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Permit Electrical 2002-3-29
~ .~, . - ,''''ya~t p:'i2.75 FIFTH STREET ;':' u, Fl{:'~ j-:,: E';'1 L~~,,:lj{~ ~'ll 'I" :'~" EE~CA.L PERlv11T APPLICATION ,. r " ~ " ~,. . ';{ii.f~(.,'"r:: J; {' ~ ( _"0( ~ ' ,'y -' ,. ..'. -: '>.\.;1_0.4 ~ ?SPRlNGFIELD, OREGON 91477 f(.3-..4' .:.~ ~~~J r,ft '-, '\ I;> ~':~;jj, ,,\; ," ",...." - ~,'^..:.'A ~ig' . '-':,j , ,>~::- [:., INSPECTION REQUEST:;726~3769':"1; ;;~ t!'ir>:'~ ,1;1 ;.::Ci~;' Jon N~~ne;n.:4:~'q, IN4 y"f)'; ~ ';:00.08457 r~ ...~.r';"~'rG.FFIC'E,'7637.-9:.II.,\~~~~ ,~:lt;~~2t;-if-,f:;1~"1 t.t~ ~~,"; ~-.~~:s; ~,_....o:;w, ',/:. , Iff\jE'.' :\'!1n.:l"100" "V~~/~l ,::: ',,,,!;;., , . 2:;", ,?, '~~ ,- ~ ~~ ~"i-~.&:? f'i-; b:~~J.,.~~,.i ~(~ I;; ,,' ;[J"'~'l':";,:'~ ~~'~'i;' ~.'t"'. "';T"':'e-'~j" ~n -Hfh: .L.7)i,.l-. L -.~; ":,,,J :-, ~~~.,'.;: ,,:; II:' ,(~ ~';', ,;"; :1\1",,". 3,".COMPLETE FEE SCHEDtJl;E BELOW':f:lt1T REGlJ:B,$ 131. 75 ""':~"l\'t't '\"- ' ,.."., \ ,"~.'" ."\I "ffi\~"" . \ /., ~b 'It' dhasthefolfowlng~. 01> , {~ . ,,' ", _I' ,\r:t $1"1:''';1 75 '" I~,:.' 11"" L L A ON,oFlNSTALLA,-"!;!;liIlI!owlngprojectes"sy m~ ~ '"'f I ndu'se'~;;:';(,r'" ~'):]-'('h'"'''''''' ,', "'4' ,.l.~. ">""", '\..: ~~ '''''''^'\ ',,',", on' ",'"", -'-i:~.&' '''f'eauireso.eCllc a,' ,,""",,",'..~;, \I"!~' ,_ ,..""~' '" ') -:;;, '" "5r Srie., ~~ l!!!~tll'lli'A. '1'ew Kes.dentIaI-Smgle or' "'---' ., ,'- "'- ~, "--' ;:,'$,p1.50 approval "l)f" f~ Multi-FamiIv, per dwelling unit. iAl.fjIjNGE: LEGAL ~SCRIPTION ,.,~ Zoning -"", JJ:1- 0 ven-ice Inclu~ed: CA8HJ'~: 032 1'7 ()'~:::tC)..~Q (),~- -' Items Cost Surri:;;' , , 9.l<. \".) ',:,':1'1'::' ,..:;r;:.. ,....J("()fl.i::~O SIgnature .",": . ~','-'if~;~:' "~.~"..;."-,:,i:',;,,,~,:-.,';:.~.: ~t~;;~~OI~n u ~Bo~"e'^~~~~~~~~i:f ;~~~~:~s~oo $10600 J*ii '" '<' - Permits are n~n-transferable and eXP0\e''O',~eO e"''I>-\~C!J~'l; ~ell1ereof $ 19,00 '",'::,:1"[ ~,',1,f"'",,'.r,',:,',:,;,t,,.,~,;',:,-,~,:,' ~f :~~~~~:~~J~a:~~k\:~t~~~~~?~:~",e;~~O~ ~~#f~~a;~~~l~;me or;tf,f.~_{(~;-~ 2,~<.~,~l,~,l. ':," _ 180 days, t~\ -^<:,.~"\ ~e"''O' e""e\' ,~~~o~\e:~e,e o~..i?ervice or Feeder ,.:;~;;;:;.t~~ >~, $ 50,00 ," , " ',"(:, I'-' ,,~\~ ~G ,.~~ '~'" o,e, ,\'<:\~ r>P<,. )"~'r7:;';,,"l'.r::>, ''',S,~ 2, CONTRACTO~l~tUO~~~ :(\ \)'~. !$'en-ices or Feeders ,h;:::~~';"!,<i;:;ij;:,:,!;, :','"','_.,.,;.:,...;,..;,,.,',',_~_,"~,.,.,;.,.,.:',,_,:;,.,' ""-,'~If,:,',-~f:::;,~'i'~,,'\.'-:;"~~:':',',., ,'{::,;\ ~o~~~ g ~~'lJ. r..I~~~~~0~O ~foro(; . Installation, Alten~'!i)lis1)i~.~,;:;..:..>.';;.:.:~,~t~:,~{,',~~,:~~~.,\:}~, .,"~.~ ,.- , Electrical Contractor:;! ,~A ~~ ~D I r-)6- Relocation,. :~.~4\;i-r:c',,-i;-i~:,j '~' '''. "" \ ~r'~ :'j. ,. .... ^' 3 ... r_ .]~ ~ ~.\.P. .- , ',~>:,~,~,:,:,f,-~~,','" "'1"y~"';~\ '\\!.~~(S \\\'\' \0' ~~\~ t. ~;;"!i ,...;:.~;e1ti;,'*~'.~:.).:,:..?,J.< :_.:'::' f~jf;:;': Address i:t( (j}'" Okc\P~~ r?:$\'u' '. 200 amps or less ~i "~:- :;;:i;*":~}~ft;'~toO\ ; ~\~~~{~ knl' "r ,~, .,._.,,, ~ ".,~.t'" {\v "~" ',1;~::;;:;:;;;;:z: ,",' :'~,~~.~,v ';lSf:]~:;%lt1 ~i~.l,~11?;~, 201 amps to 4Q9..~'rlp~. '.::,f:~Ff:',.~\:::(,'?i:$\7.~.:gP.;:~~-:"-f~hl~~\~' City t?~E.. .~01LI:11One 4- 8:Sf' ,,1, 401 amps to:,?O~9~(a'~R~;. ..,;;-d:,-;_:.~~4~J$f7~;6Q,,~~<~~Jf;2:~ ~",'.:'.:',.,'~:,;,;',~,:,.',-~";,;~,.,';.,,,~,',',.;',~",7,.,_:.:,.,..'~".~,:,':',.,.,.,':',~,:~:.,'_..:,,:,' ,. _ ",.., '..,.. ". '"' ,'" :.' ., k" ' __,,, "''', ,'~'"'' '-' .""'. ',_ -",,, , _ " . t..~..~tj,\\:'-l.1 <i! ,,,r:!'~,.~~ .!~..,..~<,;.-<-,<_.,.J.~601 ampsto,t,'1000:arjlps~",-_t -'~:.i<':r'r..4-,jf,,}::..t$163~OO.;"..,",::f"7 . 1- 'r.",:w,,* t ,'."-'~, <!::"i::i/I..('j",t::;., _,"E'-.;.,,,.\,,,v;'''''V',,,..... 'y,.,';:'.~^"~'/,.:/,,",:\' ,~'-l-:>'--;--:--7"" ~.,,~ SupervisorJ::if.~~se,t{in~p'~r u,,~, 7,::.i/'7 / ~',. ~?t.~"~; '~7,.~~~t'fg:ver.,.1 oqp:C!~p~yoltS".~;1J,~t-l: :!r~J;!Jt.;.;. ;..'J~t~$375.qO;.; ':'-"~i'''~~~ ~;.-" If-4 . .L~fi4f!~a~~f~~i~;,~{~:~1~1.~~~~~t~ '_l>:.~~(~~ eco~'" p ~~." -'-~I'.~ j~t~~;~:;-:~.^<.-!:J~$,':~~;9.,i~R::.:,.~:~!:=:5~ y: ,::1i~~ EXplratlon~Date?~'~:'" 7r'4If![!Rt;,;f?;P~'$~~" :!t!~J~;:~~!~L.\0Q;?:':',\i,'ti ~~:tz::;, $?{~q~~:~~.~~:,:J~1~~~ril,.~~~~~~J~,;i1i~~l~it:;':~~ ",;~t;.t~;;~e.mp, R5~9f ;~~~~~~.; ';,"';I-;';,~i'.' ^.,- "';::;'. ;'j,.:.-/,,,Ol, ,"( ;'''',t~i_~ '~~{~~,'~~;'~~: ' , ;y,..,-B' :~ 'Constr~ontr:iN\!.mbeF_";" ~,~~" -'~ \< it...; ~'i;,'.i!-p;"<b .';J_:)':,~~Il!stp.l~abo:nr~l~era!lq~.<9~ Re~o~~un,.: -5'~~~~s~iT;'''~~: 't ~~.;t ;.,-';:"."i<i"~~~ -t.,_.~~~~:it; {", ~ ,,~',,'1' \l'i~;;-S.;:-l','-:~::d ::\.;:," . -f-j~:;~ - - '~;;;'~~N',"'F ~~~4,t-I':'-~f"'" ,,~.~$:t\'~~"~ ,.""j<~\0". r\1f~..~y-"~" ';:",t~;r ~.;\W'''-'1"',f~~''-",, '4:..";';G't.'f-'l;>~I)r;t::'J~;:: '7iL";~'r; ,~~, ': ;~,'>::"~.'~.rHU~~,~itp\~~~~,,')'"-tl\S:\'~l:"~~1t>~~'O\'~'.r. ~'" V;,\ ;,'''I'.,~:F:~''.bExpiration Date r?o' 'l>'-t'~'Ef,;f'.'-:r,:" 200a~. ".' , 0~y'.,:()\:,\\~~'l:;,:, 'E'!":':TI':,~; $50'00 .';;"'.'.. : ~'-'j!i,;y:- :,",~\ ,'"''',;;.,. "tl';, .',. "'~{' .it;,' '.~' ,"..,di.C.i~:f,",r.~;C~~!;i,.",'5'~'jt69'OO!iii;'i{";'i:" ,..",~.~""i;,, ,!',to!-- ~ V,. *!I:r.:s S\",/, -._" 1!\1' '"' l?:t'P : ,,\~~V';'{;'_~:'_~"~',';' "':..'-. ~ ';L~" ;e~~ ::,i\u'ie,~f}upervising Electrician -<\\\S,yH. '~~Y,', }r~~\1~~al!.";~:~,;;~h:i,':::~:,~t66;ifQ',\',1"!.! .V~:i,!:i. ~:'(~; t~.3-7;lI:>:t~:'~,_:-:'7:e \ u.G~ ~~~~~r~lOOO~VOl~see;;:.~ffl !;~;.'.~~-:: t".J{~;;}iJ ~~~;'t'~.;"''t!i...l. ~'t"";:,.::-:",,",, I...." f\\ \:\\ \ t"_c.' \j'f'tu r\ "':~",""*-Y'''l<''"~::a:r' >, ....-''l.-,,,:_._'~ tJi K,,"""'~h"';;",'" ,,: ,., ,,', """,','^~r ~ "u ..~Il<\",,, 'c;...::O\Qu' """"""'.,..". ",;" "~""",<>,,, '. :q;;?~;~1.~i,~rf"~~'l~.'"~ ',' ,:;:~~!~;-;fj('~. " .'::'~ (\"J.''i'C"t' """'~\\\ ,..-..:tfl 'j'.',/.~; ':-.z~t V::.~;iJ~,$i~::;!l-;'l'::':; ., """""",!)"W."";'l'o,,tr .' '...l..i~t;l\"~.;.". '.' . ' CuI" ~ ~~.~'s. '{", ~~.t.~. L'";'-'''''~';'::''i1):1'' , l.""""f.'%'''''' {" ".'" -':f,1"'" ''''0-- u'lJJ. ,,~ '-"';">:':, ,:Vi. .'t5" {~~~t~Xt~!~ ". .~~~~~~Mfl~~~l~::~:~~.&~V,:~.iy:i~~ - '1_' J, I _'I..+ttrlah~ S~.,t.~.~J~s. \.. ~~~~. 'y '.', "i~-~ ", 0'." .t,~, ,;..\,,:s~(it~ :~,~o;:~i:'.,,' wners' amem~ ' '~ t_ 0 New!AIteratJonor'ExtenslOnPerPanel",7,ir',I,~:"""it;:;"';;,.;;;;, ~l~,~~r ~~~;t~~~~e(~;;';'\~~~ Q( ~d ~!r~!ll~ /t~ ~:t'~~~~~t,;~;a~i~'Ji~r~ , itj " i1~0Elione~., -x 00; T Each''Additiorial''Circuit or with SeiVice'p~;I,l:,:';:J:';'.:'f.:':" "'~;~~~~~~iitJ~, - , M4:t',~,;jiJ,".u",:";t1i\:i~~ "'""~;"fi"" r" I' ',.."" "'- C'Y""" ..1!i,,,,,.... ,...... "PI ,". .' ". ,... C"'"'' " $50 00' :::' _ ~. ~,':{~~~~l~'1~~{~~\51~~~~<~~:':=':, ~~~,~S~;J:~~~:,~~~:,~.~i~:~~~tk~,;~,~~i~{;~:~~ _': }.r~m ~~)~~~ .1,On!.-~~: ';:;:'~'~! _~:. _,. ,;:~ _,,;..' ...\-;:,~\".~;.,;:"~t),}YX":'~J.t,~~~'{i~' ,':J;;L;>:';\';~;;,:..,:,\t ~;)j':';,~;:,'~;49~'.{l..;1";"+~ t~ SlgnlOutlIne,Llghtlfi&'" ~ $.)0.00 .,':>7J.o:u. ; ;;,:jfii1~~1~~~~~~;{lJ~~!~~'~{~~fi~\~i~~j~iir'; \~iW:;~;;f\:~~fc~~~': ~;~.~?; "';"., :,..,: ..~,.!~~.~.r~' ",.(,:,4<;)J'r,,:\\ :,~.;j>,,~i:,}:,i>' l\1inimum~Elec{ric'Eermit-,Inspection Fee is 545.00 + Surcharg'es ~~~~'!~5~~;1j1~;;)!:~'jN~~~":i;?~. ",. ,."".'}:,:,\, ;., ., ..' OS' !.r$Z~db3~"I~i~' >,?,~ 4, SUBTOTALOF'ABOVE 6l>,lfl). '7 ::",~Il/"i3i~G'" ""7:: 7% StateS~rcharge' 3,SV "OOw 'I, <JyH,~ . , . "fI- "".," 8% Allministratiye:Fee' 4. ~.Cf) Sl.~800()'" '~#Sl:l\'!I.:Il':" ',',if;,;~ -\ ":'" ..", TOTAL J/ lS'!=)\.S) <. .~. ,- . ..