HomeMy WebLinkAboutPermit Electrical 2008-7-1
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SOURCE \'II 'PS (J0
225 FIF'l H STREll . SPRINGFIELD, OR 97477 . PH (541)726 3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COM2 004 - 0 14 8 8
Date 6/19/08
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Parklnq Lot 5 Servlce
LEGAL DESCRIPTION
A ~;~IR~~i~i~rft~I~j:S_~~gTeTo~rJME'ltl~:f~!nIJY~R~~~II-~pg~it~lt ~::~l
Service Included
JOB DESCRIPTION
1000 sq ft or less
Each additional 500 sq ft or
portIOn thereof
Each Manufac!' d Home or
Modular Dwellmg Service or
Feeder
$11700
3333 Rlverbend
$ 2100
Permits are non-transferable and expire If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
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$5500
2
B ~~~e~2~Il~~~~r~~~1ii~J~Jg~~~~~!f~~~itl~;fE?ld~~tl5;~EJ
Electncal Contractor E C Company
City Albany
Phone Oreqon
200 Amps or less 1 $ 70 00 70 00
20 I Amps to 400 Amps $ 83 00
401 Amps to 600 Amps $13800
60 I Amps to 1000 Amps $ I 80 00
Over 1000 AmpsNolts t $413 00
R~w~g~~!i1!lI~res Y~t\\~Y $ 55 00
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'_' \I 11I1<--ce~leri:itreJge"""Y;:;'~W'>~~W"-l"'uers~-;:..--:;;:. """~.--';-~, .-". ."''1
\ O\\l\\,aIIO'i .0010 throllg[\ h rilles bY
on ()Ar~ 952-001 rn''''JI~tJ~lf,~'it~Ya~-WhGf\Belocal1on
may OUl5'" the .el\lp..
0090, ~O~hB ce~60 AJHP\i~{d~Y'Not'hCatlOn
call1[\g 101 the2l}IEl\.1\lRs, Q~9.Y3'\l\Ws
[\II[1I"..r ~_p'0(J- ~
cenler -<<l I ftffips to 600 Amps
$ 55 00
$ 76 00
$110 00
Address
32758 Old Hwv 34 SE
Supervisor LIcense Number 3257 S
Explral10n Date 10/1/2010
Constr Contr Number
22-15C
ExpiratIOn Date 7/1/2011
Over 600 Amps or 1000 Volts see "B" above
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Signature of SupervISIng Electrician
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Owners Name PeaceHeal th
New AlteratIOn or ExtensIOn Per Panel
One ClfCUlt
Each Additional ClfCUlt or With
Service or Feeder Penmt
$ 48 00
10
$ 400 40 00
Address
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"01\C~~~\1'8','~\'P: IS I'ERWlll IS_~ $ 55 00
1\-11S 1'~~f€fjt~\hrgr.t'Wll.~OO~EO rUn $ 55 00
1'.1.l1\-1q:rnett.@r(918yJR~P(rent"1 $ 28 00
COM~~'tl'l()'f;.ifrif~merc'al $ 50 00
.Mfi't~8m Electnc Permit InspectIOn Fee l.!t $50 00 + Surchdrges
4 l,$P~IQJ;1'(Qf~o')lj1' II 0 00
12% State Surcharge 13 20
10% Admmlstral1ve Fee Ii CJ()
5% Technology Fee ., ,0
139,70
TOTAL lor J
Shared Dnve(T )fBUlldmg FormslElectncal PermIt ApplicatIon 1 08 doc
City Sprlngfleld Phone 335-2817
OWNER INSTALLATION
The installatIOn IS being made on property J own which
IS not Intended for sale, lease or rent
Owners Signature
InspectIOn Request 726-3769
225 Fifth Street
Sprmgfield, Oregon 97477
541'-726-3759 Phone
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City of Sprmgfield Official Receipt
Development Services Dcpartment
Public Works Department
Job/Journ,,' Number
COM2004-0 1488
COM2004-0 1488
COM2004-0 1488
COM2004-01488
COM2004-0 1488
Payments
Type of Payment
Check
r.,RLcemtl
RECEIPT #
1200800000000000703
Date, 06/26/2008
Descnptlon
Penn ServlFdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
Paid By
EC COMPANY
Item Total
Check Number AuthOrizatIOn
ReceIVed By Batch Number Number How Received
3820
DJB
In Person
Payment Total
Page I of I
2 25 20PM
Amount Due
7000
4000
550
13 20
1100
$139 70
Amount Paid
$139 70
$13970
612612008