HomeMy WebLinkAboutPermit Electrical 2000-10-4
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DAT~:OCT 04 2000
AMT RECD:2 $ 40.36
1 $ 0,34
CHANGE:
PLECTRICAL PERMIT APPLICATIONCASHIER:059
T~e tollowing project es submitted has lhelollowing
2(.111119. B:nd does not require specific land use
Q~fJlvl/al.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning f-D IL
9(AP lb-~-~
726-3769 . ex...)
1\.JlilunLitO Slgnaturp. -, 1
L LOCAT>>>.N OF INSTALLATION
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LEGAL DESCRIPTION
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~OB DESCRIPTION
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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.
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
, nrr(JJ4,S6-0!
A, New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contracto,Jf2Flf C1J(\('),TVlC,
Addr;"'ss dO/t)';::') Pl. U_~- #1}) '", ..
Gi ty T/J t)fn t?_ Phone i {J'X'? - 511D
Supervi.sor License Number (1Xl-d S
Expiration Date~~!
Cons tr Con t r. Number ~-.~,S'8-:t- - C
Expiration Date~J)O
Signatu~~Sing Electrician
Ovners~ame fi''6a- t,~
Address ltSCf -"\/\ NlM." 5rr.
~o~lo{ Phone 14.7--)()59
~d)
OYNER INSTALLATION
City
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------~-r--------,~----------------
DATE: \()\'1tl>t!>
RECEIPT *: WV 7?::rtl'
RECEIVED BY: w.b'
Sum
It ems Cos t
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dvelling
Service or Feeder
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
Services or Feedert
Installation, Alterations
or Relocation: ~o"'i,
,Iv.. ~ <<:
, o~. oft "
200 amps or lee.~?O-~6-, '". ...,$ 50,00
201 amps' to' f;OO '1l:Y~I~//(},'6J,.,$ .60..00"... .,'
401 amps to VE@)~~poG.s-".'o- "q$100.00
601 amps to lef) ~~p~~,$'~)O,OO
Over 1000 amps ~(~6> '<;" 'OO/~30g.00
Reconnec t Only 01>1' q.,_ vo, :'>(;$~~9':,qO
9~, 0"" '/~ ~-? 0" (Or. f'O .
. .-, ..")." A nO"/. '^$. ,
C, Temporary SerVlcesor'-t'&e",li;mh,lf9", 6>.s P
Installation, AlteratiorrooP~~loc~t~nO,
/./ """"/, t.i:"o,..lI.l\<>", "'&
:? ~"/<') /, 7.9, (9 ,
;290~ll1PS' 'OT less ',-, ~$ 49; ~O ~ fS..:> ;0'0
--: ,;Wl~ami>.s to 400 amps "'$1e;;JQ.Q"~ v(
r '01~r~~01 to 600 amps $,80~Q0~r.~'
-<:"; ",;,?Ov~E, 0/6,00 amps or 1000 vol ts see "'B);' above
/ ; ':'1/."~ O'-Y. ' .
n?'( ,Br'anct11Cfrcui ts
\.~:j .,/OA) V~ '~-to
N ^, AI' ~, ,>. E . P P 1
ev,. . tera'tlon,or xtenslon er ane
''-b .yOl . <(s>'~
,:) '11 .~ Jo>
One Cl"rcul:!h 'i$l '''Y~
Each AdditioQ~l~r, ~Q
Circuit or v1~h Servi~e
or Feeder Per~n9 '~2..J- $ 2.00 ,-{l.CiD
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 85.00
$ 15.00
,$ 40.00
"
$ 35.00 L"J{;.rjD
40,00
40.00
20.00
36.00
$
$
$
$
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DUPLICATE RECEIPT DUPLICATE RECEIPT
----------~-----------------------------
-- - ----- ---- ------ ------ ----_._-- -- -------
CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, DR 97477
(541 )726-3753
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WELCOME TO DEVELOPMENT
SERVICES AND PUBLIC WORKS
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REG-RECEIPT:OI-0003378 C:OCT 04 2000
CASHIER 10:059 3:28 pm A:OCr 04 2000
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1004 ELECTRICAL PERMIT $37.00
JOB#:00-01456-01
1099 STATE SURCHARGE(7%) $2.59
JOB#:00-01456-01
1098 ADMIN FEE(3%) $1. II
JOBp:00-01456-01
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TOT AL DUE $40.70
RECEIVED FROM:
JB ELECTRIC
CHECK: $40.36
CASH: $0.34
TOTAL TENDERED $40.70
CHANGE DUE $0.00
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THANK VOU!!!!!!
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DUPLlCA TE RECEIPT DUPLICATE RECEIPT
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