HomeMy WebLinkAboutPermit Electrical 2004-7-26
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-~ ~ . ""~0~6"q,j,
ELECTRICAL PERMIT APPLICATION \I'~-:! ~ ".. ~ "0'1
City Job Num~fYld(JIJ4 - O()900 Date 7- d 0 - ;;>lJ1J<f "'",,,, '\. "C}~:~"-o1;
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LEGAL DESCRIPTION A., ~j'!~t@i1i~i:~~Xfi~l'fP~~il~i~.~t':~~@~ .
'[71J< :din L/-:J. 0/90 <f . Service Included
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 fo,r 180 days;
2.
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Electrical Contractor
Address m ~\( ?-R 21
Phone (of'jh-SI/fI-lj
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City Lv nO
Supervisor License Number
Expiration Date
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Constr. Contr. Number -1 t::i toJo I Q-
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Expiration Date
.Signature of Supervising Electrician
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Owners Name f!.~ c/!.../uz, C7.),r)'
Address ( /?:(. ~ j/ ~a.>6 Q4L;f:-
City ~tO
Phone
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OWNER INSTALLA nON
The installation is being made on Y'_Y" 'i I own which
is not intended for sale, lease or rent. '
Owners Signature:
Inspection Request: 726-3769
1000 sq.Ai:1'E~~s.ON: Or<1qon law reauires ;$106100
Each adffili8'l~~~"sqd'!,!9Bc.. UV t'1', Oregon Vtillty
portio~~tOO'l\..a.{tion Center. Jhoc.A rilles are :$,19tOOh
Each ~t!lliHo'k~ oQ01 0 through OAR 952-001-
Modu1&il9~e!l'llig Se;;vice':lifliri copies of the rules by .
Feeder ~ the center. (Note: the t\l'g~
B. i4~~N~W!_~ittm;,h:~~
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$ 63.00
S 75.00
S 125.00
S163.00
S375.00
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
0\~W.99~~psIVolts
Rc!C(lJddCt'GD.1y $ 50.00
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'f>"'~:llo;;'~W~JDl;~~t9.." t!:~ " , ~
. " MMl:'NCED O~ IS ABANDONED FOR
Instlinati9JJ, ~t~r~l!9!l~D~elocation
200 Amps or less S 50,00
201 Amps to 400 Amps S 69.00
401 Amps to 600 Amps S100.00
Over 600 Amps or 1000 Volts see "B" above.
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New Alteration or Extension Per Panel
One Circuit I
Each Additional Circuit or with I
Service or Feeder Permit
S 43.00
$ 3.00
4.5,o:J
3.aV
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E. ~~~$sl1~~s.:.(~~e:-m2sWJ~~!t\!l~~tpj:l~'!~~t:i.~~In;S}3~L~.~g:t!"~
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
S 50.00
S 50,00
S 25.00
S 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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1!S3.g'G
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drivc(T:)lBuild.ing FonnslElectricnJ Pennit Application l-Q3.doc