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HomeMy WebLinkAboutPermit Electrical 2008-6-11 SPAINGPlttLD Z~ 0 ~.~' <. INITIAL, W~ - ~~~ DATE (O----\..) - u~ ',.- ~:'., SOURCE...-v--. '\' &\I.!') Date 0/1/ /Og .~ 225 HITH S"l REET . W'RINGFIELD OR 97477 . PH (541)72&.3753 . F~ (541)726.3689 ELECTRICAL PERMIT APPLICATION C,tv Job Number ('f;rY) :2.[XJf1 - (9a!- 3 ~ 1 LOCATION OF INSTALLA TION' 2WCj \ T S;I-. LFGAL DLSCRlPTlON \, n 3 ?:f.L7 17 r'>'O I t5D JOB DESCRIPTION UfYL{) !1JWC{ 4tJ[) J...r.'\...D/J I , Permits are non-tr.msferahle and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 CONTRACTOR INSTALLA TlON ONLY Electncal Contractor ~r:OFTKf.n RT.F.CTRTC CO. Address PO BOX 27 6 5 City EUGENE. 97402 Phone 686-8612 SupervIsor LIcense Number 4218-5 ExprratlOn Date 10-1-10 Constr Contr Number 38702 ?fil;r: Owners Name <;;D r ':;:;.,-A-e..U .S::J,l1O/ /)13.-1- Address 5':2. S u J ~ E C,~ LV I L ('}:?.A'hone OWNER IN~ALLATION The mstallatIon I" bemg made on property I own whIch I" not mtendcd for sale lease or rent Owners S'gnature Inspechon Reque.! 726-3769 Cus ton1.u/" 1';1J~rJ- ~ ~ 5U.IJ~ , 3 COMPLETE FEE SCHEDULE BELOW A Nc,,, RC.!lIdcntml- Single or Multl-Fdmlh per dncllmg Unit SeITICe Included 1000 sq ft or less Each add,tIonaI 500 'q ft or portIOn thercof Edch Manufact'd Home or Modular DweIlmg ServICe or Feeder $11700 $ 2100 $55 00 B Scnlccs 01 Feedcflt - In~talldhon. Alh..ratlon\ or Relotatlon 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/VoIt, Reconnect Only $70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 C Temporal) Sen Ites or Feeders Installation, AlteratIOn or RelocatIOn 200 Amps or less 201 Amp' to 400 Amps / 401 Amps to 600 Amp, $ 55 00 $ 76 00 71/1 OD $110 00 Over 600 Amps or 1000 Volts s"e "B" above D Brdnch CIrCUJts New Alteration or ExtenslOD Per Panel One CIfellit Each AddltIondl CIfCllit or WIth Service or Feeder Penmt $ 48 00 $ 400 MJ'icclldneom (Scrvlcc/fced<...r not mcluded) -E.lch I""t.1J1ahon Pump or 1ITlgal1on $ 55 00 SlgnlOutlmt Llghtmg $ 55 00 L,mlted EnergylReSldenl1al $ 28 00 Lmllted Energy/CommercIal $ 50 00 MImmum Eleltnc Pernut Inspection Fee IS $50 00 + Surcharges 7c",d) q./~ /_00 sU{O Cj(P. 7J:J- 4 SUBTOTAL OF ABOVE 12% Slatt: Surcharge 10% Admm,stratIve Fee 5% Technology Fee TOTAL Shared Dnve(T YButldtng Fonns/Electncal Permit Apphcat.I~m 1-08 doc ~ - dfXJ~ l.e..ny:> Se--vUiA...(,. 'fa tjCO~ 225 FIfth-Street Spi..ngfield, Oregon 97477 541-726-3759 Phone Mr.P~~Fl!",!'.. - :" J _, ~___,~_ 4 ~ CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00438 COM2008-00438 COM2008-00438 COM2008-00438 Payments Type of Payment Cred,tCard cRecemtl RECEIPT #, 1200800000000000640 Date: 06/11/2008 Description M'nlmum/AdJustment ElectrIcal + 5% Technology Fee + 12% State Surcharge + 10% AdministratIve Fee PaId By ERIC SCOFIELD Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 711152 In Person Payment Total Page I of 1 3 26 43PM Amount Due 2100 105 252 2 10 $2667 Amount Paid $26 67 $2667 6/1112008