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HomeMy WebLinkAboutPermit Electrical 2002-8-21 / -225 FIFTH STREET ::-: --\ f "I (:" .-''', n ,,' E,LE.CAVPERMIT ApPLICATION , . ,.SPRINGFIELD, OREGON97477 1 ',J f: ... II \ '~! INSP~F;CTIO},l REQUf~t726j7,69 :fjt-1 Ii, :Cit,Y Joh Numher 02.- 0 101 { - 0 I '~. .i t~~F\CE 72?-F591'j t . ~.i!' _! !i ,:.:..J 11 (, I, :, . . ~":: >:',11.: '\:\ i[i (' ::r_.)..COMPLETEFEESCHEDULEBELOW ~ .) I .1. LOCt\TI(?NQ,FIN~TALIATlPN r. ,.!;' ii' j ! ". . ,".., -'.3 'C{q f<( '-'-r'/t'zlk2.yt';";r (3!:-l/~--~ A~'Ne'YResidenti!II-Single or-'~' ..... - --;rr'l <;l,t9Jf/'N6.{IEC!:> Multi-Family pcr dwelling unit. \' LEGAL DESCRIPTION Sen'icc Included: /7033, LNZ (')Z'-{OO Items Cost Sum'.' JOB DESCRIPTION ~ /. W@ sq.ft. or less (] j, /l-I-J A-.F t9 V / /I1~#/~ I1t/MF\o"~:ch additional 500 - . .\1"'0J>" ..0.&1 1 e L ,~.o ~\o ,..l' sq. ft or portion /-,/7 r-r. ~((\ eC\ PermIts arc ~lon-transferable and expire \essu ~~e 509 tl1 if work is notlstarted within 180.~t}'(l!ci\.o(\0' ,.0." /. V ,ae!, ntlfd Home or / ofisstlancc or'ifwork is s~'/J~A5f' V 'O'V. odtllar welling I I. ~~ ~.. ~. 180 days. .' 1.0(\'(\ '.." .... eorFeeder . ,), a.'9'9~o-.j 1.o(\\(\~ ; ! 2, CONTRACTOR INSTALLATIO Y . . SCITiccs or Feeders , ". \V' / i .. ~ \0 tfII9{\'a Installation, Alterations or \ ElectricaIC~ntt~cto~~GZ',!j~O ::::'f~~G/JE Relocation: / '." ~. '\ Address #00l3o.' 81& FA.LL ('~"t6? 200ampsorles/ . y.~~~\l:f63,0~'~ ..,......;\' ,( , {Y-,/. '.' '/\ '-.., 201 amps to 100 amps x.\'('\ ,,~1~75.00_. " Cil)'I-AtL (?~PAi(P,hone 757o/b?5'u ". 401 ampst~600a~\VI~'(.,?-~\~$125.00_ l,'.',I 1 1\ ./ m '. 6JH~.aI'%,~t~n~\'Of"\f\~'(.~_$163.00_ Supemsbr Licens,e'Number -::z.:2,q 02S '. ,,",~".\~d.~~' S :Qt-~\i\J . $375.00_ 1 " '. :J 'I 'jl/' ." \' ~'b~~~ '~\~ ~ =+$ 50.00-S::9 r. Expiration Date I /D /6 I r '* " ,,\~\,\\\\)~,,,\;'(.~ ' ,i.~\\)~' f . ., {/' " '. ~ . 'I . 4, ,: ,. 61'\ .., , C. Telhp.l!~~~l(>;~~dl' Feeders " I ConstrJ;:~tL Number' I:)}!( ifl,. T '. Ins~~'l~Il1,nltion or Relocation ~,.', ~'c;C?E;:?iration ;;;;~-5y It.'k,'ll[>' ,';.,; '.~;;~~ "~llPS or less.' ' . . ~ ~~O,OO _ , .:"_ ...---~ 201 ampst0400amps $69.00 SiglI;;t~'i'e of Supervising Electrician ., ~--_Over 401 to 600 amps. '$100.00 . '....... "~'_"." . . ~~ , .. '.d1". "" ~ Over 60o'''mps.or1.0~.0 volts see . .' ..,', ,"-. " "B" above ~---_.. .' ;:I~;~~e"fr;p~l J D. B..a~~~5~~~~~;~on16{'E*~~;Jo~~p.~~tnel '. .' .. I'(){\'''''' 'T.a9u"~'\\tI . . , '.'''' -- \U 01 I J\-..\..t)~~""ltneP. ese\(O, . . Address <;' 9.;7 o. H2.-6-,.\-. ,:III vc':L' \es<;lieWircuibsell;ilaSa~952.o()'\~ $43.00_ . ',lOIN 1~1 ~an\eI.ln. ollqnO~. lUIGS'O'I . City KtAG-t-tVC Phone ,/Z{, ~7Z7{!.o,'\\'\cat\OIl EachrAllditi~~a!,Gircu. it'61-I'\"itl()1 Se.rvice . . ... " 52 \JV' - . rP.u'V' lallil" . ' O~? 9 'or Fet:,c!.etJPenilita. tne\e "'catIOn $ 3.00 ~ . ',fI Q '(ou l'(Ia~ tel. ~~O\ . 'l'\~t-\ot\,\ . ()Q9&\I',l\'ll;~~R~!!!'(S.c~~~~_ej~iln'ot included) lll'(lpel \QEae!J.ins)aIlation .'. \ f\ '(Piil~:or:{rrigation . Sign/Outline Lighting Limited Eueq,'ylRes Limited Energy/Comm 190 ~ ~3IHS\jJ OO.~ $:39Nl'iH::J O~'09 $ l:aQ~ lw~ 600616 Sn\j:31\1Q, 9~~0100-10':USN\j81 ~. .-'~' . h. . ,. '. ;~- ;.~,"" J.,.~ ." , t. j,," ~ ~.." , i , t, " .. 1"<' .' " , " r f. \ ~ $106.00 $ 19,00 , -., $ 50.00 .' , OWNER INSTALLATION The installation is' being made on ..' pro'perty I O\vn which is not intended for sale, lease or rent. $50,00 $50.00 $25.00 $45,00 Ownci:s Signature: . . ,,~~~. l\linimum Electric Permit Inspection Fcc is S45.00 + Surcharges 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrative Fce ')0 350 YOO 57~ TOTAL . '_0