HomeMy WebLinkAboutPermit Electrical 2006-1-1
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PE1h'fll'A~~"ATION
City Job Number \.:A"O I !:}lJ=.) Date
Service Included
J~ESCRJ 'TI)N M ~ P ~ 1000 sq. ft. or less
tJ./' Q ~additional500 sq. ft, or
,'vJ .~ ' r1 . thereof
Permits are non-trans able and expire if work is Each anufact'd Home or
not started within 180 ays ofissuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
1.
~\~rN\\~~€r\\eNl ~( 3.
LEGAL DESCR~nJ
2.
CONTRACTOR INSTAUA'l'lON ONU'
Electrical Contractor lLLvrl-c []e.driG
Address 3LfS31 +lw~ 5'8
CityE~ Phone 1-~ha,S4
Supervisor License Number 3Y q.;/, S
Expiration Date IDIDII;ZOOl-
Constr. Contr. Number gL!c, '=1'1
Expiration Date -:t11L/ 12fX)(o
COl\'ll'LETT{ FBE SCIfI?DULfi: HliLOW
A. l\"cw H.t'sidcntinl- Single or Multi~Fnmil}' Pl'r rlwclling unit.
$106,00
$ 19.00
$50.00
B. Scrvici.'s or ft.'cdcrs -Inshlllatioll, Altcrntinns 01' Rclocution:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
b)
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50,00
C. TempnraQ' Sl.'rviccs or Feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100,00
Over 600 Amps or 1000 Volts see "B" above,
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit ~ $ 43.00
C": ~ch Additional Circuit or with J ( .,
0nnAat fl<:1ce or Feeder Permit '-1 $ 3,00 /i-
~ 'E. Miscellant'ous (Sen'ict'/fct'dcr nut included) -Each Installation
11.~ . ~ 153-ump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
City _
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OWNER INSTALLAT
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
$ 50.00
$ 50,00
$ 25.00
$ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1"\1')
4. SUBTOTAl,OJlA80VE f'\ ~,I)../
lCV
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_fhro. ':)[)
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-06.doc