HomeMy WebLinkAboutPermit Electrical 2002-1-30
225 1'11' 1 tI STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits arc non-transferable and expire
if work is not started within 180 'i1<\\'s
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of issuance or if work is suspended for' J, ~
180 days,
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2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
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City
Phone
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Supervisor License Number I
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Expiration Date
Constr Contr, Number
Expiration Date
Signaturc of Supervising Electrician
Owners Name
Address
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Phone
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owncrs Sionature: //7
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ELE... ,JCAL PERt\1IT APPLICATION
City Job Number (; Z c:' c
3. COMPLETE FEE SCHEDULE BELOW
B. Serviccs or Feeders
Installation, Alterations or
Relocation:
200 amps or less... ...,
20 I amps to40Q,amps
401 amps t06(j()amp~
GO 1 amps tp 100Q atnps
Over 1000amps;'volts
. Reconnect Only
C, TClIll)qrllry Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
D. Branch Circuits
New Alteration or
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E. Misc'e("" (Service/feeder not included)
-~ch installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
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Items Cost
Sum
A. New Rcsidential-Single or
Mult,i-l)'amily per dwelling unit.
<N.\illi"\\'W I
'. .' 5 tile ~r\'~ce Inc uded:
"', U ?S'C \..) _ "\<10 ila, \ nO \)R"
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)'O\e'-" ~ ,n(LIiIP. 50~
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,~2 ,0' 3,(1\' ,..08, i..... 1000' sci.fi, or less
, Each..adctlfional 500
sq, ~grp(}Fhon
tlrcYeof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
$ 19,00
$ 50,00
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
$50,00
$69,00
$100.00
$43,00
$ 3,00
$50.00
$50,00
$25,00
$-1-5.00
Minimum Electdc Permit InsJlection Fee is 5-1-5.00 + Surcharges
-1-. SUBTOTAL OF ABOVE
7% Statc Surchargc
8% Administrativc Fce
TOTAL
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