HomeMy WebLinkAboutPermit Electrical 2008-1-4
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225 FIFTH S rREET . SPRI'\GFIElD. OR 97477 . PH (541)726-3753 . FAX (541)726-3689
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OwnLr, Name t--:J~G~~ ~ I I,.
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LCGAl DESCRIPTION \
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JOB DESCRIPTION
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Permlt~ are non-tran'tferable and c\plrc If work IS
not started within 180 da\s of ISsuanlC or If \\ork IS
Suspelldcd tor 180 da"
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[lectrlcal Contractor t (\ t t'L (. _~k , l r L" \-f:.l il ~ c.
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City (-Gr-.p J",-^--
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Phone L/ 4,", - L/ L( S-l:
SupervIsor LIcense Number
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[\pll<ltIOn Date \ 'C) J I J () ~
Con<;ll C onlr Number
It. L)")9 ill
[xpllatlOn Dale II u 1
SIgnature ot Supervl"lIlg [JectncJaI1
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<7
The 1Il~la[JalJOIl IS belllg made on properly I 0\\ n \\IlH..h
1'1 not IIltLnded for ~alc lca'"lc or It.nt
O\\neIS Slgnmll!c
Inspection Request 726-3769
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Date
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A \~\, h(..J(!LlltIJI ....ll'!ll In 'llqt' r ,'l111h;)~ (J'\Lllllq l~'1l1
Sen Ice Included
1000 sq It or less
Each addillonal 500 sq f, or
portion thereof
5 I 0600
5 1900
Each Manufact'd llome or
Modular Dwelhng Selvlce or 5000
Feeder ATTENTION' Oregon jaw (tlqjes YOUID
follow rulell. adopted bv the Oregon UtIlity
B " " II e, lildtifi8Mlon te'rlilir.I'Tho~e k1iil~afe s'et folth' 1
Irt9AR 952-Q01-001 0 through OAR 952-001-
200 Amps oo~b. You may oblalR Ggll(9s>oH~ ruler ~\'
20 I Amps '0 48Q.lIl1i(f\he center (NntA' ttl97fel1llphOl'"
40 I Amp, to twRbm>lfor the Ore!l.on UlilftYl r.ro1lJicallon
60 I Amp, to 1000 Aocp~nter Is 1-aOO-332-~:M.JIl>o
Ovel 1000 AmpslVolt, 537500
Recoonect Only S 50 00
C II 1I1H'1 11\ ...tl\!lt... 01 ruou...
InsN~Q~u.S,terallon or Rclocdhon
200~II\SsreE~MIT SHALL EXPIRE IF THEW61RK
20IfMlIN!!HR!E,f,)liPNDER THIS PERMllS illi NOT
401(f:S'lItMnmEi!)10R IS ABANDONED ~am 00
Over,l\\'\6 ~lj,.o;..Ycilltf<<l(jlD,ee B above
D h ,n...'l ( lJ(Ull'"
New Altt'rJtlOn or ExtenSion Per Panel
One Cllclllt
Lllh >\ddltlOnal Clrllllt or with
ServlcL or reLder Pen11J1
'S 43 00
~ 100
1., [ 11 ,II'
111\' r,' / 1'\] ~
\11' !.
Pump or llng.llloll $ ~O 00
SIgn/Outline LIghtlIlg S 50 00
LII11Jted [nergv/Re'ilduwal S :2 ~ 00
LUJ\lted Enelgv/Commerctal J." 4; 00 -<;5 0U
l\lmlmum Elc(;tnc Pumlt InSpcltlOn Fec IS ~+ SUI durgcffl ~ oV
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60
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:;:> 5U
E). aU
B% State Surcharge
) 0% '\dnmllSlratlve Fee
60
Q
JW:J-
TOTAL
Shaled Dn\L( r )/t3mldmg j onm'j kUrtc \1 Pelm\l AppltclttoJl 1 Ofi doc
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -00795
COM2007-00795
COM2007-00795
COM2007-00795
COM2007-00795
Payments
Type of Payment
CredltCard
cReLemtl
RECEIPT #.
~~,
.
CIty of Sprmgfield OfficTaI Rece'pt
Development ServIces Department
Pubhc Works Department
3200800000000000013
Date' 01/04/2008
11 11 18AM
Description
Low Voltage - CommercIal Indus
MIlIlmum/AdJustment Electncal
+ 12% State Surcharge
+ 5% Technology Fee
+ 10% Admmlstratlve Fee
Paid By
INTEGRATED ELECTRJC
SYSTEMS
Amount Due
4500
500
600
250
500
$63 50
Item Total
t.:heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
nJm
053850 In Person
$63 50
Payment Total
$63 50
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1/4/2008