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HomeMy WebLinkAboutPermit Electrical 2001-11-16 (2) f.A/~ ifj:6!20cJl ,~ /J'""~~ t. ::225 FIE1'HSTREET ;;', ,: , ;>,'::0J-i~-";:' "j. ,I,'h, EI:E~:AL,::~T APP~~TION' '~ ~ ';SPRrflGr:IELq', dREboN97~~~~(~:::dglJ~~&~'t~~~~i'!i~I~~~I~~~';.g>; '. ,..., .,' .;, d/795' 2. d /.'- \, , .\ : INSPECTION REQutSl, 7~~I': i II.ll';:'--: ,1 ';City Joh ~illl)ber 0/'-0 ".' ' " ',. ",.,.\~,<2.~FICE !?6-~7S9, I', :,.1 ZOni~gl:("J..vl; .1. I. ".". .' r::> ,; r "(",: i ',:: '. ! r.' .' il' '. I" '1jJ,\(D{ 01 8-;C9MPLETE FEE SCHEDULE BELOW \.,:.! Ul LOC~TWN.!lF~~ST~~1'1I1UN 'y:- /1111'1 / .1',: :',... ": ' - - q q ~ S A <;; ~ AutMti~ed s,ghalure t>~':"'N-e'" Rem~eRh'll ~mgle or- . _. ." , -.-- ..-, '--' S r r.. ~CI C, H. Q.. 'I'hi -. '"? Multi-Family per dwelling unit. ' LEGAL DESCRIPTION Sen'ice Included: , '7 0 ~ ") 5'06 00106 Items Cost Sum J'. ~, 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders " . :" ", .', Installation, Alterations .o~ Electrical'60~t~acto~:g +- n t.: [de, Relocation: /:,,';./. ..to);;:"(;:;';~' ),~~)I ,.~ /.:1l~1, . /. ~I,,.~, Address clfJ>e;,} a~ k .$ ~ /,/.: ':'~ '>^l 200 amps or le~~'" .' ",\ / .' ;.. Ie, 201 amps to 409 'amps" '. City I~... ~e.J..... PJlOne '5.<:>:>./- r'<3':,,<S'''<r.iF ~ 401 amps to,~OO amps....,. . . ,'.\ \, , // . ,.' " ," :1''.601 amps ttiooo amps" Supervisor Licensc'Number /'''7":i( .s: ." .".,'," cNer.lOOOaIl1ps!volts' , , { t .,. . ~' , ' "., / ,- ' l '. t;>, <',< ".\:",',,,:',/,:<< ~s<2> ,:"')"" .,>:,':'\i - .Reconne.ctOnlY ,:<,'~. Expiration' Date ':~):;!J I J" le.~f,':.;; :. "; '., ;:::'~:;~~;;;~;:, ';' ;:: \ ,; .,:;>:;, <<;~~:\;,r;,)',: <,I)~::.,,~::~::>j:' ,r/ . ;", " , """.:;,',.' I ,c.TcmjlOrat.v Semces,or FeederS L.Co';stri:,~n\f,Nmnber ~ q -(;2./ [,'i' ..f"Instailatio~, Alteration or Relocaii~n-' __ ,"..;'", . < ,pi ," .,,>'-_'~, _,,' . ;',' - .:..~-.~~.'. ". ,,;,~. ,',J,,:, .',.,,'~:,","! .. ,; , , ''-.....Expiration Date I ('7.d ''''''7 .', 200amps'or less '. '-. . "--_~~~>, 'iOLaippsto'400a,Irip(.,. '"'~,' . :.: "",':."';' Signature of Supervising Electrician .....'"--'I...;Over 401 10,600 amps." ,..,.' ' . , _," ,.__.~, ",,_,,'~, ", """r'_i- Over'iiOO'ampsor 1000:volts see;', .' " . :' ~J!ffdjlr~' "B" ab?~ -~<~:"c<." "" _,. H, ,',: ~ ,. ..,~!, ,.'~,-..l/' D. Branch Circuits i ',,' .O":nersN"-~~,T2 H ,jJf\~u~,Cr~ Ne;,~1H~r~;r ort~tsion P::;~}~~l., Ad~'r~~;Q6:,' (: df. "i'"';';kso One'Circuit"i' f.,' L ;...., . $43.'00 .', ':Ci~Y' . ~~ ,;. i' ;~:n~";:': ~f~( - 7 ((3 i~~%d~;ii~~~!{;r~uit or withS~n'i~;'~:);:' ?L{:;' '. 'C'l,:; <., ! b :.,,/.:,' 6r<Feede'r:Peririit~,' 'i~',,<", \:2.:.',"'$3,O~ ",~' OWNERINSTAI;LATION ,.' :.;!' ',.::::"J.;;{;' .r;;' ~>', ~:.: The installation is.being macteon',' E. Miscellaneous (Service/feeder not included) _ ',~ " . property I o,vn \vhich is not intended r '-Each insEiiIati~h:.' \', '. '. 1. I" '" ", """ .. , ...' 'I,' \-'$' , ;:' for'snie,. -ieas'e oi i~i1t':': ". ' l~ ~l~mp' o(~qig,~t,ion,: ," '~J:; ----.::i" 50.0~ . , ' / \\,~5::f . ;; ~ign,JOlltlme;)..igl\ting:~$SO,90 ~ .' 'OWilhsSignature:i ' ;: Limited EilergyfRes::',,:.: l'i $2S.00: .' .' .' . ".' " .:'c': ,Liil;ited Energy/Cb,ilm' '., $4'S.00 .' ~ - ". .... ' . . . "" .- r 1 l,.... ~ ; " ' " , '-" , !,' ~ .::..;,-" . ..... ,. JOB DESCRIPTION t:J'~____-J \~\- .o~v- . 1000 sq.ft. or less Each additional SOO sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 ',', , Permits are 6'~m-transfer(lble and expire if work is not'started within 180 days of issuance otif work is suspended for 180 days. $ 19.00 " '.. $ SO.OO - " r.,".., \ " ,'. ~t.. . ' . ; C:: \; ,..~ ~1 ,j:"~::' \ CQ,:;,~: .," i' "', ", ~.' ...:.ll..../jiLij "',-: ",. ,.... - .', ''I' "$,63:00 .qO ..~$7S.00" ; .'''. .'$12S.00 n:8 ".~$163.00~= " , . $37S.00 " '''j ,,:,- SO,OO- .-; .,,-1-,)" ;', .', $SO.OO $69,09 $100.00 ----;z-;- ~; , , ',~ '. ,,' ..... " ~ . .' " [ "" . . , l\linimuill-Elcc~ric Permit Inspection Fee is S45.00 + SurchaI~gcs . , r: '(',":;." '., . . i 6'1 ...- 4, SUBTOTAL OF ABOVE ,~O 7% Staic S~r~harge ~. 17. ~ ~ ,>/010 MritInistrat'ive ~ce. /2,<;]:. n '\ , TOTAL" ( '~~z~ ., ~ ~. , ',;" '1 ,:.-.,..' ,,', "':,>' '> "" ,', ' .0 . . . O~ ---------------------------------------- ---------------------------------------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541)726-3753 ---------------------------------------- ---------------------------------------- @WELCOME TO DEVELOPMENTe @SERVICES AND PUBLIC WORKSe ---------------------------------------- ---------------------------------------- REG-RECEIPT:OI-0007185 C:NOV 06 2001 CASHIER ID:061 1:13 pm A:NOV 06 2001 ---------------------------------------- ---------------------------------------- 1004 ELECTRICAL PERMIT JOB#:01-00795-01 1098 ADMIN FEE(8%) JOB#:01-00795-01 1099 STATE SURCHARGE (7%) JOB#:01-00795-01 $184.00 $5.52 $12.88 TOTAL DUE RECEIVED FROM: R AND R ELECTRIC INC $202.40 CHECK: $202.40 TOTAL TENDERED $202.40 CHANGE DUE $0.00 ---------------------------------------- ---------------------------------------- *Pay Name *Mail Addr *Cty/St/Z *Site Addr :R AND R ELECTRIC INC :PO BOX 52 :TURNER OR 97392 :995 S A STREET ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- @THANK YOU! ! ! ! ! !e ---------------------------------------- ---------------------------------------- -v@