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HomeMy WebLinkAboutPermit Electrical 2002-8-27 / ~" i, '~"""\, .- . C -"'f. , 225,FIFTH STREET" "'\', 'I ..1 .' SPRlNGFIELo', OREGON 97477 I '....J' I i' INSPECTION REQuEsT: 72G-3i69~ ' ! it.. OFFICE: 726-3759,' : i, i Ii;;) ; ~^'.'!~-' ::,:__".,( L I ~(: \-:.j ~:""" ri:^~^ J , I 'I ,~" I I' , I; I. LOCATION ,OF INSTN--L,ATION ~ ' t.f Q O'/? l~ ~ llAJJ" 8LJ pJ <tJ/J , ,'i i EI,.E.CAL PERMlT APPLICA nON .-.- l:\ !, t';., ',,' ", i 1 : City Joh Numhe,O~ 00 q ~~s*,4.'.. ;v.001044~ Ii" ". I, , , IIH I E:A1JlS 27 200.: ~ ,'3,',CO~LkTEFEE'SCHEDULEBELOW 'AMr~Ecn:2 $72.45 .,. Ii ", it, j i ' C' CHA~GE. "...........1 ~'.-' Ncw'Residential-Single or "-,, , ,_ _Ca",HIER . 001 Multi-Family per dwelling unit. !" Sen'ice Included: \ ....... ",," i 1".".- \' " '---> LEGAL DESCRIPTION ;-;n3' 3<-/ C;:;:;' o !i/l no Items Cost Sum '" " JOB DESCRIPTION ,1000 sq.fl. or less _I,J STn1A- 3 17~Th'~t.t: Each additional 500 , Z""/fIg ana d~~oSJencot laSre.Subml~,dJlJlIIl'f/l@ifljll\lWlng L " qUire ..IDeeif;,- , " Permits are non-transferable and ex~ovaL LIIeI'CUt" 'and Use , if work is not 'started within 180 days Zoning c.c.. Each Manufd Home or / :, ':, of issuance or if work is suspendedB~fe ' 9) _0l7,,,?VIU';'~;"' t::::lIillg... ,I . , ,,180days, .... . ~~tnrFeeder I.. Ai.JtI,u/lL.tjQ Signature /.. , 2, CONTRACTOR INSTALLATION ONLY B. Sen'i s or eeuel, - I 1<,' --:: j"'~, ;~""""t)""''''I'h! J Installation, Alterations or EIectrical'Contiact6f,',/~\\Y\y'eer(?,t.'-:' :~Z1 c,; Relocation: /' ./', "'.\ 11:.\'1' IVI'l';'~b\l:l-h{3,UregulI v~.'nl,_> ( f, ",.lO\\OWA"~'Lo.S a!pl~~~ .n;,.',;""Jo a"'-""'" fortl.6zr"->--." 200 I J' _";$"6' 3',oo\b~,01>, I \ .udless.:...".......", .n('.~...,-,v 7'1 , __.(i'""-,,,;,;, ",~ amps or e~s , Notification '-''')T'-.. nl.~"nb OAK \lO"'~V ',;.;:;1".,.,.,.,<, ",- 20 I amps to 4,0.0 amps ~ $ 75,00 Fi _r::r""'Vf,\\,rm-Wt,\RfU;o, ,LO' ",t,): <1.0'.' , ,j(lOA Gity~' ~.l3;1'-~-\..~~hohe';:rc)", ,w,..,Tpr':!'.', . ", 401 amps to.600 amps $125,00_ , -d090. YOU miiy V~~~'t'~ote: t\1eIA\ep)'\fllJt:;;lii:.~,:.~'; ',-- ~ "601 amps to' 1000 amps '$163,00 , ca\ISupeR:isSf\i!it'eilS~WeliR!'!f M,'M.~9n. .'J; " o'o'.., , O;;e<[ O~o amps/v9Its. $375,00 numberlortbe,~r~_"~~~34~f,', ....,',}~;: Reconne~t.Only.:". . _ $50,?0 Expifatio~~I)a~".~ 7,.~, __ lJl ',' ,"0 .~' ",' l,r:':T:.-~qr:~l9[lg~t;::,L;;L,:::;;;./:,:{,;;::,~(t/tj.~ _ ,_\.:'-:._/:~, ",ik:~fZ:j' ,~"" ('/', ..,.... ,,/:,~~,:,,\ <~":C:t~>":::icG"Ten5iiQ)'~liRMJili<%~9l1.te[lJ[',aE IFTHE;Wtf~K:': r . '-constr,Co~~lI~;~~(,.I.fI, '"~'I""; \.~;"";~':\;,f'I~~l'HP~l?Y:~{~H~~tI,~'rk"i{M'1II~~i?Ol"~" " .' ", " -,.~~ 'v{,:\.,:~::.i>n.iri;.<.:.""", "'?,:,E,:"~",;,',,,:.,,,()',$~'~',ENG,'E(;j:OR',IS!~,~B",'ft..,'N,'bbNE''',:',\'b,:HR"",.tii'''!I;:' , " ")-EXpiratlonDnle 'l- ()'?"e>~..,.__"..::,<,::,,!,"pA."'" ',ffl!Pf,,~~tbi"~J::: ",~<$50,OO_ , '--....<.::::..~:~ I~ 0 'i1~11fflb400'1t\QSl.. " "$:*69,00 _ : i', ,. ,Sign','ture of ~lIpen'ising Electrician '---'~0.v~401 to 600 amps " ,~$}OO,OO .. ',' ',' % ~~" ~ Over600'ampsor.!~00voltssee~' ',: " ,;I.,.,. (f),,". ' ~ ..... ~ uB" abol'e ----- "'.' I -. ~.-,....--- 1\ -._~\~" '" 1"'- '\ \ . :'to~vncl's N~m~~--ti "-P""~-t.4/!..(,G D. Bra~~:5Z~;~~:ion or Extension Per';~nel . . "" \ I' ." '-, _.:. ,', . -\. . _ /1/. . \ , Addl'ess Lfo6,(a'172anJ(J 1M Rli/c:-C- O?rFlfcUlt. i , , Cit. :Phone '74/ - Cf'/(;)'::1 Each Additional Circuit or with Service ( or Feeder Pe~mit ' $ 3,00 OWNER iN . ALLATION The installntion is being made on property I o\vn ,vhich is nol intended' for sale,' lease or rent.. . $106,00 " , . $ 19,00 ." $ 50,00 " , $43,00 O'Yllcrs Signature: E. Miscellaneous (Sel'viee/feeder not ineluded) : -Each insiallatio~ ' ::' Punip 'or' {rrigatio.ri " Sign/OulIiile Lighting Limited EnergylRes Liiliited Energy/Comn]' $50,00 '$50,00 $25,00 $45,00 I\Hnimum Electric Permit Inspection Fcc is $45.00 + Surcharges (, 3. rP -~~I , u'-( /1 LIe:;-, ! 4. SUBTOTAL OF ABOVE 70/0 Stat~ Surcharge 8% Administl'ative Fee TOTAL