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HomeMy WebLinkAboutPermit Building 2001-4-23 > . . r7,\ ~ Job: 01-00362-01 Address: 1300 Hayden Bridge Rd Owner: Springfield School District Received: 4/12/2001 Unit: SLOG: FEE DETAILS Fees Electrical Subtotal Branch Circuits Branch Circuits W/O Feeder or Service SubTotal Value/Quantity 5.00 ~dministrative Fee Electric Administrative Fee Administrative Fee - Electrical SubTotal Surcharoe Electric Surcharge State Surcharge - Electrical SubTotal Total for Electrical Grand Total: Page 1 of 1 FLR: Amount Due 43.00 43.00 1.29 1.29 3.01 3.01 47.30 47.30 TRANS#:01-0005026 DATE:APR 23 2001 AMT RECD:1 $ 50.00 CHANGE:$ 2.70 CASHIER:004 Amount Paid 0.00 0.00 0.00 0.00 0.00 ~~~e\o~:~:~ ~ wP 6 ,~ ~ \,,~~ 'eC 97477, (lo~ ",0\ ~"'~oe~ 7~~J/;~ '\'-' "'~. \ ...o~... o....~. r.\f\9J . eQQ' '1.0 1. , LOCATION OF INSTALLAT!ON \\~~e \ 3>00 +III ~ '"1 ~ ?,,'<.. ~ .1i.t ~\~ ,-,0 LEGAL DESCRIPTION ~~ --{24fj€ e:: \~Me.uTl\~ S~oc>L, JOB DESCRIPTI,QN ()ffi"c..~ KC-MC>\)~ ) . ...,: ~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervi.sor License Number t ()'l3. p3 Expiration Date 10/01 ' Constr Contr. Number Expiration Date ure of Supervising Electrician J>.- .J\ t\ 1 '" Po 0 .:_..~ ~ ~ ~rl ;-l~[9-_ ~c l.,oO\> I rq D N . -4.?- I\j) City ~e"";"Tr(,rl1'\ Phone 'I'N - (.')?5 OVNER INSTALLATION The installation is being made on property I own which is not intended ~OO:~~~le, lease or rent. 0/"6 $:39N\!H:J . OO'OS %""r!fJ53 lmg-ture: 1006 \:6 ~ a 9GOSO DA RECEIPT II: RECEIVED BY: CTRICAL PERMIT APPLICATION Ci ty J~b Number. t) / - OtH,62 -0/ COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dvelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dvelling Service or Feeder B. Services or Feeders lnstallation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only uni t. Items Cost Sum $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 ' $100.00 $130.00 $300.00 $ 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 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "BIl above " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permi t 4 E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL -L $ 35.'00 35<>;: $ 2 . 00 'is '!2.. not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~3 ~ '3.0\ I .)",'1 '11.~