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HomeMy WebLinkAboutPermit Electrical 2008-6-27 S, PA'~G "_ ~ 'ON ~_ ~' ~ INITIALS \J.} ~ DATE \0 .1).. i. ~ ~ SOURCE \1, C~ --- ,~- , ..""'..., ~ <"' .).. ;:-..... . ~ -' - -:.'~-. ;'. ""CITY OgSPRIN "D"0REGON > ~': : ~, ~"'. ~ ~ '" .. " ,~ - ~ '"" ! _.: ' - .. (- . _.~ ' 225 FIF11I STREET . SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PFJ!.P4IT 1;fALICATION ClIy Job Number \.. ,~ - \ l;,. - 1 [LOc4:i [ON 'oF IN:sprfA'ItoN';>' t\~\ ~. ~'C2""' <l{'"' LEG\~~\\ ~~. JO~~RIPTIO~~ e Per~ts a~ranSferable and exl uwork IS not slarted wlthlD 180 days of ISsuance or If work IS Suspended for 180 days 2 rCO.zVTRAtiO~'INSTALEA.TION ONL~~ Electncal Contractor S ~JF- I rA'.n.t. Address f {; 86-'; 1-/5' I ClIy Pur! ;;;: ;il- J. I."f..,S Phone ...., SupervIsor License Number ~...,~ 1- 1- S Exprrallon Date I d - 1 - I <! 1i.f1b/g (/-3: - (n Constr Contr Number Exprrallon Date Signature of SupervlSmg ectnC18D #J. 1/- ~. . Owners Name \\ i~ \i ~ \ ~ Kj n Addr:t\ ~~f9 .. U.\~~ ClIy ," ~~~p one l44.~S OWNER INSTALLA nON The lDSt4ir.Iiii!ll1'~<H~In~r:,If\',':,Jt{.'WP~ILM1'h IS not Jil!b(l~d"tIJ.e:lh~B~@-atWd~e ~(egoiilffilily Notification Center Tfiose rules are set forth OwnefSlSlMi~-OOt -oat 0 through OAR 952-001- 009:r'-you may obtain copies of the rules by .:..:::;;-,; t~: szr.t:r t~~:~: ~~':' ~,:,'':'rh''me number for the Oregon Utility Notification Center IS 1-800-332-2344) InspectIOn Request 726-3769 fUi 14l-to6S Date 3. ~coJlii>LETEil<;E.SClmDvLEBELQW I I A ~~~_~~:~;d~~~~1 :=,,$J~gl~'~,:)vf~fti!F";;~';rflp~~~1r~li~~r ~~It y '~~ Service Included \~l~ li)pD \ "6 1000 sq It or less Each addllIonal 500 sq It or portion thereof $11700 $2100 Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $55 00 B rSe;Y]!~~fOr ~ff~~~_~l~~ta~~~b~~n, ~~!ti:~~~~f~:'~~l~~~il~~ ':~J 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 c LI~mJQi~.ry'$;~:::~_~):e'~~"~~,~:i~t{~~~~QtDr:~~~~ InslaUatJon, AlteratJon or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55 00 $ 76 00 $110 00 Over 600 Amps or 1000 Volts see "B" above D Fl[fan-"hCI;;~';;;is:' New AlteratJon or ExtenSIOn Per Panel One CIrCUlt Each AdditIOnal CIrCUlt or WIth ServIce or Feeder PermIt p .. J $ 48 00 $ 400 E IIVI~ell;~eOlt;J<~~,r;y~~I,f~;~~1~~t~~'cl~~~~i~j~~j~~~,~,a~~o,n, j Pump or rrngallon $ 55 00 SlgnlOutlme Llghtmg $ 55 00 Lumted Energy/Resldenllal $ 28 00 Lumted Energy/CommercIal $ 50 00 MIDIIDUID d~~~t::;:=:tJ~n,~:e,:; $:~~~~::urcharg:~ \ 4 ~UB :t"'-{W"V.lIlruuVj"Wt.EXPIRET'F.qJH~ ~ 12%~M ER THIS PERMIT IS' . 10% \~ [fcQR IS ABANDONED FOR 5% e~ 0 6lB- (JeW PERIOD .or ) TOTAL fJJJA .\dJ Shared Dove([ )/BUlldmg FormslElectncal Permit Apphcanon 1-08 doc 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone 8.. P"!NQ.,E!-'? ~ . ..... - .- I I City of Sprmgfield OffiCial Receipt DcveloPlI!ent Scrvlces Department P,ubhc Works Department Job/Journal Number COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 Payments I ype of Payment CredllCard lRLcelOtl RECEIPT #. 2200800000000000982 Date. 06/27/2008 I 22 44PM DescriptIOn Residence W JrIng 1000 Sq Fl Residence WJrlng Ea Addll 500 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 11700 6300 900 2160 1800 $228 60 Paid By STEVE HAUCK Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received Amount PaId IIh 021509 In Person Payment Total $228 60 $228 60 Page I of I 612712008