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Home My WebLink AboutPermit Electrical 2000-5-24 L -" '- - . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION //)./p ~ .Ds> 10-> C-R 97477 726-3769 LEGAL DESCRIPTIO~ /7n~ '2- 7 ~~ JOB DESCRIP;~N <:-r=-A'f_ -( Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. Or_7~ lJ 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~~~ ~~~- Address /fl. [) _ p'S?r "'.0 OJ l..J City.c;, Y 9:NoS" Phone .9~ --oO,:}? Supervisor License Numberc:;'O/7 I'f' Expiration Date ((9- /- f)D Constr Contr. Number 11(;, '<;5-7 t " - Expiration Date IdJ -(- DO Signature of supervisi~~~~~ ~p~ r-.r--;h..,......, ,--",--.J V7 //~- O~ners Na'me uA"a.~ Address Z '2 5' t,. C3~d>VT~ Ci ty Eut; , Pho~e LJe,:f - C, 7? f OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale. lease or ren t . mO:~3IHS\:J::J :39N~Hnoners Signature: OO'~vT $ 2:a83~ lW~ 0002 ~~ ~H~:1l~O ' 69BTOO8-l~#SN~~t---------------------------- DATE: RECEIPT #: RECEIVED BY: 3. ELECTRICAL PERMIT APPLICATION City Job Number,6lD -At026-1-1J I COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling uni t. Service Intluded: Items Cost Sum 1000 sq.ft. or less $ 85.00 ~>- Each additional 500 sq. ft or portion .'3 '/<)' thereof $ 15.00 Each Manuf'd Home. or Modular 'Dvelling Service or Feeder ,$ 40.00 ,B. Services or Feeders Installation, Alterations or Relocation: 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 S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 S 55.00 $ 80.00 see "Bll above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit S 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL -I( S 40.00 $ 40.00 $ 20.00 $ 36.00 130 - ~./If) , 'i'O '? /1'-} ~ ',: DuPLICATE RECEIPT DUPLICATE RECEIPT - -------- .------ - ----------------------.--- --------- --- --------- ---. ---- - - ----- - - --- CITY OF SPRINGFIELD 225 FIFTH SIREn SPRINGFIELD, DR 97477 (541 )726-3753 ---------- ------ - ------ --- -- - -- ---.-- ---.. -------- - - -_.. ------- ---- ----..---- - --- --- WELCOHE 10 DEVELOPHE~1 SERVICES AND PUBLIC WORKS --------------.------------------------- - -------- - ---.------------ ---._-- ------- -- REG-RECEIPl :01-0001889 C:MAY 24 2000 CASHIER 10:003 10:42 am A:MAY 24 2000 ---------------------------------------- ---------------- ------..-- - --.------------ 1004 ELECTRICAL PERMIT JOB~:00-00204-01 \ 1099 STATE SURCHARGE(7%) JOB":00-00204-01 \ 1098 ADMIN FEE(3X) JOB~:00-00204-0i \ $130.00 $9,10 $3,90 --.--------------- TOTAL DUE RECEIVED FROM: THORNTON ELECl CHECK: $143,00 $143,00 ----------------- TOTAL TENDEREO $143,00 ----------------- CHANGE DUE $0.00 ---- -- --- ----- -------------- ----_. --- ---- --------.- ---- --- - ----- --- --- --.. -- --- ---- 'Pay Name *MaiJ Addr *Cty/St/Z *SHe Addr :THORNTON ELECT :PO BOX 5044 :EUGENE OR 97405 : 1262 DEL ROSE --.- ~ --- ----- - - ---- ---- - ------ ----------- -- - -------- -- -- - -- - -------- -..---- ---,---- ---------------------------------------- ---- - -- -- -- - - --- -- ----- -- -- --- ---- - -..--- THANK VOU!!!!!! -- ----- -------- - - ------- -----. --- -.- - ---- ---------------------------------------- OUPLlCATE RECEIPT DIJPLlCATE RECEIPT "'