HomeMy WebLinkAboutPermit Electrical 2007-1-1
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INITIALS
DATE
SOURCE
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT A PPUCA TT()N
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City Job Number
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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] 80 days of issuance or if work is
S'uspended for ]80 days.
2.
Electrical Contractor
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'City h\ '()CL(<;'.J
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Phone C~\'4 \\ Q2/,,:;,>t.I2.C,b
Supervisor License Number
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Expiration Date
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Constr. ContI'. Number L~q'l '3'/
Expirat,ion Date " !~) " 0 'ii
Signature of Supervising Electrician
Owners Name P "~A:)"C c'.. HI:" (1 il'r'l
Address 3~ 3~ (:lCLCf\.Q,Fc:.u((n 1?.6,
City >)t,'i ",("9\1: 'e.~d Phone (S'-il~ 'lSir'" ']), '1<";;
OWNER INSTALLA TJON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769 '
Date
3. ,,',Cf!)~fPLEi:E,FEEyS(WEDu12E>IiELOW
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A. ~iiN~'~~"!3~~l4~nt!'~!1~.Sin~l~f~f~,~~i!I,J,ti4~~',~hy ;I)~'r"a~vclii~;~ U'llf:':jj;.',
Service Included
] 000 sq, ft. or less
Each additional 500 sq, 'ft, or
portion thereof .
Each Manufad'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55,00
B.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
~4 ('.::}' $ 70,00 'I 'i3()
(. .J ~ t...
~.3~' $ 83.00 3tS"'1
"j $138,00 2.'1(,;."
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..;~) $180.00 5LJO
2.. $413.00 ii 2.. (c.' .,'
$ 55,00
c.
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Ainps
40 I Amps to 600 Amps
Over 600 or 1000 Volls see "B" above.
$ 55.00
$ 76,00.
$ J 10.00
I \Q'
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit i S"'[
L\';6' .0'
$ 48.0.0
$ 4,00
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E.
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
$ 55,00
$ 55,00.
Cf' ')0 Af\
J> ~o,uu
Limited Energy/Commercial Lj $ 50.0.0. LOCi "
Mini~~U1~~.I;~tricP~rmit Inspection Fee is $50.00 + Surcharges
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~:...,: .6::=>':10:::,:.~' '.':;,~,;.:.l< .': ','. :,~~ .'.~';f\:',
8% State Surcharge
10.% Administrative Fee
5'X, Technology Fee
1.5 /,P!u..n \l.e.'~\(,",J v(l.
1) y (3;(.
(,1 Y >cc
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TOTAL .:~ 1'2., '-/"79 .S(-,
Shared Drive(T:)/Bllilding FOl"lnsl[lectrical Permit ^pplicalion 7.07,doc