HomeMy WebLinkAboutPermit Electrical 2002-6-15
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~
ELECTRIC1L PERMIT APPliCATION
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3. r.CoMPiriE FEE SCHEDULE BELOW
I. LOCATION OF INSTALLATION
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~lGAL D~CRIPTION
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JOB DESCRIPTIO~
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Permits are Don-transferable and expire if work is
not started within 180 days of issuance or If work is
Suspended for 180 days.
2. ,CONTRACTORINSTALLATIONONLY'
Address
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City
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Expiration Date
Signature of Supervising Electrician
Owners Name J9I'LflM Dllnk,.,
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Address '32'il4 E', ""L,.,...( Dr
City <;\orlf~{,e.U Phone (082,-/552
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OVVNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
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Inspection Request: 726-3769
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A. , New Residential- Single or Multi-Family per dweliing unit.
Service Included
1000 sq, ft. or less $106,00
Each additional 500 sq. ft. or . ~Pn to
portion thereofTION: Oregon law reqUITes :'UtnRll
ATII::I'l t d by the ur"'\JV'" Y
Eac;J!W9filll1ldEH~Q@ e les are set forth
Mo ar: Ow~ll!\1ll ~bl:rorThose rUllll1
Fre~ fnOb,i~,R' 952:00, 1~, Ot~~nt~~p,';~: ~~~e~f~b;_ _ -- --1
B. : se6<<'&9o)!CWeIl1~ -;-ntlsla~llfil\'!d1mrtol~location:
ca1\\ng the cen e Utility Notification
200 AI1"Q1IDll!IiIJj;l for the.Ore~g~ e~2 ?~~4)93,OO
201 Amps to 40woop~r IS 1. $ 75.00
401 Amps to 600 Amps $125,00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsIVolts $375.00
Reconnect Only $ 50.00
c. : Temporary Services or Feed!rs
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Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 :'-.~S!9.~P Amps -- \f 1,,~'\'l6lk!,
401 ~ltwOo~~\'\r>.lL E)l,:~'l'\" ~~Ol
~er6b\l~IR\'le~QlN@&1k1 '" nw ~OR .
D. , Br.h.W I ",,-"'cO OR \5 I\B'"
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New A t"~tiya~~eIUi~h'e",panel
One Ci U1t \ $ 43,00
Each Additional Circuit or with \
Service or F ceder Pennit
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$ 3.00
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E. :Mi;cellaneous-(Se~icelr~eder not i~cl~d~) -Each Ins;allation I
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Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50,00
$ 25,00
$ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBWTAL OF ABOVE
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8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:YBuilding FonnsIElectrical Permit Application 1.()6.doc