HomeMy WebLinkAboutPermit Electrical 2011-3-7
Electrical Permit Application
225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+ FAX(541)726-36+S9
, DEPARTMENT USE ONLY
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Permit no.:
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Date: . -:; - r
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work 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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Taxlot:
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PROP,ERTY OWNER
Name:
Address:
City:
Phone:
E-mail: L i. Ct:J
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 479560(1).
Signing supervisor's license no.:.
Print name of signing supervisor:
Signature of signing supervisor:
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0/2. 97303
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440,2584,) (9108/COM)
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: cost,'
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134,00 $
Each additional 500 sq. ft. or portion $ $
thereof - 25.00
Limited energy (2) $ 32,00 $
Each manufactured home or modular $ $
dwelling service or feeder (2) 63,00
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, re/aeOlian
,
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 $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: serVice or feeder !lot included
Each pump or irrigation'circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63,00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
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(A) Enter subtotal of above' fees
(Minimum Permit Fee $58.00) $
(8) Entcr 12% surcharge (.12 x [AD $
(C) Technology Fee (5% of [AD $
TOTAL fees and surcharges (A through C): $
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