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Permit Electrical 2002-3-1
" ... ... . .t.". 1'/225, FJETH$I'REET r.;'~ .,;"l..~'ilf?ij fq ~\i'0 ~rl!".;.. ELEcWCA!;PERMlT. APPLlCA nON;, :~,.t~~iiii ~:};SPRrNGFiELP, 6R:EGON,'974Ji7 ~~&~j i~';l ~,~~:Z~ft~ f~~~Y.:!:~';:;t'.":~~~f;~::i;~',~:'>' "/ -':::/::'~::;"'~',;i'._ :':>',>-?~ %::;~~.'~~)~~p~<;:i!.()N,iRE9~~1;:7~~~~i~.,:~ ~~l ~~ fiCity'Job N,umh~r D').~r5V ;J.SCj . '7'0f. -';;~';;;;i':':~' ~11/0FFICE' \726'~3759,~t;.hWi. 1>':' ~r"ji~ ~-~~~~~~. ~i! ~ {,~';,S ~~w_!;: ~;'1.:'I,:".!..'.. ,.. '.:....,~~.;.::--~;;. . ..~...' .... . "-~,,,:,~ ~t#.< ,.; ',' ~'-.~... ",>- -; "~'A.'i~ .J"i.;" ~i!.'- ,,,.'iY:.:et ~;.i t~ ," ~~.",' ~ \';::t~:_.l~_:J ~l~~~r'-~ ~'~~':or.:\R:t~} t:: ~:f.~ ~f~:: .yl&~ *~~ ~~ .~::.hpq~'~ ?;,.~~9~~~TE FEE SCHEDULE BELO\V .. ,.,....'..'''..1 LOC'ATION'OF'INSTAL' .T".TION.."'.",:i!,.A"....>--',.. . I'", ", ..r ".~;:;y .~,,: ,. -'~ f"'"' "\t.."~.~"Bi:,'Pt'\'~Jr,i,. Jr ;', ,.~:.~.,:;,~/,; ~;,,'_' .. ',' ';'> ~~'~ [:"11'\\ e'."I'<ffii.i:~, {(:;lk~, -'9diJ~l'NSA~'N~~~it~~idential:SingleOr; -' .' ". Multi-Family per dwelling unit. Service Included: ." ." < ::.~:\ LEG.t\.L DESCRIPTION . /'d03" 0311 (')[) yoa Items Cost Sum.. ?,!~t:j',: ~r.,:~1!:f:, JOB DESCRIPTION 1000 sq.ft. or less it~ff B'e:~1J Ss.~/d Each additional 500 ....',I(<~..., sq. ft or portion ~;~t;;:,.: Permits are pon-trimsferable and expire thereof $ 19.00 - (i~f :~:tI~~~~::~:ONLY B. s'n;:~:;~:llti~.""'" :.;t.'.;.'...i.:,;,,}.t,~,~,',',c.i.:'." ;jL~~ ,\:Niv A' Installa~ion, Alter~ilii.~s :"or">. '" .~, ~ ~. .. , Electrica)'(::ontiactof;;.~ RelocatIon: '. :.' '".':' ..' ,;. , .. ~~\;i!:t:,~' ~~~~~ ~~~~~~I.~~ I ,A.:-~; :(~~;~:: ,-:(;.~ ~ ;:J" "~~:',:'j '::' .r:~;S':~'~" ','-~ \ J 3' '. ,j' Address .'~"'''''''' ..#,,~ ""....,,~...~ 200 amps or ess.:'..:.:,..::-x....:.::.,:...~. '63.0(}:~'.. ~I,~"t" ~~i(:;~.~ .,:,. '.:.~.,...,:f,t~.;..,.;~,:_~,.~,.;;,~,-',~,~,",.,...".,~:-~~,.~7;~~. ';'.' , 20 I alllps to 400 amps . . S 75 00 ,. ',;.;:~i', "..,,,,.. n.. ..', ..' ~..' '0,4:": .'''' . , . ;.:..: . .~,j:t.~ ~:,i,."'t'1< J'" . .",':. ....;.,,~.~:~... .:..~-;--- Cltv '.',..;!.":, wc0'.Phone .' ""'7 ,....,......... 401 amps to.~90.~'!'ps;..'.: .:. ;". ..:.-:.::'SI25:001:. :- ,it"~- - G."""'tL'fi ,h. . .' , '.. .<t.. ''''601 "1000" " (." S16300' !.J.di:f..~~.\~~-,\~~;l' .,tt.~:.:~.,:;i.;;',<:':',:;",:,..!;,.,)., ampst.o an~p~:..~,'.,: ~ .',' ~ Supervisor.'LlCense:Nurilber "::t.o;>;, 5 :.,.',~ :"':." . .,. . Over 1000,amps/;"0ItS :", "0 '..... '., S375.00 ..' i"}~~"""~'t:~~"'.~!""~""~ . ." ~ ,~:~ ., "c. t.. .;~ ... ,...... ~ "" . --:-- - fl~t{(.~~~ir,~~~I\~~;'H' ;:;~s};. ',: .'~~""".~.:' ,.1: ::Reconnec:tOnlv.....~.E. '. "; . ,,- . $ 50.00 -' . ." . 'I^'..;(:'....,,'/,.....~,.....;:,......".'.,,'. -,:"~ ." ~ ,'.....:.,. ",;, " ,". ,'.---::-- " -.--:- ~W!.~J1.I:t ExpnatlOn Date ': U' -~ ~ : ~. '~:'.., \'~i-"~ ';1-. .. /, '. _:' :-", , ::.c, ~' ~ ;~I:: , ,~. -1~.> .;. 1\ ,..;.,. . ,.' . ' "'~"? .,. ",' . ,. ".~~. . .' ..'1 '.:' '_,. ...,0; .:":t~, . ''1''''';- " . -. .'-.. ~ .' :1..,: ~ '.: .' <. ;-. '~.' . '. -'. .. \:.~'-'".~,,~~ .(.. ~_. I, ' .::: . ."~.:..., :':' ,,~~ ~- ~-.~....:,':,).:':C.. Temporary~cTVlces'or:Feeders.:'.l;:~'" '-" ~ - . " ~~:i;'i '''ConstrConlr. Number" .. IV .6.' . .; ,...-', ;.~<~, ::<.:". \;';k:'i';stalhltion;'AlteratW'; or'Relllc'atio.i' f., ".:' :'..::-; ':. ': :. . ~,\J.~~~i~!!~.~;~iratiO~ ~a;~" ~. .L~~ ~~:,;(.;., '~c>~/~1.;~.~~2~;iIf"~:i:~~Y~p;p~ii~i~d:t~{::,{~~);{::2;0:~: ::':~i~.:~tc'. ;:; \ 'J w. ~"~:_, "_' . ""'--,.~"t.!:::" ;:-:~~~,;,~,.. ilrnpsJer _, ",~P~,:~.~;";'i.\~~;'~;:j:-:"~;' .' .:~ J,.,' ~'}i;:::,s!gnati'r~"",:l.~l1pervising Electrician .... ""...._.;bv~( ~0!:t9;!i9.o:a.mps,::)~;.:j;.,\).,.::,,(: .' ;iSIOO.OO~ 'fl', ~r:','::.>:~"..~,. "",::..3~:.~">,,,;... Over'600;airips'o(!9q(r:\~olts.see~'-~'" ..:;,_.; :...:....: ~I ~ .I~' ;";"'~" .........,".~"~~ "B"above ....~..,:...,.,~. ". ...,..,.'.,:...... \i. ." ':, '~" . p.. ; . c... . ;,.'.~' ",,-:... - ",~"".,.> . . _d'" , . .. .. ,.., ... "'JF)' . h.- ,. ". " :..:;"~.})~}6~vn:;.~~~~~i~i2ijh1:-Q~~ b~' D. Bl'a~:,5~lj!~on or Extension per'~i~E'7~~.;.~":~~:.,' ," ~ .. '.:~ ~ ~ : /;,'~'. " ':'<~:<.~:~{. :~- ::):'~t': ~<::.!::;~..~.:,;.>, - .~:'4)ft~~ ~ "~'l ~:").<':':'_:~' :. .: ~".. ,.. . .' .:', .AddrcssZbi:)'cS';M;U;"t",:';',,' ;;. One.Cirellit;,"' ,'ri"'i :':.: ":';'..'S43.00. .:" ;':, .'~.: :: ,';:>1;"'-I,:~,::..\.:.~~"'.~''''J{ .tl~~~:~t~~w.f$.,-l!JJ. '.' .:\-.:.....,):....,~:. :H. ;.\City5;;Pi;i~~i...,'i\: ':Pho;.-~73i.;4641 Eac!i"AdditiOriaLCircuitorwithService"....':: ,.' .. " '.' .'. .... -.'.' ,,'~"""...... "/ 0'" ci~Fe~def;P7rhlit',,:;'i,;;;;;:\L 2.'.. ....S.3. Oo..t. .-;....' , ..'." , ", ." '. ",- ", "'" ~ _ _ "",,- . - -' J .-'., ~ '_'OWNER,INS'TALLATION ,.:,~,,~~':;"" -416?- !;ii.~:~'~~~7~i~:t:::~(7 f!~,~~i~:~ ~'-', I . ",,""" The insialU;ti~iiis:beirig.rn:ad~;on:j' . E. Misi:eilaneour(S~rvic&feeder not included) . , ..' . ,... '. ~:" ',.!..i:;...._...- ",_, .:- _.,'.r ;J".!..~:.l":_'::_ , '. ~ . , ";:',:' ':property.ro~vnwti;cIiis'not intendedl~~' : '~Ea"h'11)stallatlOn"i!!,;::."1 i ',;.. '. .,'c ..... . ';' ',:::' for 'saie,~:lease'of rent.~.:~1~:;: ,'.. /" JfJ}.. i Pi{mp':b'r\tTigatioii:W.f';~? t, ~.$50~06 ~:. . "-, ..."., . J._,:}..~.,.l."'" ,'F. . . '., 'j'. ,<"'0.:-': ,.,. .c:', ", ;:\: ";':.., ,1 Signl,OiItlineLightirig::: .;,: $50.00 .. '\'.:~""O,vncJ~s Sit;nature:'.> .... " . .....' Li.:n....;.ited,~..E_. n:':._e:'."~'gy":.:~,,'..1D '..':."".'~..~..'....f,.'.~..'~,~ ..i'~,_I' '" .' . -"<;,/ii. ..',l ~5:~i1i~m~" :;;::~ ~~~:'j~~~HSli~ < "., ::-- ,::;, .::.'.'5,':, ;",': .,~:~;~";C;~, Minimii~,f:'f~f~:~;:~i~tit~~i~P;~ction Fee is 545.00 + S~rcharges ~\:OO' *L T $0 S~~::J33i.ll.}aWli' '... '. .. "", '.:',"",'.'.>".'. 4. SUBTbtAifoF'AiiOYt" , '- ." Df;' u r;., .'o~",:v ,.., .... . "', " .. 7% Statli:S;;i-Ch;~ge":' ~1j3 1068000- 'to :#$N8M ' ,. . ." 8% Aditii~i~irativ,d'';~,: 5 S2~ .." ", :",~ t."''',.,:.~_ -' ':0;.;i~f..,.,lj' .-... ..'-.. - ". $106.00 ~ ...;,\.';'r.;," :<'~""" "~: -971 35' . --------~------------------------------ ---------------------------------------- 'C~TY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541)726-3753 ----------. ----------------------------- ---------------------------------------- WELCOME TO DEVELOPMENT SERVIr.ES AND PUBLIC WORKS ------- - --- .--------------------------- ______. n__ ____________________________ REG-RECEIPT:01-0008201 C:MAR 01 2002 CASHIER 10:032 4:45 pm A:MAR 01 2002 ---------------------------------------- ---------------------------------------- 1004 ELECTRICAL PERMIT $69,00 JOB#:OO-OOOOO-OO 1098 (BX) ADMIN FEE $5.52 JOB#:OO-OOOOO.OO 1099 STATE SURr~IRuE(7X) $4.83 JOBrt:OO-COOOD-OC lOT AL DUE $79.35 RECEIVED ~kUM; vllLLAMALANE CHECK: $79.35 TOTAL TENDERED $79,35 CHANGE DUE $0.00 ---------------------------------------- ---------------------------------------- <Pay Name :WILLAMALANE <Mail Addr :200 SOUTH MILL STREET *Cty iStlZ : SPRINGFIELD, OREGON 97477 *Site Addr :000000000 ____n___________________+_______________ ---------------------------------------- ---------------------------------------~ --- --------- --- ---------- -- --------- ----- THANK VOU!!!!!! ---------------------------------------- ----- -----.' ------------ -- -- ---------- --- . 1",1. Eile Edit 'flew Fll,vorites I '(? '" ~ @ ~ U Back"- FOJWJ>;r<i!i '" Stop Refresh Home iJ~~dre551@j httpllspringboard/mg_docs/dm/spr_~_aPc:..m._ :::: r~~:h ----.-. ~~n_. ~ 0 ~ Favorites History Mail Print -~T~ 0 ~~.CQn~~.~_@ [.[1 'f? ~ = Sanilary Sewer;F"! --.J ';i!>~ '-I,J 1@J;11 ~ = Sanllary Sewei';---'-j' T@J ~@:..;"'i" ~ @ ~ = SanilarySewer;' ,LO ,~il" D g Storm Syslem Feal~1 I ~ ~ I~ ~ = Storm Syslem~, "=' j :J' ~.=' Storm Syslem ql I M ~~ i!\ii @ ~.c:; Slorm System F!: \ I;1 r~~[ ~ D = Building Footprinls II I ~I r-@-~ ~i 1\ D= 101I.ConloursI20(-, ~ ~L -i'''- D = 2 fl. Conlours 1200ri Ii _@ i!> '~ ;R''j ~. _ D = Curb Lines (2000) t , ~ ",\/ .-<", 1\0 ~... D = Street Names. Vis~c r <@@ ,....71, ~ !. . - D = Hydric Soils. T OOllii_~ ..,~, ,..... ,; ,/ @ ~ II r~' D = Springfield Soils. r:. ..~~~_...5:/ ~j ~ ---i. 'A D = TRS Grid I. I l ~1j I ,I 0"1# ~ = Springfield Streels .I / 'f ~ I ~,N @ I I JI ' , I I') - -1 .",_...._....__ lia.c:; ~!Iiw.!Ii'IPlI'..I.II:IIPI~~ , .l~l.!) Il.!)'&~'&@i U - .. I.._~ II ! I 1 I I I I I I I @ I \ . I ,- - T' T ,. .Ir;-I 'I ~'JI ~ ~.'II--==r ..... no 'T~r- , i! ~ _; ~ ..L.!.J-,-j~!\ __.____ __ tul _ /. Tax LoIs - Tooltip is~-- . m1:6.024--. @ @j IliUilStartl~lr~snaglt/32 - -- ----- ----~..- "I L' JUlgJ;IL I' ~_ _ . ..._.' _.J.. U~ Dca Intranet IIIiiuilAP'fIAtlN - [Perminll@~IrrY.9FSPRI.~-I IL~ N~:'l.~ '-I 1 44 pliJ