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HomeMy WebLinkAboutPermit Electrical 2003-8-13 :-l'l,"V 10110 \'(\0 -Vt00 ~~~ ",,~i> ~Qtv"~\c.' ,,,SS~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA-X: (541)726-3689 o,OIOc"o\ ,0<Yo D ~ 1 - ELECTRICAL PERMIT APPLICATION / 10\\0"'~~ 600s City Job Number L.olM 2003 -()07L/'7 Date '6/ 13~ 3 '\"~","~~:\ \,,~ . 1 t \00,0 1.0" I. LOCATION OF INSTALLA110N 3. COMPLETE FEE SCHEDULE ; Ot~\I)'o ':") \ I 0,,\0 0 ""~" '3/7D !::A- er 0,/. We-Od ",0<,...0 LEGAL DESCRIPTION 1 A. New Residential - Single or ~l~lti-FamiIY per dwelling unit. 170-~Z.Z 13. 17 '700 Service Included ^~. ,':~..."" ' ::Jl"~> CI::fY, OF S" ~GFIELD . OREGO'N':: '.:.,?' ': ' ., ~ ~' ,,-i , \, '~ ~ . ' . . "..J , .. JOB DESCRIPTION Z. L' rL0..A \ h. 1000 sq. ft. or less Each additional 500 sq. ft. or ponion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 Hf IAl+ ~ $ 19.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is. Suspended for 180 days. $50.00 CONTRACTOR INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocalion: 2. Electrical Contractor 200 Amps or less 201 Amps to 400 Amps 401 AmpS~<llO@;mps ~O '~~i . 601 ~ps'l!f~!.'\! mps ~@~~d,0ll~ ~"sffblts \'?Jo~ ~~m;e6rOnl)?- 0'" \. o~ "" ~0'" . ~<?-'" ~I>~ 0 ,Il . O~0CfJ 0 'Oi ,0 ~>S ....0 . ."(\0 ....O~. (\ Supervisor License Number +'U..... ~,_~\0 -<,'f<<G~ ;E~p~pr~~!~'!~or Feeders f'!- _<<-.,,0 '?Joo" e~' ,,'S'~o ",e'" 0\0 ~'\'V I ",~,,~ "'~ ~ ~" ~(\'" . ,,<,, ...\0. , nV' ,0.~. (J.'" lJ0 J:l\;) \~lnsta!!atlo~jA1tc;ri'hon or Relocahon ~. ,... ,. ~\ ....\0' ,~o ,~~ "n,Di 'O~o, G'?Jo~O ~<;:j .-I 0'" e~200 6\..nP~'l!'''!SS .,,;$:-~ <;AC!J'fJ .~0' G0~'1cf.O~&J!!Pit0400Amps '''': ~ or;.,,~ u:-. ~0 ~0 . ;1,6J'~mps to 600 Amps , OC!J\J ~'O \O~ ~ ~ '" v":~ 'f:J~~ v0~\0 Over 600 Amps or 1000 Volts see UBU above. ~I>~ D. Branch Circuits New Alteration or Extension Per ~~IlI~~, One Circuit ~ ,'?I \$ 'r $ 43.00 y::,> Each Additional Circui.l~~1t,\,\lI':\ ~~~ :3 Service or Feede~~rlnn ~c;, ~ ~5' " $ 3.00 !(;. i\ c;,~ &.'\' ,'?I ~'V'\S .\)'(\'\~~~'hi~e{;?;~~eder not included) -E.ch Installatiou ~:\c;, '? a,,\1..~ ~'\' R)'V' 'I'~~~~~'?'t.,\,\l $ 50.00 ~~i@~~~\)t;,)~ting $ 50.00 Li'i-~~ergYlReSidential $ 25.00 . Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges . $ 63.00 $ 75.00 $125,00 $163,00 $375,00 $ 50.00 Address City Phone Expiration Date $ 50.00 $ 69.00 $100.00 Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name \2,4 P l.. Ace ( 1M C7V G- Address s/70' \2,A.l,<LlNo.o.d , '3yFQ. Phone 77[,"03'11( City OWNER INSTALLATION The installation is being made on propeny I own which is not intended for sale, lease or rent. (~8~ Inspection Request: 726-3(/ Yb .:sz.'Z. t.;6U S3 SZ 4, SUBTOTAL OF ABOVE 7% State Surcharge 10% Administrative Fee t f Shared Drive(T:)/Building Fonns/Ek'Ctrical Pcmlil Application 1-03.doc TOTAL