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HomeMy WebLinkAboutPermit Electrical 2003-11-5 . .. ., .;: "^'" ." 'I ff""-' '" - ., . . -. _' , "',,.'" '- , . , ':'.';. ::~' ..; :." CITY OF SF NGFIELD 'OREGON~";::-' .'~v,' ,.' :;..:'... ~.r~'." . _, ,..' '._.' _;'~ ~ _':;- , ',~. ".' ,'I~ '_ ~ U,1.03 ~ 3. ~se{:)llfi>'IDtTE")jEES€HEDUj;jj;mEj;@W\'!,...;;-..i';i:1lc'l~':' 1"0 "..if,,":;]:' Cl,,,,_, " ~'1~"" ,.',~.",'. ," "'~_".r"'~~ """'_..'M ,,+,.'._,"". ..:0 ,. ""'~'''''~,..' .-"", , ~/"'4',,, "j' ~'t "",'" ,,1' I ',. .." ..;..a;.;.> ~_.. "_' ~-:'_'- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726"3689 ELECTRICAL PERMIT APPLICATION City Job Number ('l>YYl1DtA- r')/ 1" Date Owners Name S A-cAc... ~ fLf::~ ss G./t..... Address '70-, '"? J .MC-'''L-',?/c-' 1,,,,,,, E. ~~j!il~ll~i;iimk."~ife~'Jii?fO'liiriiIU~ded)'-"E;;Ch'iriStaiiat~ j C..) 'v, f,YJV'C~'- n~;, ._~::g~r'f;d eO'f~~~(~'i1<.j,'t,"'~j~'~.~""h~~' "'<, ,'" City c;rffJ Phone ,",~N-nO~"Pul11l\~J;:iiriga~o'l.llas ala s '2._nn $ 50.00 P.I I ~ (UlaS rs~~OutJine'iSght~w)p,.f\ 95 la" \ $ 50.00 10110" rp.\I\. ,. 'nlO\lIJ. . ,,,,a II) OWNER INST ALLA nON 'liCa\iOl" ~L1'l'_'!l'.9'lTherg)llR.~~dentlal nol"e $ 25.00 10\1 95'2.,00. 'E,n cuP' .~ ^ 'P.I<\k? '01" $ The installation is being made on property I own whichp,.f\ L"ml!lid. nergy/t:smmercm ilica\\ 45.00 . . ". - VOl) {!\"~ -'I'll. ~\...." . "'\~'I NO IS Dot mtended for sale, lease or rent. QQ9Q. Minlmum'Electric,Perminnsp.ection Fee is $45.00 + Surcharges 1'1"9 \"- ~ f)re\lv' ^'l?..tv~'" cal I l~' &<..";~rm~"~.' '''''~''''fi''Y.<l'J~~'~V'''Lf.~ ......\:4~ b.IH'f!11<A:L'@E(A'BOMEc. :;t:{.i'?W'r' '.,.,'''''''' {\vl" ,.o.1""-c.~/lct,;~,,;:,'-,:;,~'."-:;:l,~1?"'i'~1,.7fJ:!o., '_' ;.r.}'., ,.1.".w;r4).:',k~ I. t~l;i)G!AJj:j()NI<iF:iNSj;}.r,l'l;ji/iiiiJjN:'>'!r''J~''.ll'J fl.. .. '"n,,,., . "",\,_'_ .... "T..k",' .r ,'f;,\'1..1 10 8~ 11 ".S } LEGAL DESCRIPTION i703~ 5L.lI JOB DESCRIPTION 0300-0 f(sj:)-krtD SVc chw.,f -t 12Grcw1s Permits are non-transferable and expire if work is not started within 180 day.,s of i.ssuance or if work is Suspended for 180 days. - firGONIDm!GFeR;mS~;plQ1v;@~J. 2. t>:" _~. >l... ~'...._1t'r. ~,v't>..(I"'."'! ,'\',' 'U~' .'.' t', :->'4",,;,.,'..>:0;,,;'-'''' c~ Electrical Cootractor FljeVle. E ledYl(--:::,t00. Address \ 11) /'vi DY\ YDP_ S+' City t uy,V'l-<"_ Phooe '34-4.. ;:)5(0 I Supervisor License Number ? 7.1-': ;; Expiration Date I cJ - (- ~ </" Const'- Contr. Number 9 () ,'l-I! 0 Expiration Date ]-11-07 Signature of Supervising Electrician ~/A IlL:;-J o Owners Signature: Inspection Request: 726-3769 IllS 103 ~ ~.1N~;uR~s'id'e1iti~'i~2sCifi"~i~~61-('M.ulh~riiliir~"i'"~~;:d~'e'1ifri" j7~t ~i't'.~it4~~ f" "",",. ~....' ...." ..~,g.....~~..--.. .... .....y,P...... ..... ....g" .... ....1 Service Included 1000 sq. ft or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50.00 B. ~~~s~;~i~~s~,;Jf~Rl:dtti1~'Iiis~lla tigl~XItgfij:H~;iii:i.r\R~'~~chii~rf';:~1 I~ '''J.N-'~H,. ~ , .',h.:l;qo:.l~,d.r-''''~'{t'<~",:., '.',r::p",,:f 'I ..0,Q',". pl'1'';,''''.' ..:!-C-',.~t t,..' ;t'"',,,r..f: :'~ 200 Amps or less I $ 63.00 (;3 .DD 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.0Q "-\-It: \N01"'f,. Tn ",..,.....,..,"'4S- '~~..1t~Fi-....~R,t'lH.\~ ',"'''' ';o."..:~ c. ! ~m ... ,yi ~r\'IC"~ r., . . ;~\"tM....'"$~-,pt\,,,,-#f,,,t!1;;'ii ERWI\\ ';)1' t:~ \1-\\'2> EO fOI" Ins~,,"'i1.gG~~tll>~~j- ~''f{~~uJj.)~ 200 ~h,ll ~tO 01" ~\OO. $ 50.00 201 ~Vt~~~~~t. $ 69,00 401 ~'\o .00 Amps $100,00 Over 600 Amps or 1000 Volts see "B" above. D t 'B' "A!i'.'.':t>.. "'h1'-.ln.^- ~7y....,'.;'1t"'MiN;j41""".~vr<~..' it ';;, ~~~. '''? ," .,~~. ~""\ .;~7'Si.' 1h," t& ", ~i;,. . ,"" 'j.'~'.';'~~ . ~,.r;,~n~ J~~!-~c,Uc!!~{)~t1.t~~:/~;;~jd'!;t'.-,.0,+i$~;.1';:'~-:'J',.'Ai)w*"i~~~/ ;~1?;; ,,)t~'-:t#~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 \~ $ 3,00 ::,(0 ,DO 7% State Surcharge 10% Administrative Fee qq.oo re ,ct3 g '10 /I'5.g~ TOTAL Shared Drive(T:)lBuilding FonnslElectrical Permit Application 1-03,doc