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HomeMy WebLinkAboutPermit Electrical 2002-3-22 1;::225 FIFTH S~ET :,:' ~':, ~\f~'~t ~ ~1r 0{:-:-- E!;..CAI,;'R?lUv!lT APPLICATION, ,:. ~"'SPRINGFIELD, OREGON 9747.7 ~~lll:jil"'~ {f~f:,. t,' l';-~~." "", ~~t:/ ~ ,;",~;.;. ,~ ,~,'\j ,- '1' .;:" '" " '. H '" -" '~f> I1IH ,.... li.. ~'t"'" '11 ,,>; 'f 0 ~ "'~ I' j '.~,~/nol\'l~' 01' '{'j~OB457 ;1:;g'SP~CTION,RqQUE?n72.6~Ffi9,;-,~ Wi "'~ ;,:,ot): Joh N,il~bc.. vi).!. '::'&O~::Tp"~n:ll~!"" ~."u_ f'~~"OFFleE '726-3759 :'1, $:" >~~/~ ~i~~;~;j ~~ ~,;..,/ ) '; )':.yr: t~ \ , ,_ '!:'1';...(-..,,:", '{,1J, 'tJHfE:~tAR ,E9,<~002 "? 0,", t",.'" 'Ii ' .~ ;,. 'f':' "'I'''''' <,' "l~'" ',,,; " .' .~ ' , . . ""MT RECD'''' .. '1'';:1 75 J':'~ kt'"l;i,{: ~~ r:~ 't"~: (~:.. ~'~R ~t!l ?;': :.t);:"f;' 2,:s)~<;:,ON}lL?TE FE~,SSHJ?D!JEE_~~LO\y, r' .~; :""~~# . ;.,' I LOCATION OF-INSTALLATtON "~ f,~:::;',11J ~;::f:;,h.,~ ',:' II'. "..',.. : .p" '" It" ;'.' ,,'2. "':)b'?!91, 75 '{;;";."') '/' rH' ~7~'~ '.f'Pl}J fl~"!";If~'~;;::'X,=,,";'3.'~~-~,' -..-'.' >""~~"''''''~'!' .' 1"1~$ 150 ~ L-&5D "". A . ~\: "Si?~( iVlS'Fl e::n r)(l:. A-: New'Residential-Single or"" ", ,','. . :,.., i..,' ':. , I Multi-Familv per dwelling uuit.::'CfiIl.NGE: Service Iucl~ded: CAS~~~,R: 032 Items Cost sill'ii1i:~ ~';';1~~~f:' JOB DESCRll'TtON ~ittedhas\a@IlbUqYlt~ilJrleSS $106.00 ~' S-p~ u~ aD lm LI~~~? __ l~~ecifi~:n: ~~~~i~~ 500 ','...t...:,'.;..~._..'.~.' Permits are non-transferable alia expire . 9 'DT :L..o: - $ 19.00 ," '~I zoom . . 'b- ~\'-. ~:~::'~~~~::O::-:~::"i~:::~~=,'~\ik,$ ;0.00 :! Electrical~~;g~acto!g~,\- A ~1c,N AfuDAwtJ ,/\Ie,.- ~:l~~~::~:~' Altera!lOnS~Q[~\~;f:;f:'::i;:~k~,~j:;, ;,?~t! ~~, ""^ ( ;"! to'l""~' I~,;t.:," , f;]'~,}~}?~;.,:#~ tf.'!.....,l.'.~~ ~ ~1 ~ "t:.$. v". ;{~;'" ,~" ,. 'I"'\.iO,U" -',' 'rli (J, "- ~ ",71P ,i1.~lt", ,~~ ~'.~;, Address 1Z:16ijDAf~'e'ATu-t ....D. '".!.~~;1";::~,;~$,63.00 ", ',"",'",',r- -?"f",ti' I ",::;, ;":~"'~"'" ':',~~ ~r,'::.\~::;e;\ .$:!;';'c'i>:-t,'4 .,'_ 20] all1PS~~O am .;\,. ~";-"r" ~ '2$.75 OOi "'N< ,\,St,~ 1';':'""'.".1 S"':::i;:J.";.1-..i., Uo.~.,~- \1\1 "'..," 1.....- "':M~_ct. City EU(~e;' 12:1'2;'1;l1one ,t.!.?fft;,." '~Wi['\lVii~ . 9P:a~H,si,', :.-~~ ?'>f":~1259Q.: ":-::;'; '. ";~;'&i';\ j&~~,~~ dc' ,,\g~;'-J. ...,.;~;6bhilJ!\'P\$~~QO^~I)IB~" ,,:,i'i' ;.,~.. f"$!6J:QO:;,\~ SupelViS9r'E.;ic.e:nse;l'!i.i~be.r, '.... .~~. ~~~..E"",,>"'" '.~S~Fr ~j)!l..\1plPs{VOltS: -i';.GiI"'~;!:'"",'r$3:7~.QO:'''''':~ I'l:',!',:r.....<"w' "".";,.,,,,,V,,< ,tt-'."'{: - ~'l'\:c I' -..,.,~;'t.if\ Ji:.>.t.t;.r..~1 'f"U , 4'-'1.:) "" """<:1:' t _," .1_<" - , _ ~ . . i..::-r,-f~~'_f::~ri~h~:t'";Z~~,t..:~~',~~.~t'~~: '~~~~~~': ~"~~~~-Il.~~~;.~..pJr;: ~~~ ~f;;~-:i . ~ .~_~:$ ~?R,:92::, . ~f"~ EXR~~P.RO~tJ;?~,<t;,!~,:~/:~K~.?:~~~t,;,~t~Grfit. ,~ ~~~~p,-~:~::~fr~;:,6~ - ~'2~~~.~+~~4~-r-~0~frf:'~{~ :~ I!.ft.v:~,::;:~~. 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'..: ";\~''''.'h.'''?':'\J '..~\" ''". \~el'lew.;. ..\'0. .\lon or;!,!. ~..tenslOn per.p. an.el,;"w',p.'./',.'::J;i',.",.",;:, ~~"ti,,<!lit,.J':::'~-"'.::i>.t.':-1"K--.e <~',< r-l-""\\.:l" ~ a"..r- '''\0\9. ..\O\\'~ "i.;~~ r.;"1<1 /-\~""~.lN~t,tl:;"'-""""" :y..,.,~,,;1 .1\:~;''''1~i~~-t~~)~~~;A4!Z,$'- .."".,{t~i\Q~~'"n~~O. u'('(\ 'len\9f. ,\"1 \j\\\\\'l \' A~i~\~$~~~>,; i{;'~: -.'{~.:1,;;~<{~~:\.,~;;,l~~::) -!.;:"~I~~;:'f>Yf.')\~.'~ ::AddJ;es1i,:~~fY~)~J~k!'~ ~,\~,1~;~~~@9~,~!1;):",'~!\"e c OtagO,", 1).2. ~~e< Cii" ',., '''''~, Ita:;; ~j\:f;; :~,"It'J;~~{:$43;'~OO;:);:i'::\7',,:*~:'7 "':r~'''~':;f'I'S:' "1' --',~: .' ,"^ <':., " '~/,,:: ;:~,,;:;' ;'W,rt~-'~, o..'3u" ,", i'~,1' ;: "\^/ii; ~<!'>:,:" ',,'~~'.. -11" ..:.~\_:., , ~~,:":.:~', ."",~~;,t!:' l~.t\" r,~,' ". ,,,,,,,:,~t'r~'U{L.A-""'''''-''f,,,oa;, "''f''';':""{\ot\\,.... ... eO l..l? t",l~ ':"" k""" \~. '(', '..-l",''''1,{,!''~',.5:{j ,"~. A\ .-,__~ ''-:,1''1'" ,;kJ.'t~',;;:';~. ~," ~'fb.,'~'r~1.~.~~';,j;'~:j;.;<~:11::~0?\;)'~:tr?-W\~ J t \9 ," /'r I:?>, ;\~" ili';" t,(:ft,! ',~"/f'~Wl.!<;;1,:,!), ~y ,\,,~}~<\~:; :iJ;t~'Ilu -r~~ ity )1$:?' ". ~;:;,',liJ._k;:-\r~t~i,'}3:~~~0{'Pbo~~.Y;\,_~'.\fCef\\e Each~A ItionaFGircuit or with SerVice':i~ ;;;:~,:c. ,~'!-. }0ij;-~: ,J~,:;'<~~';;: ), .' Mi":f.. ,~",~ ' ,,! '1''' Or ;J ,,-, ,l-><,;" ?/":"i"):';'/~'..1:.- " ;" F-1'(':d"l" t~~',<':' ,">':,~(~,,\;:X,U_\. ~:,;r-lO~h:(':$ '3' oo'::1!'; :'!>',:.:;\';.,~ ::;~r ...;t ;;.,..: "1f"':'~'\'I,::.:u:'...-, ""''''"~'N-> (~""lf'-''1 OT' ee er~!jermlt,-......,.'lC.'c_,;, '.,' i_,. _._',,_, _.,,"<,~' " ~ ,~:~'.; ~O~ J..' ."..,.;J:r"',,"h<{-~~~^,,';,:,~., '''i--~1:''.'~I:f L;I:':~"""':-~1'~:~i(~",,,'..) "::":.. " ._......~.~..':. -::---:-.~~\~ f'.~"--,..,'" <"""," WNER INSTALI5ATION 'H ~~.\!~ ," (''- "t~f',.,7;:';':;({~.": '."'."-J~,~:..,,;;_i .. '.;,,;'... N., ~ _l'\:. .~-- '"M' -' \ .,'; .#:c""" . ~~' ..." .~,' .,-1;....-- ,:.}1......,-; ," "J, -"' ,,(') ~'.' ..".'c_ :'.,,' ,,. . '-:_,:'i:'~~ .:: ~'. ,.:)i;-:;';:~[~!'~iii]sla.n'f??n !s:bej~g;",:ad}; 9..,hy r 't E. Miseell~n.~?~s o(Sen:F:Oit@er not includ~~~:'::: ....,::; . ' ~~~~!'-,:~pT~~erty}p.:~n:~:~c~y>;I:~'rO,;t.~~~~I1~e~~~ ~ ,,-E~~!\J}}~~a.~;~a~9~~"~j~~ :'~ ':~/~ '::;""f::-- ~, .:- r ,/:;~S~'f?f'~aJe;~,lease oEI.~n!:;.,~3>~0 "'~.. ",:I..:.. ~ ',' Pl~p o~.;~rqg~hon'-;';:'3-;10d ':,1 '-$5o.o6:? ~~~\?:~\ ',v.~'~ ~";'t-~'.ll.\l;.. l,.....'li(t(,~~:"""~.:.,.,,"'.t, t ~.j, '~S' "',;,,"0"':1" ""L-'.-'-h':."-"~."'-;" '$ '~:A::'h- ..-;;""'\ ., '~~:I":,*=:~:r.~~';;~:~'"."'~ ,~;t"!...':._)"';.;., f5~"::;'..:'j'-;~., l~l'~,^ l _}gUJ_',uq,ne:"._lg .t1J;lK;,::_ ,~_,: ----L..- 50~OW~~:\J t "rr "'" }j_..-.. .. _.., "',,,, _"""''3.,. j: ~~ '. ~ . " ." _ >_ ""> _ " .. . "" ~~t~Owners Signature:w .~'~~ j" ~:~'}'r:.;::, :: Lifuited"EnefgylRes;'->:'- '.~' $25.00 . '. " - .:;~~'. ,~ "'f~r:~~'~~:V!&':;~;? ~;:~y;; <,l~ ~~:;:,;': ({~~{;I~~ '~, ,Lifuited::Eri,~rgy/Cofuril:'" $45.00:' '~,~ > l' tr?,~.~^;">::;,<:~<:, ~," )~t>>~> /;~f2"::, '," ; ~~\:~::~il ~>\~;,::.:(~~;. ,',,;~:,:f1~)~<: "" >,~~',:"_~";-. . . ,'S:" Minimum.Elec'tH~:Rermitlnsp_ection Fee is S45,00 + Surcharges .>2" ' ,,>:~;\t:~, ", :.;;' . '. 5/). u0 3,(lj JJdU. r-f,1( LEGAL DESCRll'TION 11. 03, 3~' 32 . O:J... 7071 . .;:..-~-:: b ,,; 4. SUBTOTALOFiABOvE 7% StateSurcharge: 80/0 Adm}nistrat'i~'(rFee" ;;';~ ,,1 ,,' :i-'; , '- .. ,.... ;-~;:/'~~~ '~,,'~ "' ~~ TOTAL