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HomeMy WebLinkAboutPermit Electrical 2002-8-12 ut:!\";-.J.:::r-u.J. .........-.ot"" 225 FIFTH STREET . .. SPRINGFIELD. OREGON 97477 . INSPECTION REQUEST: 726.3769 . .OfFICE: 726-3759 . ......u, . . .. ELEclt:ALPERMITAPPLJCAT~ ,:; aty Job Nnm"~r (') 2. -0 C 9 6t -0 J 3: COMPLETE FEE SCHEDULE BELOW J. LOCATlONO.xINST~TIOl'll.';;P'lD ..~. ... . . I J S-31 f--aIM U",- 61 v do. A. New JWidcnli.~l-Singlc or Mulli-Famll)' per dlfelling unIt. LEGAL DESCRIPTION Service Intluded: J703;541f1l llflllcl9liiO~ project as submitted has the tollowing zonmg, ana aoe::. lIut reqlJm~ speciflc land use JOB DESCRIPTION approval. jI\ ~ t 1000 sq.ft. or Icss /'/7 !CIA h€~f~ :...;....;.;;.;v...;SOO Date _ I ll..:12 -0 2... "'I ft n. pn"inn Permits arc non-transferable and expire . ." j thereof if work is not staned within f80'l:ft{~o SlgnalUrt. ----4' :.....:. ~...~..UUl u -?lame Or of issuance or if work Is suspended for Modular Dwelling J 80 days. Service or Feeder ....... Items Cost Sum S106.00 S 19.00 S 50.00 190:H3IH8\:1::J : 39N\:IH::J ~L'1~ $ 6:0::J3~ 1W\:I 6006 61 :In\:l: 31\:10 0960100-10:#8N\:I~1 2. CONTRACTOR INST ALLA nON ONt. Y B, Services or Feeders . ~\ ^ ~ I ..' IDstaIlation, Alleralloas or EJectricatConlrnCtor r l:Joo) \I L ~V1LRelocatioD: ~A-\\QNJ_ Ln c..-- 200mnpsorle:ss _ S63.00 city~Phon.61I!~f~;&1{,. ::;:;;E;;' _~~~r:~ s;;"~~~:;.:~~':-':/.f!I//~::';'.;':::,:, . .~IOOO~ 1375.00 . . .. . '.J .. ,". ~-.__.._....ly S so.oo Exp~n.de.:.2" .fnj~,O:7/'!' :'.'/: ..... .' '..: . . -- . .__ ,..' .,io.~i;:?';u .<.:.;< . <;:',y ,:' ".. .' Senlees....Feedc:rs ~'f. ConstrContr.Number /".:LI';Jf.:?:.-'2_',.., ":,' . .:~ti,!".AlI_":' or~~ i\ . . .. .... ... . .'.' .' ~\'f'\ \~~~ . .' E."PirationDillc..J..2~ /3 -:./;:i5'.;.';~> :'. ': ~ ":"':zOOanipsii~\. ~~\\ 1:\ SSO.oo - . :,,~. ,.> .;. ,:...,~2QI. .'In.. ~~ :t.\l~\J'_S69.QO_ .. ::-,:Signa~ofS,". ,'.iaCEla:tridllll ~:\\~~'.<. . ~~ --:-,Sloo.OO-:- :..'~-:''- . ,- id:J. \\'\1 \l~~ 1IOIIssec .'. -.. . .. -.'<"';-/i...A." "'-"AJ;;; \'I\\~ ~~ ~ ~\l .' . -- ~. '; . .'<i-;lni: '.. l>-\)\~~~~\l-'I . ~ '. . .:.;;::':~'~~~~: .mi:fL".', ~dr~5 ~~:{'~lJ':ODOr].,...-. PerI'aDel- __ , : ,..,):.:~.'~ !:dS:::1.J J;;,i./i?i4A fjvd4ifo om;~~. . ,0 ..:..L-$4~.00..l{J .... .J :,::,~~ ':. .. ~J&Wp;Pr.o;..' >347 ~ 5'~ F~~~'~~~~if'Service . . - ... .' ......v. U' 0.... ~. ar.~,,~,'2oQ) ~,</:j 'J:I:S 'C.:L-~.J.DO ~ '... .':'$!~;;...'2oO ",'l> C!J~ ~'2o'" . E. MiKeila~'~e~ li'6tInCiuded) . . ')(~ji.i: i~Bti6ii:V >1$''0 ~v'. 0". . ,,'- - ~-. v ,,- ,,\ ,(>~ ~~ 01':"' ~'u.. .''''. . - " .'J '2o'~ ,<,r;,v SSO 00 .<" , or, 'l',I',ow l'O,.,,~ 1'.\:'~ . ~,,' 'l)"' ". ,..,- 'to' 0'-' - - /~ ~'" ~!linel," ..,~ ~ ". _5SO.00_ ....-v ,s.'" Cl:.i~~/R~.. .&~~, S2S.DO r' ~~ !::' ." ...w "'~- ,\~!/,.'?J - - ~O ~O' LiIi1ited'~/CoiDiD'J: $4S.00 ",0 .<,v'l> n.~f '.'1>-'1 ","'. .t\.V' ;00 - - 'IS" 0.-" ...~ c'2o" a\'2o,,?,,<::J ~ ~o rll-tlnimum EleCtrl~PC:rmlt Inspection Fcc i,~ Surcbarges v ~ ~ .'""," ~, 'c;. '\ \~ Rlv' .,,(\Q, '0\.. ,;." I J r I:.~ SUBTQTAL.,OIr ABOVE .... ) 1%~S~~ Surcharge .~./~ 8% AdminislratJ\.c Fee 56" f 5/~ ...} .;,i'~I,".RDisT~TION">. . >:.The .,.,..".,,,. ISbeiugmadt:..." ,-:. .,:>. 'I< . v I oWn whidl is DIll ;",;.,.w. ..~liJrsale,........orn:nL .. . ... '.':.Owuers S~; TOTAL