HomeMy WebLinkAboutPermit Electrical 2000-4-10
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SpAFIELD
The following project as submitted has the toll owing
zoning, and does not require specific land use
approval. c-
Zoning Q/
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225 FIFTH STREET Date v---J
SPRINGFIELD, OREGGNth9fl>\lJlJ'ignature 9\
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOC,(fl'ION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if. work is suspended for
180 days.
2_ CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~or'+-,^vJ~+ c....lole.
Address 3'--\ 'b '2. '-\ ~4/ ,/ ~K
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Phone 5: <-j /- 3'-J3 - 0'--100
Supervi.sor License Number .~ (S -:5C: R GT
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Constr Contr. Number IQlHD09
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~lectrician
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Owners Name~~~~,::" j(.JjLJ .
Address~n r:11/~$)?7 (?.u.:{t ~,
City E.Ic 9JMPhone jj",5a/
Ci ty E,,\<, .A.P
~
Expiration Date
OVNER INSTALLATION
The insta1lati.on is being made on
property I own which is not intended
for,sa1e, lease or rent.
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Ownets __~igna ture:
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DATE:
RECEIPT #:
RECEIVED BY:
U'IO- tJD_
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85
00
AHT RECD:2 $ 39.60
CHANGE:
. CASHIER: 003
ELECTRICAL PERMIT APPLICATION
City Job Number /J() -IJ{} 5tJ'4- -C)/
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15,00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder .$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
New, Alteration or Extension Per Panel
$ 35,00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ~700
Limited Energy/Comm ~$ 36,00 ~CO
5. SUBTOTAL OF ABOVE "?/:? ~
7% State Surcharge 2..1>_'-
3% Administrative Fee I.&)'P
TOTAL -? C>. I':.. ')
Dt".
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600,amps or 1000 volts
Branch Circuits
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
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DUPLICATE' RECEIPT DUPLICATE RECEIPT.
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-. . ._--------------- --------- --- --- ------
CITY OF SPRINGFIELD
225 FIFrH STREET
SPRINGfIELD, DR 97477
(541 )726-3753
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--------------- --- "-" "-- -..-- ------------
WELCOME TO DEUELOPME~j
SERVICES AHD PUBlIC WORKS
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-----------------~-- . .---- -----.---.----
REG-RECEIPT:Ol-000118o C:APR 102000
CASHIER 10:003 10:28 am A:APR 10 2000
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-------------------- - -----------------
1004 ELECTRICAL PERijl r $36.00
JOB#:00-00502-01
1099 STATE SURCHARGE(7%) $2.52
JOB#:00-00502-01
1098 ADMIN FEE(3%) $1,08
JOB#:00-00502-01
TOTAL DUE $39,50
RECEIVED FRDN:
NORTHWEST CABLE AND TELE
CHECK: $39,50
TOTAL TENDeRED $39,60
CHANGE DUE $0,00
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*Pay Name
*flail Mdl'
*Cty /St/Z
*Site Addr
: NORTHI'IEST CABU .~ND TELE
:POBOX 51600
:EUGENE OR 97405
:4051 flAIN STREEI
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TtlANK VOU!!!!!!
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DUPLICATE RECEIPT DUPLICATE RECEIPT
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