HomeMy WebLinkAboutPermit Electrical 2005-5-23
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PRRMIT APPLICATION
City Job Number ~~~ _ Date
I. LOCA710N OF INSTALlATION
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JOB DESCRIPTION I _.. O_
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Permits are non-tra fcrable and expire if work is
not started within J 80 days of issuance or if work is
Suspended for 180 days.
CONl"RACTOR INSTALLATION ONLY
Address
City
Expiration Date
Signa re of Supervising Electrician
OwnersNa~ r&rlt ~ODL~
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City hone 141'1.~go
OWNER INSTALLATION
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
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-I;'amily per dwelling unit.
Service Included
$106.00
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. Temporary Services or Feeders
N (jilS~@)~!ion, Alteration or Relocation
THifiofAifi'p'51l>Tla+.iALL EXPIRE IF Tj.j~ \^'f)f~Ro.oo
A~I[gfqiIiI@ 19IQ~~sTHIS PER~!IT '€ '!(j169.00
Cow.lvlf'i\ii}~'2l6BQI"i~PABANDON:~ F811 $100.00
AfI\'i)vtMo6JAlh~IDtU(l)QP. Volts see "B" above.
D. Branch Circuits
New Alteration or E,xtension Per Panq
One Circuit \
Each Additional Circuit or with - \
Service or Feeder Permit
$43.00 ~
$ 3.00 ~.
E. Miscellaneous (Ser\'ice/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 IV)
4. SUBTOTAL OF ABOVE 4.~ ~
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7% State Surcharge "1: L.t...
~::::ministrative Fee 'f:}~ViIi
Shared Drivc(T:)/Building FonnslElcctrical Pennit Application l.a3.doc