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Home My WebLink AboutPermit Electrical 1994-10-17OFIEGONC/,TY OF SPF,,VG FIELD, n5 YrFn smEgl $EncBLD' (ts8cotl IilSPBCf,IOI RBOTIBSI:. OFEICB: 726-3759 1. Electrlcal Con tractor TU E uC Address o" c1 rK Supervieor Licensc Nunber 2Lo qS Expiratlon Date & l-95 of Supenrlsing Blectrlclan Nale {_( project as $uhmhted has the zoning, and does not require epecilio land use A. B. It c. 8PFIT'GFl T.D SUBTOTAL OT ABOVE 5Z State Surcharge 1Z earitistrative ree TUTAL 60s8 9zz 80ss Penlts are non-transferable aqd^expire ii-*;k i" oot stiited vlthln 180 daye ;i iffi;"* ;; ii uortr ts susPended for 180 daYs. 2. OOtrltrACTOB IilstAIIAIIOil CIU'I Tbe lnstallatlon ls1 being E"9".01. ;il;;i-"r" "tti"t' r" iot intended ior'saIL, lease or rent' 0mers Slgnaturea Neu Besidentlal-Single or ;[11]-ianiLy per itvelllng unit' Service rncluded: rtens cost Sur L000'sq.ft- or less - $ 85'm ractr addttlonal 50O :s. f:,o, portion $ $.00 _thereot Each t{anuf'd Eone or Hlll3:3:"1::iE. $ 4o'oo Servlces or Eeeders " i"st"ffatlon, Alterations or Belocationl 2OO arPs or less;oi ffi; i" too arPs : 401 aois to.600 aBPs - 601 asis to 1000 a'EPE- ovlr r0oo anPs/volts - Reconncct OaIY € I;:i:ii:{'*ill::'3l,li'li'ierocat ton 200 auPs or less ;6i ffi; [o aoo a'Ps T over 401 to 6o0 TESo-mf0ver 600 aDPa or Branch Clrculte Nevr Alteration or Bxtenslon Per Panel one Ctrcult { g 35.00 3il,.' Each Additional :i*i::.3'rlllt.tervice' $ z.oo ^ 10 Hiscellaneous (Service/feeder not included) -Eacb installation PuED or irrlgatlon Sldrfoutllne Ltghtlng- t i-nited EnergY/Bes .0050$ I $ 50.00 $100.@ $130.00 $300.00 $ 40.00 above $ 40.00 $ 55.00 s 80.00 s€e rB' $ 40.00 $ 40.00 $ 20.00 $ 36.00 oo D. )Omers Address ct 8. DATB: 8EC&rVp zooa uas ''ago o.{ds go:80 t6/90/0r I lt coDstr Contr. r,r.b"t 7G ?GJC E:cpiration oate ./ O- I tf +1\ 5. The lollowlng project zoning, anci does not approval. as submitlad has the require epecific lend SPRI]\lGFIELED EI^ECTRICAL PERHIT APPLICATION225 FTFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQIIESTz 726-3769 oFFrcE: 726-3759 llaie 1. LOCATION OF INST LEGAL DESCRIPTION JOB DESCRI Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspen-ded for 1B0 days. 2. CONTRACTOR INSTAI,I.,ATION ONLY Electrical Contractor Address Ci ty Phone ense Number BELOIT Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DweIIing Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Insta1Iation, Alterations or Relocation: 200 amps or less q 201 amps to 400 amps _ 40L amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect OnIy A Sum B s s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 <ae-+ '#r" n Cons t r Number Exp i ra on Date Si'irrature of Supervising Electrician rt+ 0vners Name Address Ci ty-Phone OVNER INSTALI.,ATION The installation is being made on property I ovn vhich is not intended f or saf e, J-ease or rent. Ovners Signature: DATE: Temporary Services or Feeders fnstallation, Alteration or Relocation C 200 amps 201 amps 0ver 401 0ver 600 or less to 400 amps -to 600 amps amps or rboo voTt $ 40. $ ss. $ 80. s see tt 00 00 00 B" atrffi- D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/Outline Lighti.g- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL E 5 s 40.00 $ 40.00 $ 20.00 $ 36.00 1>^4 RECEIVED B 4 CITY OF SPR'NGT'.h&P,, OJ?EG ON Uillage Inn Motel TFr- No .503-747-4452 Ju l ?8 ,94 9 t32 N0 .002 P . 02 !F;lal{gtlrl.r ELEGTTjCAL TERI|IT APPLICATION City Jo,b Nunber BELOII ?-22-a?225 TIPTH STREET $pRINGFIEUT, oREGON II{SPB(f,ION REOIIB$T: oFPICBt 726-3759 1. IOCATION OF INSTALI.ATION-- ti"; -lnafr,far FcYf epecific land L0O0 so,ft. or legs each addltlonal 500 sg. ft or Portion thereof Each Manuf'd Hone or llodular PveIllng Service or Feedcr Nev Residential-Slngle or MuItl-FamilY Per dt'clLlng Service Includedt r,a* 97477 726-t?r6i$ilzea I,EGAL DE,$CRIPTION/i:7s,:;l\,7r, lafrF -iPeliYilln.&n,r t, Permits are non-transferable and-explre ii-"o*ft is not started vlthin 180 days ;; i;;ild;*"oi ii-'rork ls suspended for 180 days. 2.' C0IflBACIOR INSTALUITION ONLI B' Services or: Feeders - InstaLlatlonp ALterations Electrical contractor Tft'f At ^'t{e?-C-ct Rslocatlonr eadross- rrt fi @r@' Affi :frffi :;T 4 6 3. A c, D. 5 uni t. r Cost $ 8s,00 Sutn c;,v%7Hff.,:"".%H supervisor Li-cinEE'llumber ffi to 1000 amPs- amps/volts 0nIy Temoorarv Services or Feeders -iil[-ir"iio", ertet"tion or Relocation 200 amps or less $ {q'gq;oi ili; i; lil amps a- t::'13 # Over 401 to 600 amDs b tru'vr over 600 amps or i6OOfo'm" see "8" aEE Branch Circults Nev, Alteratlon or Extenslon Per Panel one circrri , _{s ss.oo Zfr* Each Additional :l';:ll.:'rllll,t"'"t"b, $ z.oo -E-n l,!iscellaneous ( Scrvice/ feed -Each lnstallation Pump or lrrlgatlon $icn/outline LightinE- Ltmtted EnergY/Bes Llmlted EnergY/Conn SUBTOTAL OT ABOVE 5E State Surcharge 3Z Admlnistratlve Fet TOTAL 401 amps 601 amps Over 1000 Reconnect 00 00 00 00 00 00 50 50 100 130 300 40 es 00 00to s amD6 amDs $ 1s,00 $ 40.00 er not included) $ $ $ $ $ $ Expiratlon Date /o- /'qb- Constr Con tu. Number 7*3 Expiratlon Date st re of Electrlcian ovnBrg Address Ct Phone OITNER INSTATI,ATION The installation is belng made on. ;;;r;;i;-i-own whlch ls irot intended 'for'salb, Iea$e or rent' Ouners Slgnaturel E $ 40,00 $ 40.00 $ 20.00 $ 36.00 *6 DATE: RBCEIVED JUL-28-1994 14334 5A3 74? 4452 P.@A?