The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2002-5-21 ,"'-,7, ::,7225 FIFTH'STREET 1,c ~i\ ;~;"""j r"l '"....',7', I'" if:, ",~ ELEaCALPERMIT APPLICATION i' ';,' I (~'SPRINGFlELD OREGC)N97477!, :.1', ..J :'; ,; [" '. I',' .','" .. '.. ': ' , \' : ,'-'- t'INSPECiIO~REQW,:St726:h6f~J I,j ,) t';City'!Ob Nu~ber,'D~-: e:,o'QO"C':'" of '''':, t:OFFICE:',726-3\59,';'I;: L'! :, J 1;1: ')J ':'i,' I ;,:, !: ",;" '... ..."':< 'I:',:': .: r;:. ") /-' :'r\ j Ii f;'; \,":\>,1 f. (j.. .,3fcc9~LETEFEE'S,CHEDyL~BELO\V,. " \ '.' 11 LOCt\:T19N,9F,IN~TALI,4nON:: !lH,,;,, I I;,:;;'",..,," ',' "-. ..'.." ~. ? ~ =A ~~T." ~?fAl\J fff1 u::p"~ A':' N e,v'Rc;idential:Single or' --~ _:... ,.. , ':, ,,,;,- 17- 0 '3 ' ? 5"', '32 ' Multi-Family per dwelling unit. LEGAL DESCRIPTION , 3~ Service Included: S-p(l.jN~ U11L1 f11' ;:3DMD G Items Cost , ,.., I, .. ~ " \".'; " ',' r I, \:_', \' . I !- [, ~ l'" " ,..' ,- '" SUI)1 JOB DESCRIPTION MOnCE:, ),gp'Q.s.~ IN~ 1 _11\Jri.r2J\J/l1....U tsl/"T1"l./R wmMIT SHALL EX!:'!Na'tldl ~K I UNi>tX..-tv1I'1(RIJ\C~ Si~THORIZED UNDER TI1$RIi 0 N T Permits are non-transferable and eXPtJ1v\MENGED OR IS AB~aNED FOR if work is n?t :~tarted within 180 da~MY 180 DAY PERIOD. Each Manui'd Home or of Issuance 01; ,If work IS suspended fill!' Modular Dwellmg i 180 days. Service or Feeder ," .~. .., $106,00 $ 19,00 f"" /" ,l"'l ", '.'.', '.>" $ 50,00 ,.".'''' " 2. CONTRACTOR INSTALLATION ONLY B. SCn'iccs or Feeders f:,~~'" , . .: ;'0,' ;, ;1.., Instal~lilDl\OJ(\'l~raiion~ o~ ,I;: ;'; :.,- Electrical Contracto~F~+-A- '501 W .4NDMr.liNb-su"",i\\Rt);;8ti1f11l: use r' '... .",',.. .. ~;. ,'i '-, ~'_,:.,~ . g-"nfO\ec\BS e(\U\fe s~e l-,~ . <.",t "", "I 'tl..~ h ", \\0",'0 ", 00\' ,.' , Address '';"', O"tJlHL",., "" I,..j);:;'~,~,:;,,~ncld~,estp 200 ~m ' ss,' '" , ' 3_M~ ,,,' I ! ,- 'lIooQU).\Is.\..- < " '. amps t , nps City 81 bf?J g I" Phone9,H...:'fl)'y~; ~\ '.:01,. "pS to/iOO', ,.,' .., , !'. q \ ' /,', _ - ,~X ," I ,000 mpps S\lpervis~rLicenseINumber3.6S~e" 'S'goalU'~ 'ver 1000..ainps/volts, r' ,de )',:,V,\:,~ }'!"\.: .:,". , ~~\"o,f,\1;~d! :,. - ',' -)~Rec9nne~(bnly ;,1 . M , Expiration Date, " Je 0.32" .. , .. ,..;,,: ' ,,':, ' :'; r:: " . _ l . .' .' . C. iemponiQ: ~c.rvice~ o~ Feedei.s I , :... Constr...c"ntr, N\lmber~ ~:< , Insti1l1ati~n, Alteration or Relocation" ">;Expiration ~~ -"bl~;rHo~;... .' ..;~ ,:, "200 ~1;I~s':p1'1e~~'t'",C' ,.'.. "_ $50()O "--: ,. ' ...,'......-..,.." '20Iampst0400ainpS.", ' "$69,00' . -~ .',' '., .~. - - . Signature of "Supervising Electrk!~~.. '.... ': l.';SS~=' :;..7('i,,-Q,U:~L4.Pl,t.Q,~?0 ariips'.. " _ ~IO?,OO_, ~' """~ ( 1-'.auPledO'yth",fuef6j10IampsiorI000voltssee, , ~ O"O"J rll e.')........ ... .....-:::. ~ ~". ,t;, C\: ',.:;1: I"n ;, :jf' 'a;lonCentel,Thoseru/2,'s@,o,x<;etforlh ~--"", ' , -r'(?[.~_"'~' ,,':J,,'-:~~J1..0010th(OughOAR-~2-001- . , "~, '''0 y may obtaD",B..r,anch...r.1r,sll,'ts3S by , .l.l)t:.f au IlIV.....I""'......y,'f..,..-,.., ,., O)vners, N.a,lll,,' '..'. :'. :",' "--nter (Note: TllPJVilM.' '._.t~. "",t,ilmor.'lOxtension Per.Pan.el ,,-- '~. t"', . ,"'Q<11l11~U1V"'''''' t,,.:,.). 1. !.;. ,"', ;,1...:", .. ,.' ", r "I,', i" "'umber for the Oregon UtilitY:'l'l.otllil;~ttOn /1,; ;"'. ' " Address, ." ','.., ",r, _ ,,',,'s 1_""O_'Il"1,O!le,~qr9.uit" :' , '$43,00 '/- . '-'\:OIl......' ,-;J '----.r" I. .' . t' . ./J., ',,1. ,I . .' I . :Cit, :: ' " 'Phone" Each Additional Cir,cuit or with Service or Feeder Permit:" $ 3,00 :1 >~'" :. "_yiJ<;': " ..~. _, :_ _ ;; _ ~ ,E, Misc~ll;n~ous'(Se~i~e/f~~de~ not included) : " '-Each installation, " "" "PlImp'or'aiigati~h ',':' ----2:$50.'00_ , " , .' ., :t " Slgn/~)utllReLighting'" -L'$50,OO ~00 : Limited EnergyiRes: $25,00 : 'Lill'ited Energy/Comm' $45,00.,-- ',' ..' -- " ~ ,. .'~' I\'linimur'n "Elcct'riC Permit' los'pectino Fcc is S45.00 + S~rch:l'l~gcs " ;,' ',- . ... :\ ,,' ., ,', .,-'.~. ::c:~.\ _' . '. $,63,00" , '(-,$ 75,00 ~ ' , $125,00 $163,00 -, $375,00 ~ : $ 50,00 'OWNER"INST ALLATION , The installa!ion is being' made on property I o,vn which is not intended for sn~e, '}e~~~ q.r re,ri~~ _;:. . " . ,'., .'" t ", ,,':',.. ,~ _ , f. ~ .~, OWllcr~cSH~natu~c: > '" ' " .1' 31:O:83IHS\-!8 83' 0 $: 39N\-!H:J 8L'L~ $ Z:a:J3~ lW\-! GOOG 1(; A\!W:31)jQ' " 8816000- 10 :ltSN\-!~l, , " '-- t1" <' "< \" ...'"' ," ", ' . ~ : " , 4, SUBTOTA_L OFABOVE 7% State Surch,irge 8% Adl1!Inistrativc Fee.' SO,{)\) .3,50 ~,1.8 51.1~ 'h . " j-.,: " ,:",! .: ~ .. ~ ,"', TOTAL .....