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HomeMy WebLinkAboutPermit Electrical 2000-10-4 00= w,q[ 3 . 8 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 } l~q " )21')/'/.<" , LEGAL DESCRIPTION 1~8~74~1 tJO'b 08 ~OB DESCRIPTION +t \J 'A(l ~ 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 $ $ $ $ 3 7. tJD ...:;, "i9 J ~,;~/~_q ~ r;J(} . / " ..' j DUPLICATE RECEIPT DUPLICATE RECEIPT ----------~----------------------------- -- - ----- ---- ------ ------ ----_._-- -- ------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, DR 97477 (541 )726-3753 - - - -- -- ----- ----- --- --------------- --- --- ---------------------------------------- WELCOME TO DEVELOPMENT SERVICES AND PUBLIC WORKS ------ ---- -------- -- ---- - - - - ----- --- ----- ----------------.- ------- - ------ --- ------ REG-RECEIPT:OI-0003378 C:OCT 04 2000 CASHIER 10:059 3:28 pm A:OCr 04 2000 ---------..----------------- --.-..--- - -----. ---------------------------------------- 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 ---------- ------.- TOT AL DUE $40.70 RECEIVED FROM: JB ELECTRIC CHECK: $40.36 CASH: $0.34 TOTAL TENDERED $40.70 CHANGE DUE $0.00 --- --- --_. ----.----- - ----- ---- ------------------------------ .----------------- .-.-- ------- ----------------------------- I I I I " THANK VOU!!!!!! .------------------------------- - ----------- --- - -, ------ - ----- ---- DUPLlCA TE RECEIPT DUPLICATE RECEIPT . . , . . "'.' ....."