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 CdJ41 2-CJZ:);P, - /)0 79-J 3' Date
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LEGAL DESCRIPTION
/702 .353'4-- 67/08
JOB DESCRIPTION
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Permits are non~transferable and expire If work IS
not started Wlthm 180 days of Issuance or If work IS
Suspended for 180 days
2 tqQ~~g~E.LNSTAiiATIO~~~~]
Eleclrical Contractor /il9h' S Io.-Iutr I ~ me
Address f c) fJ,.:J ^ 2 'is' 2- I
City E"t"JI!'1.!.-
Phone ~'II) ~ 9{, n.yY
SupervIsor License Number '-/7'1'1 S
ExprratlOn Date / (J - 0 I - '2 0 I D
,S'?-t. 78
Constr Contr Number
ExprratJon Date
q -/'-(- 2-01/
Signature of SupeTVlsmg Eleclricmn
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Owners Name j/t$(IJ _~)
Address .q~ /&:-,,/ '19 AI,
City _ru??IVV' Pbne /.G~1:> - ~ 7
/
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OWNER INST~LATlON
The mstallatJon IS bemg made on property I own which
IS not mtended for sale, lease or rent
~gnature
II-lI~ Pi=RMIT C::1-l(Ll kX~ T~~ '.~/.QRK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
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A It~EV:!~~j~i~ti..I'--'S;~[I~~t:~U1H'i~;.;;hyfp€d>f~iti.fi~nl~ f
Service Included
1000 sq ft or less
Each additIOnal 500 sq ft or
portIOn thereof
$117 00
$ 2100
Each Maoufac!' d Home or
Modular Dwe]]mg Servlce or
Feeder
J)..
$5500 Jj;lfoJ
g]1r, j', '. ' ~'""F:;:lL/'0%"0fJ::~~J00";4'$':T;; 'Atill'!;"'j}-'::;@?' '0r:':fi','f'- T'2!,,#;rr;;;j+"J:;f-~w\0'1Ij~ J0!;0>
B l:-Servlces Dr Feeders;;; lnstallatloD;~Alteratlol\s or Relocation.
1*7-:&'''' 'lW<~"~'A \, ,,,,,",,"\.1 "Re. ,,,,- _ _ ""+'o"""",iiliC"wiP",,,,,_-'". ""'~ "'*** ':,,"o;~,"'w--mAWJi'0fu,.,,,_ *
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
/~J.
.....
~ :-ij-BJ
$ 83 00
$13800
$18000
$41300
$ 55 00
c.
InstallatIOn, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600
D
$ 55 00
$ 76 00
$110 00
New AlteratIOn or ExtenSIOn Per Panel
One Crrcwt
Each AddltJonal Crrcmt or With
SeTVlce or Feeder Perrmt
$ 48 00
$ 400
40-0
I
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E ;(~~~~!~~~~~:~;a,~~~:r;~~~:!l~t~~~_~~iidl~il~h~I~~~\~~~i
Pump or ITTlgatJon $ 55 00
SIgn/Outlme LIgbtmg $ 55 00
Lumted EnergylResldentJaI $ 28 00
Lllmte~~n law r9qYlr9S ~oWM
MlDlmum EIilItI'lt 1U!iatt,ltlrb,......,I:'QJy ~Il ~~dI\l t!Jtllllychargej 14. p?
f,"' '''m~I~' .~w Jl.Q'"ill'lilleSiareSe!:"'rthJ - .' "-",
4 ~SUB - ~ h,~L-j"'L."A(J~r;:~'b-"-~W l+'""';' # _,U
IDs ,_i~J;P"'" ., . t .. '" totJgu~~-6.0+j ~
8% sJatlllslITlffiat@ay obtain caples of the rules bv ~
10% AdmliiiSfhlIlveCF;!Oter (Note the telephone . ! t ..Ac.Q
5% Tea\h'lllo~teethe Oregon Utility Notlfrcatlon -~.""\O
TOTAL Center IS 1-800-332-2344) \*. ni)
Shared Dnve(T )/BUlldmg FormsJElectncal Permit ApplicatIon 7-07 doc
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
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City of Sprmgfie1d OffiCial Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00783
COM2008-00783
COM2008-00783
COM2008-00783
COM2008-00783
COM2008-00783
Payments
Type of Payment
CredltCard
cRecemr 1
RECEIPT #,
2200800000000001071
Date" 07/11/2008
Description
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrahve Fee
Paid By
ROBS El ECTRlC
Item Total
l:heck Number AuthoTlzatlOn
Received By Batch Number Number How Received
IIh 47996 Phone
Payment Total
Page 1 of 1
12 00 23PM
Amount Due
5500
5500
400
570
1368
1140
$14478
Amount Paid
$14478
$144 78
7/1112008