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HomeMy WebLinkAboutPermit Electrical 2006-12-5 g/6D/ tl/ ~~D~-~ 1jrf\~--J1 12S FIFrH STREET. SPRINGFIELD. OR 97477 . PH:(S41)726-37S3 . FAX: (541)726-3689 "--~ _ "'-J ELECTRICAL PERMIT APPliCATION /Z I.... /, I City Job Nwnber C O~ ZOC>b- 6/ S 52.. Date /5 I It" Each Manufact'd Home or Modular Dwelling Service or ,_ $50,00 Feeder \ r8C1\1ITb j"" .- ,c.TTtN'1'4GN:-OLe~nn a\:~ ' -: ,: 'r---- - .1 j B. Senicesitlr-Feeders ,.....ID!l..hlll~ltion. Alterlltion." or Relocation: Oi\'J\U_\,.lIIw,....-~.' . . . -'..u~_____~ N ''f.r~tion Center, I ,',J,- , ..,; . - l' ., -'J1. 0" 200 Amps orlessi 0 \1-,' -' ,-" - $63,00 , in ~lio'I~P~~0'400AmPS"" :~ ~.. :'.' ""'-~ l'$\I75,OO 3l'3 5. ~..J1, J)j; -If/IS- OC'-~O{~"~~600~Am'sO\(;' ': ,:' ,u,.'.J$125,oo calilnq \,~'" "G, h... p. n 60LAm sto,lOOO.-Ain-s U'.,~.'.~I \ .uUlIvCHlU $163.00 n\;IIIUvl p..., ...~ -P 2r Over 1eJl9.'~psIVciltSO-332 """)' $375,00 Reconnect Only $ 50,00 ./' 1. i LOCATIONOFINSTALLATION 353 --in p ,'1'1 57. ' LEGAL DESCRIPTION /7D") 3S-31 1(000 JOB DESCRIPTION J-kdk wr ~[I fC ~ Iv 519), Permits are non.trnnirerable and expire if work ill not started within ISO days of issuance or jrwork is Suspended for ISO days, 2. [CONTRACTOR INSTALLA TION ONL Y J ElectricalContrnctor !i1e;!ytJ l1J~rl1 Address City 5fJn~.HdJ Phone 7%-3312- Supervisor License Nwnbcr 558 5 I q Expimtion Date 10 - 1- () F Constr, Contr, Nwnber / (j,t) J"W Expiration Date f1-zo -0 ~ Sj~%/\I~ OwnersName .:&+J.v 1/-6.HE'IL 5S3 ' MAIIV ~f City c:... ~ F ~ Phone 6.5'4 - DC cr Z Address OWNER INSTALLATION The installation is being made on t......y......i I 0\\11 which is not intended for sale, lease or rent. \ . "ection Request: 726-3769 3, I COMPLETE FEE SCHEDULE BE!-OW I ...._J A. ~e~_~":,idential- Single ,;; M~I~i.F~mily pe;;'~"elling un~.-: Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof $106,00 $19,00 c. L!emporary &n"ict.'s or Feeders. ! InJt8UatioD, AlterutioD or RelocatioD 200 Amps or less $ 50,00 201 Amps to 400 Amps $ 69,00 401 Amps to 600 Amps $100,00 Over Iti:OOSlDt 1000 Volts see "B" above, D,; Br;qffiS1~MIT SHALLEXPIRrWTHEWORK--J New MMhil.QRJli~J.lffP'J~.:r~I.[.PER~lnS 'NOr-- Onec~'v1MENCED OR IS ABANDON~f.~ Each ..wfl.i\foQ~I(c\il;ui,/ c1flWiJlOD, Service or Feeder Permit $ 3,00 r-' ._..,..___n -------.,------'-) E. i Miscelhmeous (Sen"ice/fel.'der not included) -Each lm:tullll,ion Pump or irrigation $ 50,00 Sign/Outline Lighting I $ 50,00 .37) Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~,[ SU;;TOTALOFABOVE --"1 :::;0 8% State Surcharge 10"/0 Administrntive Fee $ % 7er.H rfl"". TOTAL 1/ M 5,"~ of -Z.l)' ::t" bl ~ Shared Drivc(T:)lBuilding FonnsIElectrical Pcnnit Application 1-06.doc \ , 225 Firth Slreet Spri~llfield, Oregon 97477 541-726-3759 Phone . -:p~~ 1Ji"- . - car Springfield Official Receipt D~lopment Services Department Public Works Department Job/Journal Number COM2006-0 1552 COM2006-0 1552 COM2006-0 1552 COM2006-01552 COM2006-0 1552 Payments: Type of Payment Check cReceinlJ RECEIPT #: Description Sign - Outline Lighting Each Sign 0-35 Square Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By METRO WESTERN SIGN 1200700000000001126 Date: 08/30/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 10081 In Person Payment Total: Page I of I 10:55:52AM Amount Due 50,00 80,00 6,50 4,00 13,00 $153.50 Amount Paid $153.50 $153.50 8/3012007