HomeMy WebLinkAboutPermit Electrical 2003-12-2
1.
93'1 S. s+.
LEGAL DESCRIPTION /7():! L" /3 4 ~ 1<JO
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor A~ b'1..s~~ \V\.C
Address ~ -z. '3 S. LfL[ th.. s+. , 7'17~
City S Ii( FLl>
Phone 7Lf,-/-89'-!c;
Supervisor License Number {'-r 7 D ~
Expiration Date {o - { - 0 S-
Constr. Contr. Number I c.JO !J- '8 3
Expiration Date
(p- (. 0 5
Signature of Supervising Electrician
y~
Owners Name Ro ~ c e.. C)s bo-rVVL
Address
City
Phone 7')..(, -97ft;'
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3. COll:rp1.'IE;r~1:tE SCH
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A. New Resi~~i\yaf - ,SJ~te'~~ Multi-Family per dwelling unit.
, . .~",~~e,
Service Includ"ed"
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
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/V olts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50.00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600
D.
$ 50,00
$ 69,00
$100,00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
$ 3,00
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential / $ 25.00 d S--
Limited Energy/Commercial _ q:~00
Minimum Electric Permit Inspection Fe(~ $4~urcharges
4.
4-.5':Q-()
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7% State Surcharge
10% Administrative Fee
TOTAL
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Shared Drive(T:)IBuilding Fonns/Electrical Pennit Application 1-03,doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00859
COM2003-00859
COM2003-00859
COM2003-00859
Payments:
Type of Payment
CreditCard
Receipt #: 1200200000000002526
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
dim
Check Number
Batch Number Authorization Number
Paid By
APEX SYSTEMS INC
000236 082591
City of Springfield Official Receipt
Development Services Department,
Public Works Department
Date: 12/02/2003
1l:57:51AM
Amount Paid
Item Total:
25.00
20,00
3.15
4,50
$52.65
How Received
In Person
Payment Total:
Amount Paid
$52,65
$52.65