HomeMy WebLinkAboutBusiness License License 1994-7-5
JUL 5
JULi
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DATE BUSINESS LICENSE SUPERVISOR ~;re ""
THIS LICENSE IS NONTRANSFERABLE
.1...II'illViI....I...lfie.'i.I'i"'itIV"Vll'i..fAYA,.*ii_I.*I.. .
BUSINESS LICENSE
FINANCE CONTROL COPY
[j RENEWAL
CITY OF SPRINGFIELD
ltCENSE TYPF"
ALARi~ SYSTEM
EXPIRES:
INDWNITE
BUSINESS NAME:
SMITH'S HOME' FIJRNISHINGS
ONAWMNEE:RIEMPLOYEE SMTTH I S HOMF
____ FIIRN$SH I Nf,S
BUSINESS
LOCATION: _
3660 GATEWAV ROAD
MAILING
AOORESS: _
3660 GATEWAY ROAD
CITY, STATE, ZIP:
SPRINGFIELD OR 97~7
CITY, STATE, ZIP:.......sPRINGFIELD OR 97477
PHONE NUMBER:, fil1l1- fil100
PHONE NUMBER:
688-6800
LICENSE APPROVAL
A:~~OVEROUTED
DS: ROUTE.D
COMMENTS:
DATE
DATE
DATE
APPROVED J U L 7
1994
,\. ,
...,. "
" ALkIDt '-S!~TtM.'PERMIT - "$40 FEE,.
CITY OF SPRINGFIELD
DEVELOPMENT SERVICES
225 FIFTH STREET '
SPRINGFIELD OR 97477
DATE: t - ';;...j- <?..j
.
IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS
LOCATION?
RESIDENTIAL
BUSINESS
x
1. Name:
If a residentially installed system, please complete questions
1 through 6. If the system is being installed at a business
location, please complete questions 7 through 13.
2. Address:
City:
State:
Zip:
3. Phone Number:
4. Date of Birth:
5. Is the system being installed by the homeowner? Yes No
If no, then indicate the company that will be installing the alarm
system:
6. Date of installation:
- - - - - - - - -
- - - - - - - - - - -
7 .
Business name
~/>">d-i/,
(only if system was installed in business):
M,r'h'7IT
- '.
r:-'~JC ;v;{/fli~(
8. Owner Name:
9. Owner date of birth:
10. Business address: ,Jt;h() ,Gafl:. {))O..y-J3d. '
City: --r/&I~~J;.j State:. On
11. Phone Number: I tit. troo
Zip: '97</77
12. Company that installed alarm system:
d-",.lFVf 10./1[' //
I
13. Date of installation:
&> ' -<of- C;-'-I
ELECTRICAL PERMIT'REQUIRED
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Sign~ture of Supervising Electrician'
Ov/lY II -
.. J.i..L' D.' Branch Circui ts
owne~s NameUl'; J tw '
Address ~(),Q>.n. ....<ZxJ ),~ o/Y1J1t.J
Ci t~ti flfuhone ~A.l).,. ?f}.,~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 726-3769
CPPICE: . 726-3759
SMITH'S HeME ruRNISHINGS.
1. LoCATION OF INSTAI.4U~
3660 ~[[ ,.. -''l.(;~1Lt...''Y1~
J!l~~~ON n~\
JOB DESCRIPTION
ALARM SYSTEM
?ermits are non-transferable and expire
if work is 'not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor HONEYWELL
Address 15495 SW Seouoia Pkwv St... 100
CitY-EQrtl..nr1
Phone...9."'Il_ ~~"\I:>
Supervisor Licen~e Number 527JLE
Expiration Date 10-1-96
Constr Contr. Number 57824
Expiration Date
1-27-95
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~---------~~~-~~----------'
RECEIPT I:, I>> ," '\\\~
lll',r.ruVllO BY: yt\.\~~ \
GO 'd
....r~ -,.- .'- J
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Singl~ or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation; Alterations
or Relocation;
200 amps or less S 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
2Q1 amps to 400 amps
Over 401' to 600 amps'
Over 600 amps or 1000
$ 40.00
$ 55.00
S 80.00
see lIB"
above
voJ.ts
New, Alteration or Extension Per Panel
One Circuit
Each Addit ional
Circuit or with Service
or Feeder Permit
S 35.00
s
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm l S 36.00 36.00
5. SUDTOTAL ,OF AIlOVE
5% State Surcharge
TOtAL
36.00
lotlU
17__AO
65:8 IH3 ~6-~G-Nnr
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A-l~ .(~ 0+ClfP(p
SPRINCFIELD .',
.
Signature of Supervising Electrician
O~//
. owne-rs Nam_~:t::'fi)~, 'D., Branch Circui ts
, i:&"'t' ~<Z.,"'::C;~"""~n""7~1I') 'New, Alteration or Extension Per Panel
'.Addr'1i.'1J,\I"~~iii;~X~",<)Q:V~Y.a.,C/ ,~ ' ,
,. ....iw.4!4/al,""I.'4"" j) n n ~"'f!8 .:One Circui t .
Ci~~..K'lmlWhone~<y)rJ\ oEa7h A~dition~l.
, . . " , , .: ClrcUl t or Wl th SerVlce
'.OIINER INSTALLATION' - or Feeder Permi t
225 FIFTH STREET
SPRINGFIELD, OREGON 97477,
INSPECTION REQUEST: 726-3769
OFFICE: . 726-3759
A:""j!1'i'n.~-;:HEtifE::FUJllitESH. INGS. i
1.~;;~r~0~6F,-i~~i'C ~
1f)~~~ON OS\O\
, . JOB DESCRIPTION .
ALARM SYSTEM
,'0-. _ _'. .'
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor HONEYWELL
Address 15495 SW Seauoia Pkwv Stp 100
Ci ty Pnrtl ;mrl
Phone -9.hR- ~~nr\
Supervisor License Number 527JLE
, Expiration Date 10-1-96
Constr Contr. Number
57824
Expiration Date
1-27-95
The installation is being made on
property I own'which is not intended
for sale, lease or rent.
Owners Signature:
, .
"
"
~:. . # .
DATE~---------~.ILf~~1\--~-=------,
RECEI~_ ~:. I~. ~<~ :J~
ELECTRICAL PERMIT APPLICATION
City Job Number Q4.D\L\::)
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cost Sum
.: 1000 sq. ft. or less $ 85.00
Each additional 500,
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40,00
B. Services or Feeders
Installation,' Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 6QO amps or 1000
$ 40.00
$ 55.00
$'80.00
see "BIt
above
volts
$ 35.00
~,
$
2.00
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
.Sign/Outline Lighting
Limited Energy/Res
.. :.' Limi ted Energy/Comm 1
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
36.00
l.tlU
37.RO