HomeMy WebLinkAboutPermit Electrical 2005-11-28
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(~41)726-3753 · FAX: (541)726~3689
ELECTRICAL PERMIT APPLICATION'
City Job Ii'umber . C' trYYI.:JlJ1}~...2' 0 I L\. to I
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LEG,,\~~pCRIPTION" A,
~. ~. ~SS \(M\QJ'L: to\: to ,A5ter . Service Included' .
JOB DESCRlPTION ~ ('J,.~~O sq. fL or less" $106.00
....--.-. . "fA, . \.,? /. .' .Each additional 500 sq. ft. or
tn1JO -rUWGV . portion thereof $ 19.00
Permits lre non-transferable .and expire if work is ~ach Ma~QJ'~k~,Ql'~~ALL EXPIRE IF THE WOI)"K
not started within 180 days of issuance or if work is Modular :ij~SiP~N1k'e 'f~ I E~ THISPERWiI&$ NOT'
S spended for 180 days, Feeder . AUTHORIZEDUND NED FOR '
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Address
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City
Expiration Date:
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Own",N'm' .f)U1~~,P~/o/ b
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Address 2.. 2;::-- r;?'
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Phone :2 ~ 8' I (, u (0
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OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Inspection Request: 726-3769
200 ;\mps or less
20 l1\mps 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
s-v ,of)
. One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
. . .
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
4,
51). 6l>
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5.00
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7% State Surcharge
10% Administrative Fee
TOT AL .
Shared Drive(T:)/BuildingFonns/Elecuical Pennit ApplicatiOli I-03.doc .
225 Fifth Street
SpMngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01461
, COM2005-01461
COM2005-0 1461
Payments:
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Type of Payment
Check
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, 11122/2005
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RECEIPT #:
"';ty of Springfield Official Receipt
;velopment Services Department
Public Works Department
2200500000000001612
Date: 11/22/2005
Description
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DUANE A. KNIGHTS
Received By
DDK
Page 1 ot 1
Item Total:
Check Number Auth'orization
Batch Number Number How Received
6000 '
In Person
Payment Total: ,
1:36:56PM
Amount Due" :
50.00
3.50
5.00
$58.50
Amount Paid
$58.50
$58.50