HomeMy WebLinkAboutPermit Electrical 2006-9-8
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COMPLETE FEE SCHEDULE BELOW
~:.~"'CIrY OF SPRl1\. )fEED; OREGON
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ( OW" ~o <'c:. - 0 I \ b (
1. LOCATION OF INSTALLATION:
I)' g 12~~I'~1
LEGAL DESCRIPTION:
1703"2)'2 Z
Date
3,
o <7]"00
A, New Residential- Single or Multi-Family per dwelling unil,
CONTRACTOR INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation:
2, 'les'1ou 'u
\_" -;? /. r./. _I. - ,,,VI te~UI " 0\\11\'1
Electrical Contractor <. ~OJ... /)~Y\C- v ..c;,.l,e~~n('200.Fmjisor less \0[\\'\
, P. '1'\\::1'1 ",:::; "-dop\ed b'!zO ;1~pSfg. 4"6d.Amps
,.;' ..-- II ~........p ~ 1\'\0"'" ~R 'l::>"'~'
Address 1--,2.."> f/Ji un "o\\Ct) 1:._ r.8n\et. \\i40IjAmps to 600'Arrips'
,C<,",W' OO~O IV ~ \ \\'18 'u,v-
\'lotI I ~ Q""'OO~' '" 601liAmSs to 1000-A:mps
\:2;11;::/ ~~Mlll1Jo\al" v " . ,',c> \e\u\" " .
Phone ..":.J::t:;:;:'i,(J\ '/.!1'D~' I \Over..IOOO AmpslYolts"
uu~v;\ n9 \\'Ie -cenl~ 'e~ecbiiRe\jlr~JY
ca, \'8t lor t\'le IS ~ ,BOO.332,2 ...~,'
cf73C/X"'5 cenlel C. Temporary Services or Feeders
(.hut~5 6Dvdon
'P..A Y\.A ~l; "1 " E. Miscellaneous (Serviee/feeder not included) -Each 1nstallalion
~. ~~~ I
Phone,4lP ~~3.' pump\oLiriigalio\r ."" \'0 ~Cli $ 50.00
- - .' 'G. ,I\. c.'" on?,,,,,,
~Q' \\s t.~t-J\\\ ~SignlO~t1i~\\%.,glitiI).gD I'Ot\ $ 50.00
OWNER INST ALLA nON W:~ ~ OWlt.\) ~MRt ~~rgyfu~i;\aential $ 25.00
The installation is being made on property I own vt1\ic~ t-J\t.~c.t.~Li;;\h$-1~E.!>!'rgy/commercial $ 45.00
is not intended for sale, lease or rent ,c.~ '\ \l'ji\J.iili'u;;.ttleetric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature: 4. SUBTOTAL OF ABOVE L/ '7
" 8% State Surcharge :3 p Z.
10% Administrative Fee I( 'PO
5% Technology Fee ';c. 't }
JOB DESCRIPTION: '
tlfftf- -;ft.{~P If!, I-lflY'J
Permits are non.transfJable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
City ,~
Supervisor License Number
Expiration Date
/0 - 0'8
Constr. Contr. Number /S-fo 7(P{
Expiration Date
10,6?
'nature ~::llectrician
........
Own rs Name
Address 1S:q Y
City ~/J
~~ 0 ~- :2\ '"l.()bl
Inspection Request: 726-3769
c
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D, . Branch Circuits
New Alteration or Extension Per Panel
One Circuit {
Each Additional Circuit or with ...,
Service or Feeder Pennit &
TOTAL
$106.00
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
$ 43.00
tI-?-
~-
$ 3.00
Shared Drive(T:VBuilding Forms/Electrical Permit Application S-Q6.doc
60 z.2