HomeMy WebLinkAboutPermit Electrical 2010-8-24
From:Reynolds Electric Inc. To:5417263676
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Electrical Permit Application
CITY OF SPRINGFIELD, OREGON' . :.
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225 Fifth Street.SprlngfieJd, OR 97471+ PH(541)726-375,:h FAX(541}726-J689
08/24/2010 14:26
#290 P.001/00l
Date:
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire llwork is not started within 180
days of issuance or if work is suspended for 180 days.
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Zoning approval verified? 0 Yes 0 No
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.wesidential 0 Government 0 Corrimercial
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Refere Taxlot.:
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City;
Phone:
E~mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
, Signature:
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Address:
City:
Phone:
E-mail:
Signing supervisor's license no.: 5t.f 0 If 5
Print name of signing supervisor:
Signature of signing supervisor:
440-2584-1 (9108/COM)
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Residential, per unit, service included:
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
$134.00 $
S 25.00 $
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$ 32.00
1
$ 63.00
1
Servkes at" feedus~ inslallation. alteralion. relocation
200 amps or less (2) I 81.00 I
20110400 amps (2) I 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1.000 amps (2) $205.00 $
Over 1,000 amps or volts (2) 1.69.00 $
Reconnect only (2) $ 63.00 $
Temporary services or fceden: installation. alteration. relocation
200 amps or Jess (2)
201 to 400 amps (2)
40] to 600 amps (2)
S 63.00 $
$ 87.00 I
$126.00 S
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new. alteration, extension per panel
8. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
J $ 55,00
).- $ 8.00
S 5'
$ I)..
Miscellaneous fees: service or feeder not included
$ 63.00
$ 63.00
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signa] circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (I)
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(A) Enter subtotal of above fees
(Minimum Permit Fee S58.00)
(B) Enter 12% surcharge (.12;1t [An
(C) Technology Fee (5% of[AD
TOTAL fees and surcharges (A through C):
$
$
$ 63.00
I
$58.00
$