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Home My WebLink AboutPermit Electrical 2001-2-27 The following project as SUb.mittede~~~c tr:n~I~Os~ing loning. and does not requl[9 sp approval. i \ , , ~ \ ,_ ZOning ~ 1~1..-1-0\ Date -' 97/t,7t1brized Signature. f26-3769 , , , , '.. 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFPICE: 726-3759 1. ~OCATION O~ if:NSTA,Ll!\TION '~ ~ 00 HerDf"JlS a lj LEGAL DESCRIPTION I ~/) ~ D ~ 2-D A~~~ C[~Br>t)~~PT~r S Ic.Y\ Permits are non-transferab~' and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 'Bll drlp(S [\ec.+n'C Address IqS Mod ,':',(')\'1 st' Ci ty E'-u,::t(\E" Phone 48'5-0<1::0. Supervisor License Number '?J-;;)CfQ-S Expiration Dale 10- 1-01 Constr Contr. Number 4?,c{ l.o Expiration Date_ \)., -10- (y~ Sign~:;;;Ae)~ Electrician Ovners Name 1ci j){J , - Address 2..~c;>>--, )t;a,/~~' Ci ty h~t!JJ6 Phone 3~2 ~/2g<l. 1- OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: ~ DATE=FEB 27 2001 AMT RECD:2 $ 38,50 CHANGE; CASHIER: 003 ELECTRICAL PERMIT APPLICATION City Job Number ~ I-IJo/h,CJ -~' 3. COHPLETE,FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling 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 'Dvelling Service or Feeder $ 85.00 $ 15,00 ,$ 40.00 .B. 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 $ 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 $ 40.00 $ 55.00 $ 80.00 vqlts see "B" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 :6,w $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included) $ 40,00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL , ~ --- . .. . \ " iii""" mo : ~3IHS\:J::J : 39N\JH8 0~'8~ $ G:G83~ lW\J ']:OOG lZ 83:l:31\JG LSS~OOO-,]:O:#SN\J~l . \ i ,. TRANS#:01-0004557 DATE:FEB 27 2001 AMT RECD:2 $ 38,50 CHANGE: CASHIER: 003 " , . I - I, , DUP~;C:~E RECEIPT DUPLICATE RECEIPT~ ------------------ ----- --- -- -- --- ------.. ____ ____________________ - _______ - 0______-. CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, DR 97477 (541 )726-3753 ----------- ------- --- --- --- - ---- -.--.------ ---------------------------------------- WELCOME TO DEVELOPMENT SERVICES AND PUBLIC WORKS ---------------------------------------- ---------------------------------------- REG-RECEIPT:D1-0004557 C:FEB 27 2001 CASHIER 10:003 9:41 am A:FEB 27 2001 ---------------- ---------- ------ --- - ----- ---------------------------------------- 1004 ELECTRICAL PERMIT $35,00 JOB~:01-00169-01 1099 STATE SURCHARGE(7%) $2,45 JOB#:01-00169-01 109B ADMIN FEE(3%) $1 ,05 JOB~:01-00169-01 TOTAL DUE $3B,50 RECEIVED FROM: BUILDERS ELECTRIC CHECK: $3B,50 TOTAL TENDERED $3B,50 CHANGE DUE $0,00 ---------------------------------------- ---------------------------------------- *Pay Name :BUILDERS ELECTRIC *Mail Addr :195 MADISON STREET *Cty/St/Z : EUGENE DR 97402 *Site Addr :2300 HENDERSON AVE ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- fHANK VOU!!!!!! ------------- ------ -----..---------- ----- ---------------------------------------- DUPLICATE RECEIPT DUPLICATE RECEIPT ..