HomeMy WebLinkAboutPermit Electrical 2000-10-4
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225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECIJUCAL PERMIT APPLICATION
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rhe \5l\owing project as submitted h~.s the following.
:~o'lIn9, and does not require specific land use
approllal, ,re.-..
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';"lir"lonzed Signature
3. COMPLETE FEE. SCHEDULE, BELOY
225 FIFTH STREET
SPRINGFIELD., OREGON
INSPECTION REQUEST:
OFFICE: 726~3759
97477
, 726,...3'769
1. LOCATION OF INSTALLATION
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~G4L DESCRIPTION .(::::> 9-3.c:rc:>
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JOB DESCRIPTION
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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 for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical
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Address
Ci ty
Supervisor License
Expiration Date
ConstrContr.
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upervising Electrician
ExpirationDa
Signature of
Owners Name
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City'Jt.''''71'',an Phone 'r ff-?, .....iG
o INSTALLATION
Address
The installation is being made on
property I own which is not intended
for sale, lease or rent:
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,IPT #: --:s:J 2.'2- . .
EIVED BY: i:.:)f <:
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
B. Services or Feeda~~ ~
Ins talla t ion , {iftera t ions
or Relocation:
200 amps or less / $ 50.00 29
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D.
Branch Circuits
New, Alteration or Extension Per Panel
Items Cas t
Sum
$ 85.00
$ 15.00
$40.00
$ 40.00
$ 55.00
'$ 80.00
volts see '"B" above
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit . $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00....
$ 40. O~ t;"' ::;!
$ 20.0~DD
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$ 36.0 ITI to
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