HomeMy WebLinkAboutPermit Electrical 1996-4-26
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~PP;~~a~'~,. -ifF ELEcrRICAL
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726-3769 . . Sl natJre ~r../, r;'ty._,loo Number
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3. COMPLETE FEE SCHEDULE BELOTJ
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Permits ~re 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
Eles
I BILL'S ELECTRIC
Addi 3170 W 11TH AVE ' ,-
EUGENE OR 97402
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SUPERVISOR L1C. #980S'
EXP. . DATE 1_0/3.0/9.'1
CCB #21.35~
EXP~' DATE4i28/9fi,.
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Expiration Date
c St},:J:/"::5!:-Ele1Jan
Owners Na"'-.~:,\, 1'\\~ --- D.
Address \J}~ <.\. ~ 1
City~_ Pho:~~8~1!}
o~ ~:;ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: l/ -<C"~b
RECEIPT #-: 'Z I~?
RECEIVED BY: /'Z~"
'/'
PERMIT APPLICATION
C.lo.al-~
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
C.
Items
~
Cost Sum
$ 85.00 En
$ 15.00 15
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
t./b
200 amps' 'or less ...-- $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
Branch Circuits
above
,.
New, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00
"
not included)
$
$
$
$
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-.-\.()-t-.6V- (S -{ .2,::
40.00
40.00
20.00
36.00
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~~'Willama:lane
..t~ Park & Recreation District Job. No.
'. SY,STEM DEVELOPMENT CHARGE
WORKSHEET
NA~E:~\~: t'{\\S ~
ADDRESS: \OQC\. Cl, ~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~~~1- t C\l~
qtQ~
PHONE: \\.~'~K\cll'
STATE: 92-Z,P: %1-1
Tax Lot Number: tll )L~~~)[{}lQ3
\
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations ~md dwelling t
ype definitions are on the back.)
Plat Name:
A. Sinale-Familv Detached.
\.. Single Family home
. NO. OF UNITS
Manufactured home not in a park
l X $1,000 per unit = $' \ rtf) ri)
8. .Sinale-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactl,Jred Home Park
NO. OF UNITS
X $699 per unit = $
I $ _ \000.00
if
$ tro pU
$
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~
Development S
City of Springfield
7" I ?G I '7G'
Date
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