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HomeMy WebLinkAboutPermit Electrical 2008-7-11 . , " ~.-... ~ _<' - l' ~ . ~-CITY;9F;:SP}~:ffiSU::IE~q,J?~GON' ~..lt . ~~H DATE .!...J~-n....o~ SOURCE ~~(2/ 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 I !ggQirl9.~'()e!NST!,'I i -t,PQN, 43'l!J S" 7/fl Sr: LEGAL DESCRIPTION /702 .353'4-- 67/08 JOB DESCRIPTION )/./AflF ~p f 4'~~r 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 f,L ~ Owners Name j/t$(IJ _~) Address .q~ /&:-,,/ '19 AI, City _ru??IVV' Pbne /.G~1:> - ~ 7 / / 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 A lli\p1JlllJl ~f.f&lDVl16-3769 3 tt:()iI1PLEr~Ffi!LS(;irF.1?i@JiEi,Qff;;~~;ij3fl!~~:z.;:. ;j 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 -~- 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 .:'" 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