HomeMy WebLinkAboutPermit Electrical 2010-11-8
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Electrical Permit Application
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225 Fifth StreettSpringlield, OR 97477+PH(541)726-375HFAX(541)726-3689
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Permit no.: $/0 -0 c k. 80
Date: / (- &'-/ 0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire ifwork is not started within 180
days of issuance or if work is suspended for 180 days.
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Name:
Address:
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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Business name: J{ LA.{
Address:
City:
Phone:
E-mail:
CCB license no.: ;;
440-2584-J (9/08/COM)
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof .
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2) Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation. alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$
b. Fee for branch circuits without purchasciof a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not induded
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited~energy panel,
illteratian, or.~ sion (2)
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(A) EntenubtOtal,\OfabIWO'2e.J" t'\
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(Minimuin Permit Fee.SS8!OIl)iO .
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(B) Enter 12% surcharge (.12 x [A])
(C) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through C):
$ 63.00
$ 63.00
$
$