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Home My WebLink AboutPermit Electrical 2003-7-2 ',,"22- FIFTH STREET ' . ;""'.,, ,'," :,,,.:..-.), :." -' .~.,_.- l~":'#:'-'"" _~;"', 'r<,\_,...,,::, ;,;~:spRrNdFiELD OREGON'974'i7:1!t.:"r; {!,,: ",:~ , "",,' " ..:_ ,,,,,',t ,.;'; :;~JNSPECTioN REQUEST: '.726-3769,. .... f:1 ::,}: ~?~9FFI;$~;LV~~r~9':f;::; ili"~;~;}~ 't~ ': J...LOCATION OF iNSTAL.LATION ''6I'Jb' 1I11~f'. ~lS .,'. ,': . d hac the to\\owing ItlJOB DESCRll'TION Th jOIlOWingp'oiec\asSUb,,~~t~p' eciiDOO1~cj'ft' or less l/::;tl . I e not ,equ lrl7T'''r ("v(,r-tJl? ..cniDI' and does . f\ Each additional 500 " approval.. rp...:.....' "1 ..f.:. VI }IV!. fiOn Permits are lion-transferable and expireZoOlng -1~ 8,~' ther~f -' if work is not started within 180 d~~s _ VJ Each Manlli'd Home or of issuance or if work is suspen~~ for, d S',gn"ature ~\liUauTar Dwelling .' t\1onze 180 days.:',,,.',,.. AU Service or Feeder ""'.',,'. .,'~.;;. .. $ 50.00 .':';.''',:~'.'t. .., . ~ ~:.,.:<.,:.:.:,..,: .~.. :',:::~k:~~;':~ B. ;'N'E~~~~~~"::;r~~~'l'k~, Address ~~~~ /Ii;'y 9'1 ~ ~):~{)f':t;, 200 amps or less ,':" ,,',.., '. ,", ,', "'$ 63.00 Ci~~!~\ ~~%;t)lOne lit,it1~p~~~1;~;~3~' ,;~: :~:~: :H~~~~~~r~f~~I~~f~!lr~~l~,':~:iC SupervisiJ(I:ic:"ilseil'!umber&::,l!?'@Ji5 'Qver 1000;amps,lvolts:;; ~""1),~i"t\'.Ii':!5'f.:($375.Qq "'~::',' l;ifJ.{~~t.~~.~i.:!~~~f~" ~.~. 1. Il~.~..~..~.~!~~I~~:;:,,~e, .~~~i.Jjl..~,j:c;%L.;;:i' Constr.,CoIitr:.:.Numo'eI'til<YOB'i". .:'~ . ffistalliltiilll;,Altei'ation.or Rei' .~i't::'~~'..';'!;:~:L,C:i;': '-\;1<.":'j";(~t"!:\."",,ll:,. '~.. _~ ' >, "C(:: .,,- ., ." "', -, ""., -,;,- .,..~' - ~I'-rr' ,,,"'.f;'''; , "<'M"'>"''-' '. l:i.:"",~",,,,~~(:tC" -~~~.~^ ,Jt.; ;J'~'i~;',t+;"-' '{,'''I."'-,;t'''6~,!'''~~.v";,:;;,,y ,.,,-,~,~....,"'.'i;.'.W' ."~i'.<,,-.,,(,',,_ ""''t;'.l:,(.C~:'" .\'::.}'-.^'~~.f""C , ",' "''''':r";'' "'J{/::t~IIfi~f:t;tt;:1JJj ';"}~~;~~~~'i;j~:0^,~:~'~ ;?:;f~J:i,j.;:i.~7:'b'~(2:ii:.~:.;' o.Expiration Date M.:i.t,\:I,~,:{v"h,,".,,;::r' , OO'ampscor:less' ,.<"~'$50:00;"i,,:'!'( >:~!:r. ~.~~j i~;~d!f,~<:., . ~ .~~2:0~~~n}~~.~~€~:~q"Q;:~1Y"~J~~~~ <. _,~...f?~~::.ti~~~~~~1:.9ijt~:':~::~'J::,-> ~,~_.~:t:1:r~i1' . ign-~~tui-c._,~f Supervising Electrician '4>-~OY~F~ 4,01),9 ,9QQ, ~.~P.s.;:~~.' .;;~1f~::1ic~.~',1:$}9Q:09 "-': ~~:."t ~ f fS~~:t:~~tt,tl . :$;~~"tJ!{{~r~~,~~ Over '6(>"0 ~,rmps~ok'J:2Q~:Y~J~,',~'~~~~~~~~~~;~(zti~,~t~i~}~i;~t~~ ;',W-\';'lL" , ",~,<,;' ,!,..}t',,;,&~~~ ~ "B" above . ~"'",~c"','~1,,',"-",,,~,~,~ .,~,.,;"' ~~1~tt~1.~~~~,:~j,:;:~:,~~f,~~~~~';'S%~', ~ D. Branch ~i~~i;;ts .;~~;~~l~rt~~~},\;cZ{j~~1 ,>~~~f;~::~,!i>;t~iQ~V~J~i-~: ~ ~~e7J!ta~4W::-i~ TC(..f- New.fJt~lation or E~tension Pe~"~~.~~ '~~~~:~:~t~~if;~~~~{ :~~~'~~/': ;.~&~1~~r:~/~~~:~;?#,g:J,-;;~~> '.";:~Rr j:~;,Zi::.~,~\';<;~~P?_~l,:':; ,i;~~~~itl:::,~>i ' : " ;'.'S,!~tTf., ~::l0 ,\::~~:,':J,~~:'~:';~}.:~5:~:;;~iij~r~ji;. ,,"", ; ,-.,;.;;.' Add .' \Z<6'~ "'W~)~i;<"'( ~ a C"" ,.i'" ,\,\\1"'''''"1'''''$4''00'''1)',,,>,'''' ,~; '~~J.';{' ,ress ",,, 'w/~;~"~' . "..:.' ", ne [;~~~g~:0~Jii~3~~:~d,P~;'d~,t~f~h(~~~ ;,;;~? j~~i:Cit,. 5? ~'i 'C:':'::Phon~ ~c' Ea'chl}\lddiiionaIlC.ir. 2hit orJwithS~'fvTCe;,;~,:i.'X: ~."", '_,~;""," ,"- C:..\\" ,:"'P'\vt"-:~'-"""~-Se\' o.t-~,.~:--,- '....7~~.""'.. :'._i-~'" '.~ .,<' -~'-'I;-:"~ ," or.Feeder-Permlt ~'\\\J,J ,'l,~,'\">'~\$.3.00',;:1''- , " " \l t ~\u"~ ,I.: ''''-'''r\\'-~l' ;:"(-)'0\.$".\\ " ,"- ,_:('-f ,OWNER L'lSTALLATION ,',,, t;;)~~ 'V,.' :,Ol,i':f"" ,\'10.10\'1,.',. ~~ ~,( \\"\'1,,:">::.""" . . "r '.' The installatIOn is being 'made~~ ~ ~~, E.\:i\IiS~M;.,!!.eolis~~,e".'\ke.l.fe~iTf.~~i!,!ncll{~~~)~~~~ -., ! property I own WhICh IS n~~e ~C:, \\\ U.. .-Ea~l!~Installat19Pr:..-t\.'~~\~ ~;\~'t\, ",Ie \ t..< ,_:,~ " for sale. lease or :en~~ '(~~ ~"<~~ QO~\Pl\.nlp.;or'irrigation,;3')i:''' 1.1, ~.?"'/\~'~' $50,00 , ~"V~S r::J~(() . (Si~!\;.Q,1l1ljne;LigliliI}g(\O-3'" ' ~ $50.00 'OWl!j'l~ Si~~~~~ '\: ~~~\S' ~1Jih\?ied:5'1J.ergyiR:e~ " $25.00 t;:)'\\'V ~~w. ~ '\::,~ \S ~ Limited Energy/Comm $45.00 ~ ,co '( _,1'\:: _ (\~ _\(\1i). ,'0'- ~$\V~<:u'<",v '(x,'t" . ~'\::,'\~~~ ~~ <:u\S 1\ \'O~ ~~ " '", ~":~:: ~,~''-', ~~<?~:~:: :~tt~~;~:::K '~~fjl'~'~" "'"'' ::.;",... :".',.'. i'~:>:. :':~:.:;:': :' ;;:'J,::';~,:' ~~~~;:::~ ~ll~l ~~t~~:~1_ ~Yi; "'.' ELE_CAL,PERMIT APPLICATION ,c..'' if ~)~~;tt:JOh ~~~\;:!~!;f.~~~~;g6~~8~~qf~:'; ~i~::~:]~~}~~J:~~i:ll ~~~~i::~:il~:.~r dwelling unit. :~~; Items Cost Sumo-. :~~<~t~..:: LEGAL DESCRIPTION LOIMVIIlVl;".t ;70335'il. o2:ff:;O $106,00 . , ,~':' ~ $ 19.00 .>~ . ., . l' .,' :.'~:-' I\Iinimum Electric Permit Inspection Fee is S~5.00 + Surcharges 4. SUBTOTAL OF ABOVE l{ b 7% State Surcharge 3';z.z.. 8% Administrative Fee Lf 60 TOTAL 5'38l...