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HomeMy WebLinkAboutPermit Electrical 2004-8-20 I I t' CITY OF S"PRINGFIELD, OREGON ,./ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (5~M7! -36~1}1i, '. "6~' . ELECTRICAL PERMIT APPLICATION ol},;.~ 'l)~';'''''If:: City Job Number ~f-d)r$Jate lif~'*~ (f.\}Ul}ql". ~<?fip:"~~/~;~~I,~1i 1. If('j~!~i?&i<ili.';F~1l!@N-'I!III.II 3. 'fg.iiJii~~)FEEISifHEJjUImiii'O '" - . .~~ ---%-7 Af~ /L. LEGAL DESCRIPTION ( / 7/):S :J -I- 22- /9/J/b ~tft, JOB DESCRIPTION !,r;a; I/ot7M~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INST ALLA nON Limited EnergylResidential J...... $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 XfTgA~r6~t5r~~olf~'W'f~~res you to Minimum Electric Permit Inspection Fee i.s~ $~~.O~ Surcharges fo\lr;,\!Hlll~ruw.Pted by the Oregon Utility 4 .,..,....'.:tQTAl.O. ,. . _ ,< \\1 . '. ' Notification Center. Those rules are set forth. 2- 5 In OAR 952-001-0010 through'OAR 952.001- "'\rWil ~t. ~I:~t.\\ "'\B^~DO~t.D 1'0\\ /.1 r 0090. You may obtain copies 01 U1\llul"" l.i "'\b-W~' -ij'a~ ~ II- " /_so calling the center. (Note: the telepho~e cot1l~t~II-'i 1lt.\\\GD. WdffifM~'f~'l9nl?fiJi\7~lityNotiflcation . ~fN^80 2./. 2-r , 1r\7\ ~Ate-\01-800-332-2~ ~ 'V "ltl Permits are non-transferable and expire if work is not started within 180 days of issuance or if work Is Suspended for 180 days. ~;A~;W""",~,,"......._.'L" .l.lI""I~_,JlI;illlll _""10111' '. CONFRA&@R~JNSTjfijHArqJ!JiJONL~ 2. Ill.-<o/:IUI.,LII!.., II I....~lli,..... ,I Lo....1 Electrical Contractor G~OU^,Ll ~ ;: ~~ Address 5'0;5(9 .."5'. 'A I ;:;;:r City",."')()i)/~7r;;Kf.J_ Phone '7';?c,,-t,R'.S:i' Supervisor License Number ~ 7. ~ t: . <:; Expiration Date /0)0/ I i2 0{)4 I Constr.'Contr. Number /S'RR(')ij Expiration Date ..:J/ ;;} ~ /.< 0 Q ~ s~]Jng;:cian ;.~~ I Owners Name .J~ J'TbJ/A Address U-'. '/ALV~~~ City --i~/J. . Phone Zfl'y, ././h? -- 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 ~1:<J._U~;III!J~,AA~.Il!."~I"I~ltlJ.i.' lJM"",I~Wi~""~";~II, ~111U~lllli,III'_III(I! U B. ,,,~~~.I,~~~~~;feeile!:s~!!lsJ!.~atlon~7Al~~~~~~ons ~orJ~el~,~atl~~_ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50,00 C ';r"~uw;l" ,,'I.I..I~\.IIS" ftl.t"....III.'I! I. IF' .tL..a"1I I . empol.'8rY4 e-:Vlces~,~~e~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "'B"' above. D. Branch,Gircuits $ 50.00 $ 69,00 $100.00 , - .' ~ i l '.. -. -, " " _' ~" ". of'., , New Alteratioo or Extensioo Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 ? s;.,." Shared Drive(T:)lBuildi~g FormslElectrical Permit Application 1-03.doc \:01 "225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00387 COM2004-00387 COM2004-00387 . RECEIPT #: Description Low Voltage - Residential + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard HOLLY MAHAFFY 8120/2004 ~l ",ty of Springfield Official Receipt ",evelopment Services Department . Public Works Department 1200400000000001249 Date: 08/20/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received dIm T37561 In Person Payment Total: Page I ofl 3:32:50PM Amount Due 25.00 1.75 2.50 $29.25 Amount Paid $29.25 $29.25