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HomeMy WebLinkAboutPermit Electrical 2002-8-15 ,- '225 FI~H S~ET:~ .., i ,r, I . . " " .1....-: :'.~'t.' ,SPRINGFIELD,OREGON97477: ~j:' I INSPECTION REQUEST: 726,3769 . , ' : I '. . .-' ,. ~ ! .. .. ' ': i OFFICE: 726-3759,.)! " : I .) ~J I ,"--' i ,'~ i i \ ,-,'0_.'\ --;- ji (~ r' , ;, l" II L 1'-' . L LCiff!1LN ~J~,~^,1iA/~~ ,_" LEGAL DESCRIPTION IxcLof,Z'i T90:(j3IHS\J:J 7.liH:J S~ ,g $ 6:0:J3(j lW\J 6006.!iT 9n\J:3HJa 60tOTOO-TO:#SN\j(jl ...... ',~. .~., \ " ,.,', '".-.;, " ,~ ' ;';' ! '.' ~ .' ,- , . '.". I,. t ~'V ') . o . \ : ,.,.,. ELE.CAL PERMIT APPUCA nON Ii ,'.'CihJoh ~umher' 6 ZOO 975'-'0, ( t.; , . I I 'i: I \1 I : COMPLETE FEE SCHEDULE BELOW .' ,;.., I ' . P I.' . I . r !t ,../ . , A. New'Residential-Singlc or' .--~ ..... .. - Multi-Family per dwelling unit. Senice Included: DbooD The following project as submitted has the f9A~v<ing JOB mCRlPT~ zon~nj;,and does not require specific lancl\\~ij sq.ft. or less '/14'1' Ual!ir()__1 Each additional 500 '; . Zoning (..T)t'Z. sq. ft or portion Permits are non-transferable and expire Z ./15" -0 ~ thereof if work is not j~tarted wit~lTllel ou uays ~~ eaCH lV13nufd Home or of issuance or if work is'5UsplJl1lllltlS'Ql11ature ','e':Wl:lr Dwelling 180 days. Service or Feeder s .I 2. CONTRACTOR INST ALLA TION ONLY B, Services 01' Feeders ' 1" _:. ' .' 4 Installation, Alterations or Electrical Contractor .k S' fi( -celt, C:. i. (''''',,, ~ftRelocation: /'. : ." . .':' ),.... /';';), i, . \ Address, :F, 0, if5(jy 2. 1/9 J :;.,;. ,..' " 200 amps or less ----.: $.63.00 ~ , '\ '." /";'1'>, 201 amps to 400 amps $ 75.00 City E.Lt?;1'~_Phone_t,,fC-hZJ",, ., 401 amps to,600 amps $125.00 J '.' /- -.'; I - , , \ \ .' ",', '.. ','" ,".. "6QI amps 101000 amps $163.00 Supervisor License!Number .y(j97S: . ,:;:;", .,0"er)000 amps/volts $375.00 Expiratibl~ ~ate Vf{)/ijt!JY.' 'J':~~f ,';' ;}~econnlct Only", ~~~, 50.00 (' , .', '" ..".{:-,). ::' :;;::>~, C. Tcn;por~ry Scrvices.or Feeders :\~l(. ~'~()1:" 'Constr Contr. Number 17 OtfrF7 . '~. ,': '_;Installat~on, AlteratIOn or RoI~'lft,Q.,\~\~"~' :' '~--- _ '.. .." "/': '" ""', ' . '!t.i-'?\'(\,?l(.~~' ~~W., , "'E~pirationDate )"27:?i/{'{/~_C~, ':' ;~~I!l;f~~~~~tt~~~~~l(.~ ' '~ ~~~.~~ = Signature of ~upervising Eleetriciau ' '~~!~ ~~lM1(\~ r\.' -'--- $100.00 _ "''1' , '\ ~...t~ ~~'I"olts see '. . , ~ ,,'F,II ~ ~~~. '\)~ --~ , "k.A/ "" 7IW/ c,CJ ,\'O<::i '\0' f ,~... ~'"Ol) .. , t: ;".. /_ D. Branc~'t!:lreUlts . AS' \\~~ Owners Name T6 Of) ; !CtfJ:? KOt"/VS New'Alteration or Extensi6i\~Pe!i.P1nel\0"'\ ill, 1\~1l\~O~a"(i~s0' <\0.... /) rV '/' , :' '0\' ;(\e'Q.~~ c1J?:'" , Address 7 <1.5 ?/IJ 12 I ~ On'iCircu~~e~ 6'0')" ~y>\8s ~c.-'f ~~:ly.oo ~ tJ /' ., . '~,J~'rC~\0-('(\os0 ~Q,Y;>oQ.\Y;>oe\'V c~0 Cit,.~0/, i v'J Phone 9 ,ff- 3?SO .....EatllJ~,ddi'tiomJI(Cireu. it:C;} witl{.Ser.vice~ ~,~O~ . "-\' f\}'- />'\" :\\}" <\\',,. ,-".. 'r,",,' r ,'.or,lfeedertFennilj\) '... cOy . \Y;>o0 ",,\~\$ 3.00 . \0"1" ~\v,. J:Jii:J" ~~". 1..0'." "'. - . ri.\~r:fO- c.'07; . N 0'0 ~. ~O \ \\~\'" .;.b,C<)' E. l\Ii~ellaneous,(SC'l"'icc1fcedcrJiiot inciUded) . U'.' i:l ('Iv r~' ~e'!l ~,,~ \(\~toach instollation30. 'Q~C' t:tg'ft-t~p;~Pi~r(gaif6~ ~ \~\~. \ S. "n/0 ''''I~' c.r"I'" . 190~.Ut Inc~..'lg \lIng Limited Energy/Res Liinited Energy/Comm OWNER INSTALLATION The install~tion is ~eing made on property I o\vn ,vhich is not intended for sale, lease or .rent.. . $50.00 $50.00 $25.00 $45.00 . .Owncl;s Signal,Ure: I\Iinimum Elcc;ric P~rmit Inspection Fc~+ Surcharges 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Adminisirative Fee '-() TOTAL '>" ;>'0 '$ 5/7..[