HomeMy WebLinkAboutPermit Electrical 2000-8-22 (2)
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DUPLIcATE RECEIPT DUPLICATE RECEIPT
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CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541)726-3753
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WELCOME TO DEUELOPMENT
SERUICES AND PUBLIC WORKS
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REG-RECEIPT:Ol-0002980 C:AUG 22 2000
CASHIER 10:061 10:17 am A:AUG 22 2000
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, 1004 ELECTRICAL PERMIT .,'.,.
JOB#:00-00960-01
1099 STATE SURCHARGE(7~)
JOB#:00-00960-01
109B ADMIN FEE(3~)
JOB#:00-00960-01
$115.00
$8.05
$3.45
TOTAL DUE
RECEIVED FROM:
RICHARD HIATT
$126.50
CASH:
$126.55
TOTAL TENDERED
$126.55
CHANGE DUE $0.05
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THANK VOU!!!!!!
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DUPLICATE RECEIPT DUPLICATE RECEIPT
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. b '1\ d haS the following
The 1allowing prolect as su ml e .' d
. and does not require speclflc Ian use
zoning,
225 FIFTH STREET approval. LJ-:> Ii----
SPRINGFIELD, OREGON 974 7-1'nlOg ~ _ 7- '2- - crV
INSPECTION REQUESTGate2% O~:, ~
OFFICE: 726-3759 Authorized Signature 't\ 3.
1. LOCATION OF INSTALLATION
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. LEGAL DESCRIPTION
170:S 2 or /'-1
C)coo <-(
,-..)"OB DESCRIPTION
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serzv' C0
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
1
Constr Contr. Number "7P-<l1:">L
Expiration Date <fiJ> 10 If /00
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Signature of Supervising Electrician
A\1. O""^, t\ l>.- ~~.PAIV'-.
O,mers Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I .oyn which is not intended
for sale. lease or rent.
Owners Signature:
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DATE: O'i5:/Z2.-/o=
RECEIPT II:. Z 9 rU
RECEIVED BY: "'/?
ELECTRICAL PERMIT APPLICATION
City Job Number 00 - DO 9{,6 . Or
COMPLETE FEE SCHEDULE BELOV
, A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less 1- $ 85.00 c716 8 '!:
Each additional 500
sq. ft or portion 2..
thereof $ 15.00 30
Each Manuf'd Home,or
Modular 'Dyelling
Service or Feeder .$ 40.00
$ 50.00
$ 60.00
$100.00 .
$130.00
$300.00
$ 40.00
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200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
see "B"
above
volts
D. Branch Circuits
"
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation' S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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