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HomeMy WebLinkAboutPermit Electrical 2002-6-20 ,. '. ,"225 FIFTH STREET :.". " , ,,', SPRINGFIELD, OREGON 97471'. ;' INSPECTION REQUJ:'ST: 726:3~6~ " I ,"OFFICE: 726-3759.; d 'J f i~~:':;"~"' ;':I~~\:~:';: e,,! . (" ',c' ';,;,,'; L"'r [. I. LOCATION OF INSTALLATION ~1:':'(o~;tiJ,. -a.;;ti: ~ ;, . ELE_~1 PERMIT APP~ - ',':::',,:,?:,:y,.>/r,: _ _ '-:_:_,_:-'t:"::~','_'-'1>:" CityJoh ~~:I~~r~6Z....:(xx):bb_'TO( E.: I'J r _ :.' .'':,'''':;:>'-:.<-.': 3.' COMPLETE FEE SCHEDULE BELOW ~>':; ; ,,_,__ r .. .. . .....-.,.. ..., i' ." ! I [,..: l' _ / ]- -', ': ',' ,"'\..,~ _ A. New.Residential-Single or ... Multi.Family per dwelling unit. Sen'ice Included: , ......, ~.,..... LEGAL DESCRIPTION f8'oZ6bLfZ- DOs<5/ Items Cost Sum ~\O",illll as \.\,\e ~~.u?e JOB DESCRIPTION .\\eol'.,.c \aftIVU sq.ft. or less n r,<:, vie ll<ll' eC'" . . _ 'Uri '" ~ -' t<--(l. L'== , .~ sll Me sQ Each ad onal 500 '; 'f\9\,>~o\e~o\~e~u. orpo 'on .' ,"'\\\'!'~.;';.<\oes Jl , Penl11ts arc non-transfcrab~~'.."",~- J:1 ,'"':.. the if work is not'started withinLI:8(Il'~,& ~ 1-- ach a Home or of issuance tir if work is susp&l\'i\~d fOrz.Ollillll. 0 - ular Dwelling 180 days. . Service or Feeder '. ~e .". \)9.\0 S\f~f\a: 2. CONTRACTORINSTALLA~6@~~Y $106.00 $ 19.00 / $ 50.00 Electrical. Contractor' B," SCI"yiccs or Fecdcrs , Installalion, Alter~iions or Relocation: i ~ ;' ^"Jt.. //(')':> 200 (Imps or le~s/ -"'i:S:' ,:'(' ''I.'' ,:r$'63.00 _ ' ., /<i,'JA"i 20 I amps to 400 amps' .," ,. "t$ 75.00 City Phone ('" ',\H .,;.:. 401 amps to,600 amps,,:f:~. ---.: $'125.QO , , \' -601 amps t6'IOOO amps ' ,$163.66 supervisor~i{~nseNu91ber. A"j. . , " O;'er 10<\0 amps/volts . ~~\~\.i = $375.00 . r i..~.' r//' \:::7-. . ' :', :Reconne',t9nlY~'.~~~~:,,~-'-:$ 50.00_ ',,,~ < ^ "',; """ K ~ ":"7~ ""," ~"'*0j' :4~", ~ '''^()''''''''I:,\V I' I' EXPirationr:>ate,..~ ,< " '. ',. ~'. ':', :..~'.' : ',,~_,'" '~V6-",e'~, '" <,; t ' ." . ."':\L!."..t~\:)'.:.\~: c,;_~t.,7~,<<-,-"' ;; ~ ~:' ~~n~i)~~~~i~-~rzif;-s:~~~e~g~~~\Q", ~~~~, ;:~ Constr Contr. Number " . > ,. ," . Inslall'lhon;)\;IteratiO~,m;,'RelocallOn AI' "~', ' ~ '~"-<:ij';';',.., ::~ ~~"~.j."".~"g~~i~~~"~Q\:;w.~~O'''', ~~ t~ . i .'C':Expiration Date "-< , . ... .' , f\" ''''-\il~~100 amps'1Or l~s,~~~'I!l.",,\<< " .. $)0.00 ' . tb\W"-. ~~~. "f'\{'\\ " i,?~ ~ _~; ~Kt~v - I - , ."--:'"__'Q\\'i,c.e:p.?lV'a~W~lo~~ ~;a~Pj(~J.;.A')" i'~"$69.00_ ,;Y:Signalure of ~u]lmising Electrician ~~Oj:..~9,Yl'f.'~q1<,to'~&.;n1J.''k''''f'~ '---.: $)00.00_ , .. ~ '~n9\)' g,vet:600\~]l1P\'!r{~000 volts see ",,; 't y :',;1->:." ~'.. J i~'B,'i:'a66~,i ~\C, ~ ~~ "f)" . ': . C 'lJe., l0\e ,", ,<" ,\v,('0 0~ \ ' .. ,', , , i'J' U L - ,t 1 D. Branch Circuits . .' Owners Name\<O't':\ t:Q..Q(:!()'Tf\i}. Ne':' Alterati,oll or Extension Per. Panel . . Address 'l....s.0I' I ?d\A~V\ ~ On'~ 'Circuit :1' Cit)~ lrl Phonc 7 LJ 7-'108.;)... E~~l Additional Ci~~~~~rVice ~. or!iFe~~~~~~?-\li\1~~i _$3.00_ \\\\~ t-~. . (S"I)"i.~~ hot included) ,,,,, ...\t~\)~ l\St$&~)l"- ~'\~" ~~lQl M~~tlOn $50 00 Q~\A'i.~ ~Tt1'ne Lighting $50.00 tj~",'C \y.\) united Energy/Res $25.00 r'I' LimIted Energy/Comm $45.00 Address , , I $43.00 OWNER INSTALLATION The installation is being made on property I O\YI1 which is not intended for sale, lease or rent. toO'>3I_ ~~~qJ : 39NtJH:J g~'2L $ Z:a:J3~ lW~ 2002 02 Nnr:31~a LL96000-l0:#SN~1 l\linimum Electric Permit Inspcction Fcc is 545.00 + Surcharges b> Y 41 50'-( 7'Z~ 4, SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fcc TOTAL