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Home My WebLink AboutPermit Electrical 1992-6-30 S'""INGt:IELO ~,Ili The folloWln ' ~- 225 FIITH STREET Zoning, snd ~~;~J: a9S~bmitt9d hdihi:GrJilCAL PERIlIT APPLICATION SPRINGFIELD, OREGON 97477 approval, requlreepeCmcla~d~~;-no INSPECTION REQUEST: 726-3769 zon~'ng, f)_City Job Number 9~g9/ OFFICE: 726-3759 Dele 0. ~ , 'e COHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSJALLA:rI~uthorlZ9d Signature t,~-:J.. ~l'Ati:1\ 1 ~~J\,.I. ential-Single or Hulti-Family per dwelling unit. LEGAL DESCRIPTION Service Included: /?-e7'5-~/--:z~_ <:!J4I7~ Items Cost Sum ~ , JOB DESCRIPTION wlJU 1 ...ho~ 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor~ Address P.O.~. 14.2~ Ci ty~ i\l'IYI~fo~ aluPhone 14/-1-.1..:'Jfn Supervisor License Number __i~ g~ S Expiration Date 10 -1 - q~ Constr Contr. Number ().<l,ill Expiration Date q-l-q1.-- a:/z?7)~:~:;; , ~ Name U hHr r\..J C'dfM AIYI Cl...- Address bg~ ~~Fitt1\J ~01Y\ljQl\.J. City~*tDrt. \ Phone 744-- 01bS OIINER IN~~ALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: b--::?9-9""2. . RECEIPT I: -, ~ '. c:..~ RECEIVED 8Y: ./ L~-- ~ . - .r/ 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 $ 85.00 $ 15.00 $ 40.00 $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel One Circuit Each Add it ional Circuit or with Service or Feeder Permit $ 35.00 E5.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 S 20.00 S 36.00 35'.0l) 1.1~ ~k ifF) r/ Metropolitan Wastewater Management Commission . - COMMISSIW MEMBERS Rob Bennell-Eugene Councilpcrson Steve Dully-Eugene lay Representative Scoll Engstrom-Springfield lay Represenlative Chris larson-Springfield Councilperson Chris Matson-Lane County lay Representative Jerry Rust-lane County Commissioner Mark Westling-Eugene lay Reprcsenlativc FIFTH AND A STREETS - SPRINGFIELD CITY HALL - SPRINGFIELD, OREGON 97477 TELEPHONE (503) 747.4551 MVMC CONNECTION CHARGE .. Building Address: u8~ ~pm~ blLn \)uuQ.) Referen;e 9umber: I'7D~~ f) ~4 Tax Lot Number:121!]QQ owner:("1/)Wn J Jf f( ~ - ( Pit? i17 if S Address: Jlqq n T~v-r-uv P....t )C~ Stat~: ~ Phone Number:/ p~!3I'l. ~ Zip: Q740z., Ci ty: fQV ~Residential Fee ($222.00) $ AtJ.::1, CL) Commercial Fee (new non-residential development/ remodel) Total fixture unit charge (see reverse of this form) $ SUBTOTAL $ Credit Due (see reverse of this form) <$ > TOTAL MVMC CHARGE $ &9c9 ,dJ _._-~ .""'~" " . Date Received: S .IS-g) fqCSoO Received By: J ~-) ~'lC()~ Number: c q 7&.1 r; Receipt Number: Building Job - , Fixture Unit Calculation Table: Number of new fixtures multiplied by unit equivalents. NOTE: For remodels, calculate only the NET additional fixtures. Fixture Type # of Fixtures Vni t Equivalents Fixture Units Bathtub.................................. . Drinking fountain.. ............. ... ... .... Floor- drain............................... Interceptors for grease/oil/solids/etc. ... Interceptors for- sand/auto wash/etc....... Laundry tub/clothes washer.. ..... '" ...... Clothes washer (3 or- more).. ......... ..... Mobile home park trap (1 per M.H.)........ Receptor- for- r-efrig/water station/etc.. ... Receptor- for- Cammer sink/dishwshr/etc..... Shower-, single stall......... ..... ... ..... Shower-, gang (per- head)....... .... ........ Sink, bar, commer-cial........ ............. Sink, commercial/industrial/etc........... Urnial, stall/walL....................... Wash basin/lavator-y, single... ....... ..... Water closet, public installation......... Water closet, private........ ............. Miscellaneous: .......... 2 1 2 3 6 2 6 6 1 3 2 1 2 3 2 1 6 4 Total Units: Total fixture units x $13.25 each = Total Charge: $ Credit Calculation Table: Based on total value of property at time of permit application. Year 'Annexed to the citv Credit per $1,000 .assessen va llle 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 $2.66 $2.64' $2.53 $2.41 $2.19 $2.04 $1. 69 $1. 35 $1. 15 $0.92 $0.59 $0.23 Credit x $ $ Rate Assessed Value Total Credit