HomeMy WebLinkAboutPermit Electrical 2000-8-22
Aug-07-00 OI:IOP
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.
P.OI
The following project as submitted has the following
zoning, and does not require specific land use
approval.
Zoning
2. CONTRACTOR INSTALLATION ONLY B, Services or Fecdc~
,
iVc (I-".,{ 1 T Installation, Alterations
Elcctricit Contracto,- ( ,],. )LKl 71(', .j--i1CJ or Relocation,
Address-,1.0. 6C~Jyg.2 '_., 200 amps or less. S 50.00
C' 0,1 '-7'II")'l 201 amps to 400 amps $60.00
Ci ty ')f!rd Phone 1~~;IL:;'J -,' ~g~ :~~~ ~~' ~ggo a:~~s g~g:gg
Supervisnr License Number ~6 ~ Over 1000 amps/volts $300.00
la-Ot-()" Reconnect Only $ 40.00
Expiration Dnte U
~./^II,l.L'.. ~L{C).. C, Temporary Services oi-Feeder:!;
Constr Contr. Number , ~ ~. ~' Installation, Alteration or Relocation
~DI-D()
2Z5 FIFTII STREET
SPRINGFIEl.D, OREGON
INSPECCION REOUEST:
OFPICE: 726-3759
(I"Q...
'is - ;)..d-. --dI
-#Jl
Dale
9 }~'~~~~9 Signature
1.
LOCATION OF INSTALLATION
SO = rn /fJ-r />r ~ ('
LEGAL DESCRIPTION
170J"3<:::JI
08'jOO
JOB DESCRIPTION
W r S L A-c.. TC::ILFJ--r.roNS
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work. is suspended for
180 days.
Expiration DfJt(~
re of Super.vising Electrician
R~
BhECTRICAL PERKIT APPLICATION
3.
City Job Number06 -006 7~ -Pf
COKPLETE FEE SClffiDULE BELOII Yf
Nell Residential-Single or
Multi-Family per dllelling unit.
Service Included:
. A.
Items Cost Sum
1000 sq,ft, or less $ 85,00
Each additional 500
sq, ft or ponion
thereof $ 15.00
Each Knnuf' d Home. or
MOdular'Dwelling
Service or Feeder $ 40.00
200 amps' '01- less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000-vo~s
$ 40.00
$ 55.00
$ 80.00
see IIB"
allove
..I(lr L 0.. Jlranch Circui ts
Nilmc GtibeAil> EHl f?( M---.!!..~ ~C
. .A NeVI, Alter,ation
Address ~O ~/'J-I/V So r
Ci ty
c...J:?F'D
Phone
OVNf.R INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent,
Ovners Signature:
--------------;;- --:-~-------------,.._'"
DATE: Of) 22/ erD
RECEIPT I: 2..-0;05
RECEIVED II Y : ...j)tfS.
"
or Extension Per Panel
One Circuit
Each Additional
Circuit or Ilith Service
or Feeder ~ermit
(
g-...s~
$ 35,00
s
2.00
E,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
'not included)
5.
$ 40.00
$ 40.00....
s ZO.OO:!i~
__.._ $ 36. 00 ~iTl$-
3'~~ ~~~
:2 '!J-- rn I'.J Cil fj'
I Q.s ......C"')(R~O
-"':"- ~o
~5::;O:O,-", 0
. --~l',)1'.J
ocn. 0...0
Cf' ('T1 U1 0 a:J
.........00'-"
SUBTOTAL OF ABOVE
n State Surcharge
3% Administrative Fee
TOTAL
.' ..,
,~.
'-
/
. ;,I"
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WELCOME TO UEUELOPMENl
i ==~::~=~~~~==~::~==~~:=~~~~=~':~::~
REG_RECE1Pl:01-0001624 C:MAY 09 2000
CASHIER ID:059 1: 17 pm A:MAY 09 2000
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______________ ______ _______ ___n_____ - -.--
1002 BUILDING PERtHT $1B.00
JDBr.:00-00675-01
1099 STATE SURCHARGE(7X) $1.26
JOB~:00-00675-01
1098 AOMIN FEE(3%) $0.54
JDB~:00-OD675-0\
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TDTf\l. DUE $19.80
RECEIVED fRD'~:
EHERALD Et~PlRE ART ASS.
CASH: $20.00
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TOW TENDERED $20.00
-----------------
CHANGE DUE $0.20
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-- ------ ------------- ----..-..--- -- --- - ---
iPay Name : EHERAl.D EMP lRE ART ASS.
tHail Addr :500 MAIN
*Cty/St/Z :SPRINGfIELD
.Site Addr :SAME
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'llIAIlK YOU!!!!!!
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