HomeMy WebLinkAboutPermit Electrical 2008-7-11
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225 FIFIH STREET' SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number ( ,()}f/l 2/) ZY6 - () 0 7 ~4
I kLOCATIONOFINSTAflATION: 1
I~" ^.
4-00 <;, 71fT
LEGAL DESCRIPTION
/702- 35- 34- (') 7/ In
Pump or ITTlgatlOD . -'- $ 55 00
SIgn/Oudme LIgbtmg $ 55 00
Lmllted EnergylResldentJal $ 28 00
Lllmted ~1i~reallgon law rI,n"Jreio yo\lOto
Mm:mu~El~~tftrj,lF.edfJ~:B~ ~tfdlfdrges
4 l' SuBT~...ulaWl~Il~~1!ts ~~lfllt fo
OwnersN'tfj're't, r - .~.",~=.10thrOlfgllOA'Rgf;' -
I" f~~r I1T t'u ~,{PIRf IF THE WORK 8% Stat~~\Wfih~may obtain copies of the rules b .
THv L.' <.r.. ERTHIS PERMIT IS NOT 10%AdnJJjlJs~ If,llanter (Note:thetelephone
AUTHORIZED UNO ANDONED FOR 5% Tecb1t'~~Ef.e~r flie Oregon Utility Notlflca Ion ,
COMMENCED OR IS AS venter IS 1-800-332-2344), . rJ..
InSpectIl'lme4001Elm<<p-~D, TOTAL 1~_19-
Shared Dnve(T )/Buddmg FonnslElectncal Penmt ApphcatJon 7-07 doc
JOB DESCRIPTION
/j/A-/Vj-- ;4$?.K .5: C~C
I ~ - .-
Permits are non-transferable and expIre If work IS
not started wlthm 180 days of Issuanee or If work IS
Suspended for 180 days,
2 ~CONTRACTORINSTALLATION()irL;1(i
Electncal Contractor /::v h ' $ f;.- (u fr I L rn (
Address t c) [l", ^ 2 'il 2- /
City E"1.7r:"1~
Phone (S'II) (., 'i(, n''7'7
SupeTVlsor LIcense Number '/7'-1lf S
ExprratlOn Date / {J - CJ / - 2- 0/ D
,S-{,(,. 78
Constr Contr Number
ExprratlOn Date
)( -/'-(- 7-01/
Signature of SupeTVlsmg Electnclan
~~-~
Owners Name J/ ~A J df~CJ1lJ
- ,;-
Address 2~,o _~~/( 1? AI,
City -".s...~ btJi'! Phone (~ -_M2J?
/
,
,
OWNER INSTtiLA nON
The mstallatJon IS bemg made on property I own which
IS not mteoded for sale, lease or rent
Date
3 1 COMPLE'{EFEESCHEDULEBELQW.
A I New R~~!d~~'t;"r - Smgle 9;:Multi-Famlly per iJ';iening unit
ServIce Included
1000 sq ft or less
Each additIOnal 500 sq ft or
pomon thereof
Each Manufact'd Home or
Modular Dwellmg Service or
Feeder
$11700
$2100
..J
$5500 ~
B I:SemceS or Fe~d~rs ':.}riS";ll~h.on;'~!e;;ho~"s_or fi~I~CatIOn: J
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
-i... '~#j^ 7'J;p'
$ 83 00
$13800
$18000
$41300
$ 55 00
r:...~~~Y<~H'"''' 1 =="0"~rrr~;:]~ .="1V.. \l~ ~.
C ~;rempOrary Semcl'l< 'or ;Feeders, .; .
~1
InstallatIon, AlteratIon or RelocatIon
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above
~1"{"'-, ',,,1
D f.B.ranchC.rcuits."
$ 55 00
$ 76 00
$110 00
New AlteratIon or ExtenSIOn Per Panel
One Crrcllit
Each AddltJonal CrrcUlt or With
SeTVlce or Feeder Penmt
$ 48 00
$ 400
-?t'"O
I
E l~1Eell;ne9US (SeTVIcelfeede'r Jot Illchlded) ::'Each l~stallatlOn l
.co
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~
MiL,
City of Sprmgfield Official Receipt
Development Services Departmcnt
Public Works Department
Job/Journal Number
COM2008-00784
COM2008-00784
COM2008-00784
COM2008-00784
COM2008-00784
COM2008-00784
Payments
Type of Payment
CredltCard
lRecelOtl
RECEIPT #,
2200800000000001073
Date, 07/11/2008
Description
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend ClfC Ea Add
+ 5% Technology Fee
+ 12% State Surcbarge
+ 10% AdmlDlstratlve Fee
PaId By
ROBS ELECTRIC
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Ilh 0061618 Phone
Payment Total
Page I of I
12 03 53PM
Amount Due
5500
5500
400
570
1368
1140
$14478
Amount Paid
$14478
$14478
7/1112008