HomeMy WebLinkAboutPermit Electrical 2001-2-6
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DEVELOPMENT SERVICES DEPARTMENT f2{!.-
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225 FIITH STREET
"SPRINGFIELD, OREGON
I INSPECTION REQUEST:
OFFICE: 726-3759
1. lJJ.<;ATI...ON QF INS:rALLATIO~..,
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LEGAL DESCRIPTION
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Expiration Date iO /, /0/
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Constr Contr. Number \":)..=t~R7-C:
Expiration Date ID/t / () i
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Signature O~g Electrician
Owners Nam/ Pr Ii\. t eVCeJ
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Address /<6(00 }...pUCGt ~
Ci ty Spit "^~ C;4Phone2tO Sf/.1:j20.3
OWNER INSTALLATION
The installation is being. made on
property I own which is 'not intended
lJOO:~31~S\f.Jale, lease or rent.
1 :39N~~gr~ S~~atu.re:
00' O~~r $" G: u8.:Jll-1W\1
1002 90 ~~W:31~a
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DATE:
RECEIPT II:
RECEIVED BY:
30 COMPLETE FEE SCHEDULE BELOV
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...t:. ... ....'(....1',
Ao New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or 'Feeder
Items Cos t
Sum
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. iF lip &'5
20 CONTRACTOR INSTALLATION ONLY B. Services or Feeders
'T' - r)' ~ Installation, Alterations
Electrical Contractor~\')I--l I--:CT..k'J.t.IX7t.or Relocation:
AddresstA/ (JhS' J I J. Il..fll .:/::1::; f ~ 200 amps or less L
_ '. ,201 amps to 400 amps
Ci tyt::..UC enp , Phon@:}.") 7- W 401 amps to 600 amps \
/J 5 601 amps to 1000 amps
Supervi~?r' License Number, J'67/} c . Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
YID c>>
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Co
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps .
to 600 amps
amps or 1000 volts
D.
Branch Circuits
. $ 40.00
$ 55.00
$ 80.00
see "BtI
above
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2000
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation ,
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
50
SUBTOTAL OF ABOVE
7%, State Surcharge '-....
3% Administrative Feel
TOTAL
40.00
40.00
20.00
36.00
$
$
$
$
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SotiV
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TRANS#:01-0004612
DATE:MAR 06 2001
AMT RECD:2 $ 550.00
CHANGE:
CASHIER:004
Job:
Address: 1860 Laura St
Owner: Print Xcell
01-00116-01
Received: 2/12/2001
Unit: BLDG:
FLR:
FEE DETAILS
Fees
Electrical
Subtotal
Service or Feeder Installation
Permanent: 200 Amps or Less
Permanent: 200 Amps or Less
Permanent: 401 to 600 Amps
Branch Circuits
Branch Circuits With Feeder or Service
SubTotal
Value/Quantity
Amount Due
Amount Paid
8.00 400.00
1.00
1.00 100.00
4.00
500.00
50.00
8.00
58.00
:Administrative Fee
Electric Administrative Fee
Administrative Fee - Electrical
Administrative Fee - Electrical
SubTotal
1.74
15.00
15.00
1.74
Surcharae
Electric Surcharge
State Surcharge - Electrical
State Surcharge - Electrical
SubTotal
Total for Electrical
35.00
4,06
35.00 4.06
550.00 63.80
550.00 63.80
Grand Total:
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