HomeMy WebLinkAboutPermit Electrical 2006-6-13
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S4I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number .r.oVVl Z='c G. - 6072-'5:
I. I LOCATIONOFINSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. I CONTRAcrORINSTALLATIONONLY I
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3. I COMPLETE FEE SCHEDULE BELOW
A. I New Residential- Single or Multi-Family per dwelling unit.
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
$106.00
$19.00
$50.00
B. I Services Of Feeders -Installation, Alterations or Relocation:
200 Amps or less
. 201cAmpScto_4.o0 Amps
Address j..) 7 r84-I'~ Ii IUI,: 401;Amp~to,~00 Amps
'"'''' '_ , . ,I ,.. ~ '" 1/ 1 Ul...,. 60I.Amps.to 1000 Amps
City e t..{A-. -'- Phone C:J, 'lI:~~o]J,J, .2cOver 1000 AmpsIVolts
~ Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Sig:tu~S~PiiSing Electrician
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Owners Name V lD fE r '_;~v..~d~:-\ \~, "
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Address .s 7 ('7 (C.-d; (~("' ,r" t- E. Miscellaneous (Service/feeder not Included) -Each Installation
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Electrical Contractor
Supervisor License Number
Expiration Date
Constr. Contr. Number
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Expiration Date
City
Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
c. I Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. I.Branch Circuits
New. Alteration' or Extension Per Panel
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One Circuit \ c, . ,I; \'1
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Each Additional Circuit or with
Service~dr'Feed~r Pennit
$ 43.00
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential / $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4. I SUBTOTAL OF ABOVE
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:;60
'150
55~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive{T:)IBuilding FonnsIElectrical Pennit Application 1-03.doc