HomeMy WebLinkAboutPermit Electrical 2005-6-17
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689,,~~, ~ -~ .
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City Job Number ~ . f:). Datll,o\\O ",<,0 ./,
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1. I L~TIONOFINSTALLATION 3, I COMPLErEFEEse.U;iDm'EB~~
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LEfiJt~~~IPTION /) f"'C\ A. I New Residential- Singh?or ~lJll\i-Family per dwelling unit.
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e and eXPirE ~ork is
CITY OF SI'RINGFIELD, OREGON "
JI Installation, Alteration or Relocation
fo./T,' ;ENTI0N209rAr<:1P.S Qr less
OW rUle ~:,j"JfI'a'" "" ~
Ainu , S &20J~1i."psto 40~Amplls you to $ 69.00
, ..~~tlon C " OV th." G:\
'J Ot,R n 'J e40Jr.A'l'.%ll' 600 Aflip~::m Utility $100.00
".. ,,5_.001 'In. ' e rulel' a-~
" ",: I r, Over. 600;Awg~I?8~~0 'Y'6tl/lllOlti'B" above.
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'. D;, 'BrailclrGirC)lits t' . 1-
",.. .1:" 'f\.I()tt:', .1... ,.'n::; IUles h.v
" It> New AlterationiorLExtension l'~r pane\
,- '~10n " . , . ...../Jllune
r One;-Circu,i~ t,IIty Notifieat,' $ 43.00
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ac f'\ ItlOna ~~l~CUlt or wlm
Service or Feeder P/rinit
Permits are non-transfe
not started within 180 da of issuance or if work is
Suspended for 180 days,
2. I CONTRACI'OR INSTALLATION ONLY I
Electrical Contractor ~ ') ~-y l ~ \/YIC,
Address 'P ,0. ~~)C.;)"5O-\
City GU.~ Phonel~'tu.-Slj41
Supervisor License Number
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Expiration Date to} 0 \ I () 1
Constr. Contr. Number ~ S( 0 ( 01)(1
Expiration Date
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Signature of Supervising Electrician
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The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners,Sign~ture:
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Inspection Request:, 726-3769' ," , ., U
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1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. I Services or Feeders -Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpslVolts
Reconnect On Iy
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. I Temporary Services or Feeders
$ 50,00
I
16,rfJ.
~O'
$ 3.00
E, I Miscellaneous (Service/feeder not included) -Each Installation!
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4.1 SUBTOTAL OF ABOVE
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding Forms/Electrical Permit Applicntion (-03.doc