HomeMy WebLinkAboutPermit Electrical 2000-5-12
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225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB 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.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ('/;rS t;/ertJ-tlr1
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Address J () DO l' / r;~ d- .
City <;;'f,)/)fidd- Phone TYI -dd-3~
Supervi.sor License Number Ilo<?l.:,S
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Expiration Date
Constr Contr. Number
Expiration Date
Sign~)r of Supervising Electrician
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;:e:s Name 0"",,- ~ -n1.p
Address
142S +-l~...^B.n., 12AL
Phone 14l-C41..1 L/
City
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT #:
RECEIVED BY:
5
DATE:MAY 12 2000
AMT RECD:2 $ 55.00
CHANGE:
CASHIER:003
ELECTRICAL PERMIT APPLICATION
City Job Number n()-oo6'q~-OI
3. COMPLETE FEE SCHEDULE BELOIl
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included,
Items Cos t
Sum
1000 sQ. ft. or less
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
.$ 40.00
Services or Feeders
Installation, 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
$ 50. 00 S ()>
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 vol ts see "B"
above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
,Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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DUPLlCA TE RECEIPT DUPLlCA.TE RECETP I
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CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 )726-3753
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WELCOME TO DEVELOPMENT
SERUTCES AND PUBLIC wonKS
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REG-RECEIPT:Ol-0001705 C:HAY 12 2000
CASHIER W:003 11:53 alii A:MAY 122000
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- --------- --- - -------._- - ----- ---- ----- --
1004 ELECTRICAL PERMIl $50.00
JOB~:00-00693-01
1099 SrATE SURCHARGE(7%) $3.50
JOB~:00-00693-01
1098 A0i11N FEE(3%) $1.50
JOB~:00-00693-01
TOT ilL DUE $55,00
RECEIVED FROM:
C AND SELECTRIC
CHECK: $55.00
TOTAL TENDERED $55.00
CI1ANGE DUE $0.00
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.Pay Name :D AND SELECTRIC
.~ia; 1 Mdr :214 SOUTH 19TH STREET
,Cty/St/Z :SPRINGFIELD OR 974T1
.Site Addr :1485 HAYDEN BRIDGE RDA
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lHANK VOU!!!!!!
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DUPl.ICm RECEIPT DUPUCATE RECEIPT
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TRANS#:01-0001705
DATE:MAY 12 2000
AMT RECD:2 $ 55,00
CHANGE:
CASHIER: 003
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