HomeMy WebLinkAboutPermit Electrical 2004-2-26
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CITY OF S. lNGFIELD, OREGON -
225 FOOD STREET. SPRINGFIELD, OR 97477 . PD:(541)726-3753 · FAX: (541~I116l66ll1ll projecl as submitted hes the following
ELECl'RlCAL PERMIT APPliCATION ~~~~~~a~nd does not require specific land use
City lob Number CtJM:. 'l. CO 4- ~ ro'Z.. -z: 4- Date 0 'Z..r D~ ~ 0 it- Zoning ~ fl-
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LEGAL DESCRIPTION
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lOB DESCRIPTION
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Permits are non-trans rab~e and expire If work Is
not started within 180 days of Issuance or if work Is
Suspended for 180 days.
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Electrical Contractor Art" Ek d r /c:Tnc
Address ~S'Jf.-=<,
~J- 19 -SocdA
Phone ?~/-O'/rt/
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City~.e..
Supervisor License Number if!. ~ J' S
ExpirationDate /~/Ol/~OO<(
Conslr. Conlr. Number d2 0 - {lo3(' ,
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Expiration Date / b - / - 0"; \,Y ~_ ~'V"\
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Signature of Supervising Electrician ~Y" ~ ~$- \'V'(.
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Owners Name~~~ ;/If~~Iffllft~'
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Address ~~ ,,,,x-~ ('>.~
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OWNER INSTALLATION
The installation is being made on ........;J I own which
is not intended for sale, lease or rent
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Service Included
I 000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular DweIling Service or
F ceder
$106.00
$19.00
$50.00
B. f,,'s.~~~~?ii~~~~~~~~~)I_~'~~'f4: ;Ui~t~~~jt~.:~: ~~I:~~t~rE.:""1
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200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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InstaUation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps .,$100.00
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Over 600 Amps or 1000 Volts see "B".lIliov_e.)~ '0'
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New Alteration or Ext~n'?perj>~~, ~<(o. ~.s.0 ~0
One Circuit ~0<:$ 0 'Q~ ro0 ~ ~'(\ 0 . 'Si4~ .,0(Co
Each Additional ~t$~t/i\O ~O\)"'!"I;, v ~~0 ..Ii:."'"' q 0 0
ServiceorFJt>eni t 0~' .a-iS' C'<o,,,,0li.~w / ~
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Pumportm~~-l.o "$'0 "$'0" $50.OQ
Sign/OutIin~~~'~ ~'O~ ,/ $ 50.00
Limited Ene~tR~rfu.r' $ 25.0?
Limited Energy/CS'mmercial $ 45.00
Minimum Electric Permit Inspection Fee Is 545.00 + Surcharges
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7% State Surcharge Ii .::...t-
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Owners Signature: