HomeMy WebLinkAboutPermit Electrical 2006-2-6
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SPRiNCFIEL.D ~ri.'t.Nil:q:'
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number Con< J{oo" - 000"14 Date;J. - .r,. - 0 Co
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I. ',LOeAT10NOEINSTALI.AT10N"""'"i!!c"~":'Ji
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LEGAL DESCRIPTION
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JOB DESCRJPTION
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Permits are non-transferable and expire if work is
;, not started within 180 days of issuance or if work is
Suspended for 180 days.
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;~COIVTRACT6RINSTALIiATIONONLY~'"
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Electrical Contractor ~r j\<{.J fl f(l ill
Address fJo Box 91Z ~
1 II fhI 'L 953-67~
City(re:~L)(, 't l~fl~one/i4Jr7ttl-~
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Expiration Date
tftvO)
/()-OI-07
Supervisor License Number
Constr. Contr. Number /?;.;- 7 ~
Expiration Date 1!- tK-07
S;~ir;]JJ;ts
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Owners Name
Address
City Phone
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oWNd1T~~6~PIRE IF THE WORK
ilZEO IDER lHIS PERMIT IS N01
The in,s q\\Op~ . i8'f1~l./V'f..t:twfIOO'D which
1S not m l~r I e or rent. .
80 DAY P .
Owners SignaDlre:
Inspection Request: 726-3769
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~ ~]~Ji]~J!~~Jj;~:~~€;~~~;if~~B~E~~~l}Xi~~~~IT~~~Th
Service Tncluded
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereol'
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
I
$50.00 t:;/).-
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B. f:Senices iiYFeedeioS""=iInstallafioiirAlterritions 'oi\Relo'ca tion:":c'
j.l>t:';';~;~:%~;:;::;ii;;,;,!~t;;'';;;~~':::'':':::~~;'i:$-;';;:4;1;"-1\f:.:&;-~.s.:.:.-.i~::...~;;'.ro:i.~;:.:/N~.t1-.:;.;:!)..~:;,~..{tii:,'~:~
200 Amps or I...
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV OIls
Reconnect Only
$ 63.00
S 75.00
S125.00
$163.00
S375.00
S 50.00
c. $11~gi~&i~[€:i~~~~!~~~~~~~~~I~~$*~fl~~~~~~~1
Installation, Alteration or Relocation
200 Amps or less $ 50.00
20i Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
~ 6.'!l Aml'~"~~}oo!?''y~Ils s,::~" ":.~v.e. ,_,_ __"_' .
D. [i~~E#~st!iftl~:~;~J1~~~;~~fJ~~~~j;i~i(~;;~I~~t~~~}x1lG~i\~m:\
New Alteration or Extension Per Panel
One Circuit $ 43.00
ATlFach'1-dditional Circuit or with
fo"0~~~;:F~p1ifi1il requires ..~" ._ $ 3.00
,. ., ,.u,~., c1uuprea by tile . ;,:-
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. E. ;"MiSCeiian'eO~(SlirnC'elfeidef,iiol>incliIded '''E:ichJiistallafio;,':;
In O. .;:L~'-"""'~71_1'J_.o'I.;t(,,::.t~~~'M""'-'-":O'''-:'' 'rir~.; :-.::J',....'.:':-'I.V..-'..__.-.~:,~~_-. . ,.'~,,;,-._ ,......' ,.~....~....;.:.
,- ~~'"",,,", V 1'" uu:,j'ff iXn -'~ "~"_."~.._..- ..-.-- ._- -" .~
0090. You ma" "hI-" 952-001_
calli Pump or irrigatib'i\ caples of fhe p ,100 h'J $ 50.UO
r I~ (, II=! ("'onrcr, ft.l,..,.. I .,
num,Si~Oulline I:ightinge: t le telephnno $ 50.00
1Jt:' I.or the On?""nr. I 1t;I~h ' ,
Lun.ted Eii!;IWlRes\(Ienl1ii1 Not/fiCa/inn $ 25.00
VC"l11t;"s I '8nO~3~~ M
Limited Energy/Comrilercial~4). $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. ~~fI~~{Mg~[tl~~f~l~~
50.
"{.
5.
5er. -
8'10 Slate Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuHding fonnsIEJec:tri<:;d Permi1 Applic::alion 1-U3.doc
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, ,
· 225\<'lfth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~
~
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
2200600000000000174
Date: 02/06/2006
2:38:37PM
Job/Journa. Number
COM2006-00094
COM2006-00094
COM2006-00094
Description
Manufactured Home Service
+ 8% State Surcharge
+ 10% Administrative Fee
Received By
Ikw
Item Total:
Check Number Authorization
Batch Nnmber Number How Received
4 035922 In Person
Payment Total:
Amount Due
50.00
4,00
5.00
$59.00
Payments:
Type of Payment
CreditCard
Paid By
BEAR MTN ELEC
,
Amoont Paid' '
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$59,00
$59.00
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2/6/2006
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