HomeMy WebLinkAboutPermit Electrical 2003-5-12
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION \' err-..~ yOWYr
City .Tob Number [(yvt "ZOO; - 00360 Date 57/2-/0'"3
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3. COMPLETE FEE SCHEDULE BELOIV
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LOCA110N OF INSTALLA110N
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1.
LEGAL DESCRIPTION
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JOB DESCRIPTION
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A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
I t:-#ItIt P Pov'EfL
I 000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is ,
Suspended for 180 days.
$50.00
2.
CONTRACTOR INSTALLATION ONLY
B. Services or Feeders - Installation, Alterations or Relocation:
Electrical Contractor
City
Phone
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75,00
40 I Amps to 600 Amps O'J. \0 $125.00
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601 Amps to 1000~ps :{\ U\X it< $163.00,
Over 1000 ~W:'t9~~o e Se\ ~~'\ $375,00
R~~~<O~~~'J.\eS ~'\~ 9lj?; ~# 'O'j $ 50,00
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~~\O~ '\~ 0'(\ Crt- t\'~~'\ ':(\ cof)'\ . \'(\e \~o\\~\cfi. ,
\0 :\.\~\c~\'\ B'B.&\'h~~~~~\~~\~R5t~'l\ation
~v O~~:. 2~tnrn\~\~~\\.'l"\0'(\ r:b?;7-."!> 1 $ 50,00 '::> 0
\'(\ .... 0 neW" ('1'\ ~ (V~
~~9~' ~~\~~\P;.8{~~ 1o~#~<i\\ps $ 69.00
c,fi. <;;T\~t~n~\~ '6uo Amps $100.00
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Over 600 Ampsor 1000 Volts see "J?" above.
D. Branch Circuits
Address
Supe",i,o, Lic,,,,, Numb" ~~
Expiration Date (' D
V
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
OWNER INSTALLATION
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
- ""\ rf)'--'J d (( Service or Feeder Pemlit $ 3.00
Owners Name ~ e::-H- YIA. A- \Na\)~
Address I "3 S- '( .f 5 (l- .L S r E. ~1iscellaneous t~~~~~t~tuded) -Each Installation
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Phone 7/1 -/'5 7 J~r\\S 'P~f(i\~1 i~~~wn \\\\ ~\)a~t.\) to $ 50.00
'\ \j'\~~9~lDW~i~~f\ $ 50.00
~a\'-J~~~<cl~~~~ntial $ 25.00
~~'-lj~\l~~lergy/commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
$ 43.00
City
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The installation is being made on property I own which
is not intended for sale, lease or rent.
7% State Surcharge
10% Administrative Fee
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Owners Signature:
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4. SUBTOTAL OF ABOVE
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)IBuilding Fonlls/Electrical Penllit Application I-03.doc
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