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HomeMy WebLinkAboutPermit Electrical 2007-3-22 (2) . . CITY OF SPRINGFIELD, OREGON ftl.n....f~..'.., .' , .Ii . .' ':-..... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726-3689 ELECHUCAL J>ERMIT APJ>UCA nON City Job Number C 7 - 4-2 ? Datc r ---.-----. I. r LOCAI1ONOFINSTAL1,ATI(jN. 3mUi/LK J}ly LEGAL DESCRIPTION . RIJW- ~A-rc - /flt:; JOB DESCRIPTION l~ 1~/6f7/fJAJJ --AlJ b ) 0Ur. !h /1)(( ( r /i ~3\V, Permits are non.transferahle and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~Ji" J/~.0? ~ ~,~ ,. 'COM"LE'TE"",SCWillu,.snEWW ~ A. New.Residential.,. Single or Muiti'Famlly per dwelling unit, Service Included 1000 sq. 11. or Icss Each additional 500 "I. 11. or portion thereof Each Manufacfd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 2. i 01:v'i.'JlA(JTOR.lNSTALLATION ONLY O. . Services or Feeders - Installation, Allerations or Reloenllon: Electrical Contractor &J i I c1e rs G t-"C.-t ri C 1()( 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps 10 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpslVolts $375.00 Reconnect Only $ 50.00 Address Ig5 MClcl,s \J 1'"\ City ~ \JC\ e 1/ e Phonc 4 8S ~ 09'2..'(, ~ Supervisor License Number 3~ CJ 0 ." 5 Expiration Date J 0 ~ /' 0'7 Constr. Contr. Number 4 ~ (p Expiration Date /1 - 10 .. 01 OwoersNamc ~',~rfl Address City Phone OWNER INSTALLATION Thc installalion is being made on propcrty lawn which A1iOBMCfdmMrd'ih;9@Pl1l:hml1l'llll!1JIres you 10 follow rules adopted by the Oregon Utility N@SI!U'Mi~'l!lt'fllar. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- O:J:}C-. Y::)U rr.ay 513:ail1 aapies-:f l~.: ;;,;Ia: ':y calling the center. (Note: the telephone w.~IlG~Cft$R!E17lij13W)!ity Notification ~enter is 1-800-332..2344), C. TemporarNt"tWt:?' Fe,'ders Installation, X\I~.p'li~tI.1lifeilk!a't~ EXPIRE IF THE WORK 200 Amps or.flJ.!,THORIZED UNDER THISf-~H(IJ1IT IS NOT 201 Amps toC;6b\Atrt,~."JCED OR IS ABAN~tm2!D EaR 401 Amps to~ooYAlrtl~ DAY PERIOD $100.00 Ovc..' 600.Amps or 1.000 Vol~, sce ..~.. above. n. Oruneh Circuits New Alteration or Exrension Per Panel One Circuit ~ $ 43.00 -4.3 Each Additional Circuit or with Service or Feeder Pcmlit $ 3.00 - ~---~.- -- --.. E. . Mise~lIaneous (Service/feeder not Included) -Each Instullation . Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4<t!:)b<J .~ '0 4-50 lfe'FM, -r~HN/:)M'1 ff:i. i ;z.. S" Shared Drivc(T:)/Ruilding Fonns/EICC~lr~jfArr5S)J~d~ S~ 4. SUB1'01'AL OFAlJOVE )1'1/N. 5;,0/0 State Surcharge 10% Administrative Fcc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . -~''''!!.'!~.-~'...''.' 1IiL. . . ..: ..~ ... ... ~J,V'" . _ _ _ qaof Springfield Official Receipt JJl.Ifelopment Services Department Public Works Department Job/Journal Number COM2007-00423 COM2007-00423 COM2007-00423 COM2007-00423 COM2007-00423 Payments: Type of Payment Cred itCard cReceint I RECEIPT #: 1200700000000000310 Date: 03/22/2007 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By KELLY OBRIEN Item Total: l.:heck Number Authorization Received By Batch Number Number How Received dim 076048 In Person Payment Total: Page I of I 10:56:07AM Amount Due 43.00 2.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 3/22/2007