\ \ne .-,",0(10 \0\10" \10(1 '\-()Il'': CO?,V- e\e1o\-'. r'o" d'~\I\IC~ 9":J~'()() O'O\~I(I ~IO\e'. ~ ~O\I\I~ A ~p..~ ~,,'l " l\' . ,,"'II\'{ ....l.' \(1 ,,'10" . cell'~ ,,0" - ".Z7~'1 ()()9v' \ne Ole", ~~.. City C~\\I(I~, \01 \n~ Ie, \ Ph~ne (lUl"" (,e(l\"" Expiration Date Signatu of Supervising Electrician r..-> . ~ '~\ Il ~ 1l Owners Name .,,....\\\ 'ff (~ u)O- ('Address _/7 c~ t1. 0 '~..,.... S 9ty .5fh~~/j) (Phone 711l- 17-L)r OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. . Owners Signatur~ ~~ ,--) "" a ~-;- c....." ~ ty ./ Inspec~ Request: 726-3769 $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. I.S.~rvicesor Fe~d~rs'- In;t~lIatio!" 'Alter~tions or !~I~~~~-: .-: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50,00 $ 50.00 $ 69.00 $100,00 $ 3.00 -.-------'1 E. ! Miscellaneous (Seryice/feeder not included) -Each InstallatiOl'J Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fe~ Surcharges 4. ~lJBtq.iAL OFAlJOVE. - . ,--l 'I S L. __c__ _~-- --' 7% State Surcharge 3' :>- u ,-0 10% Administrative Fee " > 5 E,) z- TOTAL Shared Drive(T:YBuilding FonnsJElectriClll Pennit Applica.tion 1"()3.doc