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HomeMy WebLinkAboutPermit Electrical 2006-3-8 .1+ct2- ~1()"JOo . , -SPRINaF.I~, L~ ~;,.';t,:t U . ,I ~ , ~, '~ . 225 FIFTH STREET. SPRINGFIELD,OR 97477 .' PH:(54I)726-3753 . FAX: (541)726-3689 ~~r~~in-'-.V1j ~~O':.:~:;'~';~~~~:b7> .. .....~".y~~.. '< I. LOCATI02X OFINS,)i!:AfLA:rION:;i:,,;,;{;~:::: 3, '~.cqMPLf:TE; fEE S.C.HEDf!LE, )lELOW,:", :." ILl S- . ;+-' ,,:>f' ""=tJ'7H" , . ...,. ....-, .., __""d'" ...', . " . , LEGAL DESCRIPTION 1703'3 )"J'z. 03200 r..'!'::q :'pi';"",'i;;~,,-~.;:II; ~d:"~"" ii')'" : ,;;,:.,"'l,,:r-n':).'-'~' , ,~ "'_:", :i~, ,,'," -": ;';~.:,,~. ~"" .,.".~ . ~ A. :~, 'l~{~~~:;R~~~d,~~~ial.::i!,S~~gl~p,~ ,'~.~ ~ltk~a.~i~~..p~r., ~~~'dlii1'g~ uni t : .. .j.,,-;,, < .".,,~,",,~,., ,~.. ;,<>, .'''' _, _,," .."....1' ""," '. ..-, .",." . ." .,." "",,,"..', . ,,.,_., '., _" . JOB DESCRIPTION S {;?vL i I2-C(,rLl.A~+r Service Included 1900 sq. ft. or less Each additional 500 sq, ft. or portion thereof $106.00 $ 19.00 I Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work Is Modular DwelliQg:Service or $50 00 Suspended for 180 days. FeederClUlle" ~ \)tiliW . \'10\'1 ,,,... "'leOO" .'" 2 CONrRACTOR lNsTAi1IATI()N"oNt~'I~:0~'~lBPi~~t:~~(~~fF~~~~1~r~;~fi;tit~ :;\li'e~~';i~'~~ lO~ ~R~io1c~tio~; ., ,'OJ', ....' .~: ',",'. "'<:..(.l.:/'_~,.u:,I;l~.I__"11Ls~I~J~"~_ t' \'(\d1e~~"':'d'1'':'~~~;~:I"'"'''''':''!~'.:l'!''1{,....'>:'~-:l.~l_'';-h'!''' ." 'c~ " ' Electncal Contr&~Ell8AOS, ElECTAIC'\:~~ ce\'lt~O\ 0 200~~s~~es;IUleS '0'1 I $ 63.00 b "5 W '1';VI'IIDOOX 691A 97'4'e'9-r. g,:,Z-Uv \-0'otal'2lilJ~Ps-t~ 4liO)~~~~(\ $ 75.00 o terv 0, !I'Ia'i'" ote. ,,,- t",e<1" Address ";1 74712712" _"n '<'AU e\'lte\.401'Amp~\lo 600 Amps $125.00 _ 'vv.....- \\le c 0(\ \.;~\ J 01\). Ca\\'\'I9 ."'e 01'601 !}mps>t6'.100UJ\mps $163.00 \01 I" "'()v-,)~- Phone ~,\!I'I'oel . \'Itet is 'Over 1000 AmpsNolts $375.00 v'" Reconnect Onl1: $ 50.00 City Supervisor License Number Y 1 ~ 15 /0/07 J~&L/L/l.; /D 7 401 Amps to 600 Amps $100.00 Expiration Date I 0 . Over 600 Amps or 1000 Volts see "B" above. SIgnature OfSUP'""'6'~ ~ D. ,",;ri" Cli<"".~~' ., :: .: . . . , '.' \\'\t)'t~. . \:)\ ,. .' ~ Vlku I ~1~~' ~ ~\\~\-~~~~~~~nsion Per Panel $ 43.00 . \V%T'\:.\\\'~ 1J\,\\)m'1~IjlJUk\~'rL:ircuit or with /' L I f11~~'?-\1.~.o.? w.:~orFeeder Permit IZ $ 3.00 > b Owners Name J-,v (:' \ \+7 t>.'U,\-'!'"!-~~W':~ ~ ~\()\). , " . . Address '2(<.{ \ (~..J..e...-., .lI.O't\1"~ ?~. .Miscella!,~o,:,s (Ser~icc/f~cder not included) -Each Installation City cu..G-6ve: Phone tl~~\t 1~D Pumpori~ga~on' $50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 ,.. "'~'-f!~,-..:t,""-";::'::~~~',':""'!\1~'" ....:,~'t>\"";.::.~"..': ;':";' 17': ilk"')' .:c"',, .;.;..' \"." . C. ;TeiIl'porary,Servicefor Fceders..~~t~;:'.;- .~:' '~;';i' .~ ..,~~ . ~_,,;-.!..,'. ~,~,.",', .:".....:"'. ~.',.i:,;. ~. -'." .,,:,.~ ~.' -; . -. Expiration Date Installation, Alteration or Relocation 200, Amps or less 201 Amps to 400 Amps . $ 50.00 $ 69.00 Canstr. Contr. Number OWNER INSTALLATION The installation is being made on property [ own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Inspection Request: 726-3769 . " .,..,...,.,,:......'.,.,..,'.,.,.., . C~ 4. "SUBTOTALOFABOVE: f 7 ~' $> . ~% State surc~~rg" .., , 7 9 Z ~ 10% Administrative Fee 9 rc:> ~ TOTAL //6 ~z. ~-' f:tj~' Sh",d Dnv<(T )IBmldmg FonnslE\'Cln,,1 Poemll Appll,,"oo ] .06 doc Owners Signature: . 225 Fifth Street ~pringtield, Oregon 97477 541-726-3759 Phone -.~,~' .~..,..; !. ~ ~ - . ~ of Springfield Official Receipt .elopment Services Department Public Works Department JOb/Journal Number COM2006-00275 COM2006-00275 COM2006-00275 COM2006-00275 COM2006-00275 COM2006-00275 COM2006-00275 COM2006-00275 Payments: TWe of Payment Check lih '( " nh 'i d'. '( 3/8/2006 RECEIPT #: 1200600000000000268 Date: 03/08/2006 Description Building Permit Exhaust Hoods Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By EHLERS CONSTR Rece; ved By djb I of I Item Total: t:beck Number AuUlOlizatjon Batch N umber Number How Received 36462 In Person Payment Total: 10:22:20AM Amoont Due 323.85 9.00 36.00 10,00 63.00 36.00 37.43 46,79 $562.07 Amount Paid $562,07 $562.07