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HomeMy WebLinkAboutPermit Electrical 2001-12-17 Jltllowing project as submitted has the following .. - , 225FIFTHSTRE)::T :,' zo ,9, an,ddoe~, nFl, 'eo", ir~rSl?ecifi~ land u,se ELE~CAL PERMIT APPLI,CATION -. ,SPRINGFIELD OREGOf:P~'f4'7'1', ' ,! ,"",' .' ,,' ..' , ,''', ' .. : INSPECTION REQU)(Sj: 726'3~i"-9'~~':; ?'it~. 'lnh 1umber 01 ~ 00 '7 10 -'0 I OFFICE: 726.3759, .. ; D~te : ':J,; L'1.,~ I. j i! 'I; , ," ,: .' i (I" LOclT:I~~:~~'~~~~e*~~~ai3{~:'~~~rE1E~.CHEDULEBELO\V " b /'5) ..L- V r A: New ResldentlaI:Smgle or'-'''''' .- -- --- -- ._H_ . , Multi-Family per dwelling unit. Sen'ice Included: 2. CONTRACTOR INST ALLA TION ONLY B. Sen'ices or Feeders I 1/ . / -' / Installation, Alterations or Electrical.bont;,\ctoi 1Cc-/(Y{J. S.P(!TYICL. Relocation: /. ',' ,~; , /'" I . Address35"I,:,") '7 · \,5/-10"'''' I/r ~'61" Pie: 200 amps or less .. ,.'.. ,! I \ /. '" ,.', 201 amps to 400amps City n;,;',b'iV1 Phon~/ I~. r5!:!..~/35:z."., 401 amps to;690 amjls 601 amps to 1000 amps SupefVIsbr Llceu~eINumb~r #7rJJt:x..~ \L ,ci'erJOOO ampslvol~' l, t.i, ':~ ,"';'>. ":,;,_,,,,;}:~,~.t.',','_ :'<. ~"Reconhe~t Only E~piration Date '1t2:';()/'~?dO~!!f\~U...;{;ii,,;~..,):+; .)< ....'" L '" .'}: ..: :--,,;}y>>,,:_-:,- '~-,-"':)r~\;j:,,<~,: (;."",,!~p~p~o~ary~crvlce~ or Constr Contr, Number..Rf) C?..'f/h',~&"t;~;..,;,;,tS;":";Ins'tallation, Alteration t ~ '.~ '~"~~'~~~~~_", .:~. ~'.',': ",'~J2:;::<;j~ir;:::' :,.~:t'i\&-:-}::;'_r "':::": , .'. ':'--.Expiration Date-L'/J7r.?/.t..~? "J,';\'.,;,.".",<\'200 ampsor J..,_' 'T..'. / ..,"--~ '2Manipsto .. ,Signaturco(Supervising Electrician ----.......; Qyer 401 to 600 amps " ):i<~j;;(~ _y ,,~~~';mpSOll~~e~,' , ":~ ";'" I' D. Branch Circuits l ; , Ownen(Name 1''''I:iM ,Wi, G( <..... NewlAlter~tion orl,Extension Pe/Pri~el 1./ \ 1_ II;' \ ,; ;." . (' . Address :(/2-3. ' .,.v" 0:;'1 On',,:Circuit '. f ~ $43.00 '~ ' .. i !If' I ! '. , Citv. sf ru;, Phone 99-X ~ 7 (go Ea'qlt AdditiOl)3{ Cirkuit or with 'Service . I ,~.rl'Feede~pe~~i~", -~,,-~, ~.$ 3.00 -. i. j' Ii'> f -_.-~...., \ \' E. Miscci'ancol.s (Service/feeder not included) :-Eacl; installatibh', -,\ \,.. .. j~ Pllmp'~r{i'rrigatibh ""'f:'~ ---.:: $50.00 ,i SignlOuiJine Lighting;,' "$50.00 , Limited EnergylRes ." $25.00 : Liinited Energy/Con1l11' $45.07'.-- -!',,: " " '~. ;: \ ... LEGAL DESCRIPTION 18o-z.DZ.Z;, 67600 JOB DESCRIPTION! ' 1...fzJ~.> v/ 11ZlE" TZ-71A (( Gl.t::'C Permits arc lion-transferable and expire if work is not 'slarted witltin 180 days of issuance orif work is suspended for 180 days, " ! " j'" i' t' .' 'OWNER INSTALLATION. The installation is being made on property I 0\"" which is not intended, for sale, "lease or're~;lt:' - , . "Owners Sig~i~ture:J ~. . Items Cost SUI)1 1000 sci.ft. or less Each additional 500 sq. ft or portion thereof Each Mannfd Home or Modular Dwelling Service or Feeder ~ $106.00 /0 b ~ $ 19.00 ib' l " i I,. . .. '" ,-'\ $ 50.00 .\"". ." ,\ i ~ . " ~"' '" "\, >:t....-~;.-~, --=-'::$ 63.00 ~; ---,----,,$ 75.00 ~ $125.00 . $163.00 . $375.00' ,.; $ ; " .YO, " , "~I , J ~.~. " . " . I\'linimum .~I.cct..iC Permit Inspection Fcc is 545.00 + S~)"ch~I'gcs " 190:;'J3IHS1;J;:i ' On:l $:39N17HO 00'08G $ l:a03~ lW~ WOZ n AON: 31\][ . L9GlOOO~rO:#SN1781 TOTAL ! z ;;z... Ib."'f I i> :S"b // 8d ;?bb --- <..0 4. SUBTOTAL OF ABOVE . 7% State Surcharge 8% Admjnistrative Fee. .,~