HomeMy WebLinkAboutPermit Electrical 2006-11-20
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L I\.~ INITIALS rJ M
~ ~', DATE ll-~O~O$O
'. "- SOURCE 1~pz.1 tJj
_' Date II PI)/litJ
3. 'COMPLETE FEE SCiiEDULE BEL'OW
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726--3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number Co WI. Z.OO b - 0 /1..{ 4 (
InstallatiolhtJlteratioD or Relocation
200 Amp/sr lICE' $ 50.00
20 I AmJl~//'s..0I:flrwr $ 69.00
401 AT;rB.lJiWffrm.[ SHA.LL $100.00
~ver 8~#~~l2f:&~OJF!tiefXB-If(etJJj.eJ.
D. _ Br~;"ch.cat.C19.lfy pOR IS.A.B:~~PERM/;tWOR/( .
New Alteration or EJ~~. per~fillVf.p/S NOr
One Circuit P4?3,oo
Each Additional Circuit or with
................ . I I I Service or Feeder Permit
Owners Name 1llW't!' (..-lA -t 1I\e-a. '
Address I ~ 5D '" b 1 (l...i A J )It E. ,;';~~i~~.e!!a'!;"~~sise~Yic~/feeder not included) -Each Installation'
- .-, . ~ ..
City ~oMA)l'tf'. wA PhoDe 51.{ I -7l./l.{ - g71.( '7 i>u~p or irrigation "'" '. $ 50.00
,- 'I SigO/Oulli;'" l!ightiDg' I,. ' \, "$ 50,00
" ./ -' IJ "1-, - I'.J" _ ' ',' r r "
OWNER INSTALLATION r 'Limited.\i.!;ergy/ResideDtiah. '_ $ 25,00
",n-h,.' t. _ r......... .} {....... t , . I}..
Limlted.EnergyZCommerc181.., ,.' $'45_00
~. ~ . II '_-:- '. r /'/ -t. . 0' ',' ; 1'1"
Minimum(Ele~tri.c P~rm!t,lnspecti~n.F~e is$45:9Q + Surcharges,
4. : SYBTOiAilift Afl~l!Ej ,~'<;; :":''':'1; '~'. L/ b
'-;-.;. Stat~ S~:Ch;~ge.' . Y':!;:/'i<<)~'[/'-'Olion-' . 3 '='8
10% Administrative Fee "&0
5% Technology Fee i ') 0
I S8
S-\:7-
1. . iOi:ATIONOFINSTAiiATioN:~'
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LEGAL DESCRIPTION:
/7031..$"21
JOB DESCRIPTION:
Add Z
c> 'Z- roo
ufUAlk
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
.... _..._......,.w~_.. ...... ,- ,....-.,..".'" ....~ ~.
2. (, CONTRACTOR INSTALI4.riON.ONL}::}
'.4_ ~~_.~ ..n,"_ __.....t.....:- '-<.J . _ ,_~___ .........-
{!, R~~~l ~ f'J"f'J4:..
//93
Electrical Contractor
Address
PD
I<. "'x,
971;1.1"
City ~ /lR)." l"..j (
PhoDe '<;(95' - ~~t,
Supervisor LiceDse Number . ,2 '77 () - S
Expiration Date
/0- CJ/- ~ 7
Constr. Contr, Number
/5'(lb'? '7
Expiration Date
<;- /s - /.:J'i?'
Signature of Supcrvising Electrician
4'(P'
e~
I
, .
I
The iDstallation is being made 00 property I OWD which
is not intended for sale, lease or rent.
Owners SigDature:
InspectioD Request: 726.3769
. r, "
A, New.Rcsidcntial'~ SiDgle or Multi-Family pcr,dwelli.ig unit.
. ..-. ~ .-. ....._.~..' ............. .._-~. -
Service IDcluded
1000 sq, ft. or less
Each additiomil 500 sq. ft, or
POrtiOD thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
$ 19.00
$50,00
~-_.,-~ --...----".- ---- ". ." ".~: -. "..-., ~'.
B. ..Services or Feeders - IDstallation.Afterritions or'Relocation:. ,
"., ..CO ....._.~ "G:",:'_; _,..._",', .. ...~._ ~ ._.. _h',.._~.=..._:'
200 Amps or less .
20 I Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50_00
__._.,-~, _---._ ~- ~1," ... '_.c;>"
C. 'TeniporaryServices or Fccdcrs
L"_'_." ,', ._:'.4~ .._........;.._.~. "t.' .
1/3
I
:5
$ 3,00
TOTAL
Shared Drive(T:)/Building ~onns/Eleclrical Pennit Application S.06.doc