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HomeMy WebLinkAboutPermit Electrical 2010-4-23 225 Fifth Streett Springfield, OR 97477 + PH(541)726-3753+ FAX(541)726-3689 ~~"f2EfrARf~!~~~. Permit no.: Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits. expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Pbone: E-mail: Tbis installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: E~G:qNlfW~jlii1);~j.t:l$Jf1'~~~h1iiflQ"riJ~"if~i~,*,' 's tlf{... Address: City: Phone: 1yg8 -Z~-z:.-- I-G 440-2584-J(9/08/COI<Q Residential, per unit, service inclu:~e'd: ],000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to ] ,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 83.00 $ Temporary services or feeders: insJa/lation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 401 to 600 amps (2) $ 83.00 $ $ 87.00 $ $126.00 $ ~)ver 600 amps or 1,000 volts, See services or feeders section above Branch circuits: new, alteration, extension per panel a Fee for branch circuits 'with purchase of a service or feeder fee: Each branch circuit $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit t $ 55.00 $ 6.00 Miscellaneous fees: service or feed~r not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit Or a limited-energy panel, alteration, or extension (2) " Each additional inspection: (I) $58.00 $ "~.."" ., ~~'pmG'T.":,:"."~~,,rS"E'~~_jl;.~~.,__.''''A'~ ...'"'~ ,._,.~,L_,___,~!~U~\:.!,^_ ;'~\!i~~~; (A) Enter subtotal of above rees (Minimum Permit Fee ~~~"Q.P),~ :'~-,'>;_":;'."'~ _.,-",,;., >.1_,' (B) Enter (C) Techn TOTAL $ 63.00 $ $ $ 63.00 $ 63.00 $ ANY 180 DAY PERIOD. ""'1 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000393 Date: 04/23/2010 IO:OO:IIAM Job/Journal Number COM20 I 0-00 139 COM20 I 0-00 139 COM2010-00139 COM20 1 0-00 139 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Paid By LYNN MOORE Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due. 55.00 6.00 7.32 3.05 $71.37 Amount Paid IIh 76664p Phone Payment Total: $71.3 7 $71.37 , ~~ ~:! .. '.~ !~.;.- , .~;. , . ,~~ ~ ,t:. ""~" ' I. cReceinll Page I of I 4/23/20 I 0