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Permit Electrical 2002-2-19
,-.. 1;1'''2'2' 5 FlETH STREET ." ","'" ""'/" > " . - .C " . RMI" 1 /"5.:7: ~.t,:~",".,d :,.....,_._,,}, '''.. ,,~I: !\',,' ,~."~~,~\t-. t\'l,I:"~~n~:~~J :~:";J;'~ Ln: ,.~:.':!. ~.~f:fA~\PE I" T:~PPljJqATJq;N,',~' ~t.: ~..:. ';......:'.r.~ ~. ~tS. P,RINGFIE L. D., OR E. .60 N.... 974.7:7 ~':~~~'~;:"i ~1,.1 ~'-1~.'iI~~t~;;! f~~'. ~/.~"'~~i\~',:. :,r'.lr.~;;,t.;{I."r@)Ti-}i.;~~;'tf,~! ~~J} . .Bf.,:;(~$~~.ir.;t$'~~C~j ~.'f~"~"~;:"" 'q. ",J. -f.j) ";', ..1" ')... ~,." ~~',P '-";-,_ ,t ,.tiljl I.r.,. ~.. )'~,. .':[1 "l;) . '-0', :f;':"y ..1,.,~:.,1"I',f,1 . ,_.~.~.~:.iJl.;.;~ - tf1r.-.',l..:'fi.l"WI'.~~' .;}; "::t:.:1~ ;j#;',:~ :i\t!!:'!,~rsfT;I9~~!t~!::1~S1;.';72l'"F6Zil:" f\'~ r'~-I'r,' ~~J :~ptf:~oh N!iri\l,i~~': ;~ ,l',-:::~,,,,:,,,,,~;( l!:J:~.!~l\~:;~it~? ,'i'-,:, '...J."" i:l0FFlCE"t726!3759t~,~'r!lr ltk ~\'\:~ ~ rt?1~iJ i;1 '1,'\ ,',: ~'q,:,...,..;;"tf~";:::~''':''''::~';~~/~i:l'<ll;\!i'''~~~~.~~,'' ",'" ;t:, :.:I;'" ,. ;,t{.:i<!\'i,,' I.-,j r,; \I"i; j,;',. '\.,.~, .," '[.>!i ['At.. '3''':' COMP' ." LE'T' E FE'E'S'C'" HE" - D"'Ul;"":E' 'B'''E' 'L'O\'V';; '/'~:9~;.~,t"'';"ili.'I'' "~\,,, ....1'1"'.,.".. rrrt "5!, \(,. I;.-J ~,~' 'l'~ &:-,~ r'~ r ~,':; '~'srj!~'._'--:~' :.. ' 'Ej It., "~t.::~,"'.lk"''l .t,,:," ~~:.:t::,:,~jj:N ~i~ 1. LOC,&"lgf'- 0, ;oJf;fNstALL\ TJ 0 N ~~ i~l~'~! \~'f.~7X'~ W~J1'~~.\' r.:}i~,''i~{f~7;f.~*'~'~~'~i:~~;.;~ ~~'~~~::t~::lt~~:~:~{,it-:'l:i,f..~H. !.~,~~, , ')."1:'" .~::;' ~ '..:" ~..'~ .--/(). '. I], I.., :~.'J' ~,-... "'I;..:(i'~' ~-,. ~~'i"J tt;.,...,. .~~ ,~A~'~'",-! '\1~"'.\'''''. ~'J:ll',~l:lt!-~~.lI~'1 ~!.'" A'i:1 \\ '..'\'1 }k~,~lj~' :"~..". '. "..' -, r"- . 'n A)v 11 w .. .. "-..-.- A,"Ne;,' Residelltial-Siiigle 'or"'" """ >,.-""o.-",'.'.L'. "," .' '. Multi-Family per direllillg IIlIit, .. .... ", Sen'icc Included: '~'-!i\l' :' Items Cost s~ijW,~~,: i.~<t~..', ':,-~'*t-, :\t':.'", JQll DE~C:RIPTIQ\'I, 1000 sq,[t, or less $106,00 ,,:,. ~ -') (I Vlrl )1 +"" Each addilio",iI500,if'?f~ , Tn f sq. ft or portion "~(~I$:; Pel n1llS are lion-transferable 'l!ll'r~~l~op o'oi.~' M .lJhmm.d hJ~'f1f~9JlI I ,$ 19,00 ;'~'c,,:.,,; if work is "?t~?tarted within IllPPilJY~1 a aoe. 00: rBOW" sPBeiIlt;1l:lI\~u'l% Home or d\',:-:, :.()~,I:" or issuance ~r\ jf work is suspended farZon.n 1-111 ; Modl.~lflf Dwelling (.i:~~,~:;.~.,;,,:, ~ .',,;C~l;:. 180 days, l,~., 0 7 g <=j ,- L Se..."e, or Feeder ",,!ii.-I.t,,'~;:j~~', $ 50,00 ~\~.. N .r, ate -(' 0" """"",.,.. - _ f/\'ll': .... - c..." . ;".'\1:,.' ~~.....y lJ,.'YJ;:; . . d' (~...' "'!>!J;; " ....,~_. I!~~t. fJtf,~\-. 2, CONTRAClOR INSTAL1l\I!1Jl!~~IllJ.Jlur. ~el'"ices 01' FeeMrs ,::(,;,.~:ifM~14~~~~<' ,.,:r...,;r )~.. ~-'i; t,Jll " ".\ {-;1I~~';c'~, ;;....t''t'"\,lii.11' .~ '" 1, .a~.. t\ )i.?:~ ;.;;,"0, E (IIM.l1lnt!-9a, Alterations o~ ,1~~~;~t~~Cft.'i.M\ It). S:~d';! Y.,.~~"')' 1"..0 '1 Ie""'" -)CY'tr'~ Inr ~.;t'''~ ~,\.,...,....~~,~,y~"lJ'~\' .~~,!. Electrical CojL\faclo!"lDlJ Ie, v '-\.. 1,- "'- Relocation: ,'\il :~~,'!"'q';i~li;lr.i'.. :i~i,H'~ ~'(\~"" "....~)' A ,.' ''''~'~~'),\1\l\l\'A",,!I;~ ,!"".," ~,,,'" "" h' ,\, ~ "Iiil'l\f^'~ . ,.""~ '''~'\>i' \' 'WM """l.r;', "~ (N r;rt, ....~" \.....f\oI J7f:.o;t:.\ ,l..o;"'_~~ Address, .,. ,,' gJSC h,C)n :'"~~"'I!':~" 200 amps or l~~:'.j' i~,', '~f>,~,';,,,!"ii!.Ij.' I $.?3.,P9:,~; ~,~, ,< \~~~~ l~f~~~J1' ~}ii%...~, \t1~'f':\: 20J amps to 400 anr~s~~:it{lr~; j~~rrlY;'~,~.~/i5rOO:~'I~~Ji C;.";'W"~^J:;::a t.1.f.\~.. 4 't.'~r~1i ''''~';'M,.,'~: ~r.(,,~\--:r-,'I~!"".\,"''''''-;~ CiIY..k\.!9~<It'" '4i:IIPhone '..,,~::T. '''(E .' 401 amps lo.600:ampsl:""..'. i.;.;!1l*~:>l!~,~$125:00\j",t~:~., ' ~~~~ {Fl~~ .Aft,,,," -, '\~r601 amps t6!10'tio~M\1~"S1ii~~0",f~;'.;:\~rl~l;;t$)63~1iO':;i':~;\' Superviso11eic~~M;:il~rtber ?i~_9". ..:' W~y.er,lOoq;K;ppPQ:;J~1t~~t~\\iJi;~~~fijl\11(,j;~:'i5'@6;\;,;~~~t'I~ r:~~1Pfll' ,~R ..~'f'r~I.~~~...~" "-' ~e6!'ile~t Oi\tY~~';!~i~~~"'I' r#\ ','rn~l($ '56,001, :'",,'l'.":~ ExpiratioJ I5~t~\W 'f,),;,tiI: ;~li;lry' ~~~~1h~~...~V~\i1~~' '~\\;1'1,'l\0:;; .. <'l:''t '~~:' 'tj>, 4~]v.I11:'~;illI!~~i~~ "f,., }n~J~ScNfC~s:~~I:~:ie,';' k~~" "l ,~ ~,;;2~1f~fI[q6'iitr.f;j)1~~~iflMi~,9&~;~: , ''''I~r ~ill<~~I"ir~'Jii"b'ltR€i);"c~t~f.\ ;;(:: ....t'JSt:~i:~;';.t!.;~~~Mll3-r:"'~t.~..~.."" ~~. \m! t'i,,, ~~Ij~').' '" ~ ~1 1~~~I:'JJ;;:;-f :A'~f~J.o<~n\"" " .'!. l Wir" ~,& ~ ~J~ :,<\Expimtion DateJ.E)(");t{~r8), "",I!;ff!~~!) "'''"\:inti oga~6~1~~~~ Ol, , :i ~Q. o':-!i.i .1'ot III ....."" . .....~-....,~>H.. g~~~~r~1-v"2S(.lfJ.:i~~v..,,~ ,rO"O~~.... .tll"f',~'.J,'16"9".0.(f~SiAl!lt,t:.-1I "',~ '," , , J,,8Q, YOU ma'"'6 tglO~\l.HltlijNai!WP~I.\:l',!;:u.0?,;11J.R~ '.;... ,"'tt~,,:./,~"'~I!,i< :':',:' , I u!'e,o[ ufleJ'VIslllg Eleetl'lClan In ~6nter (Notfrth~'fe'i7lbt1lJMOOiamps,:;$ t'<1~,,~!t.\!.\$.:ililiJ\o$!OO,OO~~i,\!.~,t.~ '~\~~W" ~<;\,,_ call1l\9 .8 C" '.. g'~.r 8"~:\~'~~iOO(jvolksee''\R\::~'J:IEt!J~I'I;';' ,i9>"'~' .. ""iA~OI;;t"'F[i~. d 'lUmber lor the Oregon Utili! 1,'1I~ clllUIi ",. "'{,~"'''. ,,!,".:,';{:;~, ,,!lii:l, rn' "T"t~~ni'~ f, , (,_....~~ 'i," :j'"' ..... a ove . 1"". ,"'."1'. , ~~ ,p " . '.I ~"\'t ~'il1f' >J: ' ~/.f.'\1f ~:1" ./;':<:l"':i~ti- ~ /'" Center is 1-8!yr-332.,,34lt .r~~ .., :t;,i~h, l~ )!I' ",' Iii~~\,;'ti,: f.. n'~ . "l"f.('_ ,.,.\r ~ . A;" \.'~r~ ~.ffi . ~ ~~''',1\ .~.~il~~i~A~~f~YJ~iWA~c..~(~'.;~t~.~-~~b ' D. Branch cih!iiits {~~:~: '~:ij;lt~I" ~';;-~~V~:l .,...tI;"",':i!:I~' t,~;\,\..c't';,. ,.,'Pm:\;,\i;:'lr.::'li"~~J,.~_ 1- . "J,,'. . ,,"',":'it l.1"a {.~~r ~L'it'\~"..:'-": wners Name ,," L.,,, ,~"",,~ ~ New, Alteralloll or "ExtenSIOn Per panel.,fuiit!!:\l'~'h'~""~l\:.: , '.~~t11\1i!i~~t:i"\i"'~ -~l!l~,;'!i~!;\,Y,-;P 'i'~I:.ll:I~'t t.iill~ ,:('~(~"~W"k,r.F.;'<' I",:;:~(l ~ ul~~~~i~h1c;~l~h~,w ,,",~;'~b:~~NbTICE: O~\(~)~~(1-; (.,~~ i;tJ1lt~J;:W4,jt68;, ~~..tf 1r,;;~~tlf"'lVl,n '';'';";l<' ~ "R' 'i'~\" '"." L EXPIREIFtTIllEWOF.IK ,- .. """1"lL\,',\\f.'~''''';/l<, I' ,'ii~ :t~ :~~~~J1.~'lW~l~ ff,~{:~~~~t~;;:~~l"\l ~IS SHAL; . "x,,~~~~J: c :"~~, . 11;'='L);1~~~~\;~~.\~~~~i~:},~t~;:JI ~: (CIty, '~,I).!\:".,. '~'e~~lio'.'e "', . - DUNDERlf"8~qll\!l,:j@U!,t or \\'Ilh servICetvl:"'}~\"~~~;~"" l;~" i:,>i,'f~~I'~t.~i",.t\,\tli!l!~\;r.~t,!i,~':*';.m.lI.': < q,r,F.~~' ~'Ui\.:' :"'"'" , "~ii$ 3,00"~,R;: ,,:,"r:r-'" t!;'~. ~!#\r"~.;l!:''''~1~1'''~'to;;''fl: }'r:p, '~Wii::t1.. CEDORISABANt:J '~UH ~,\ ~.r'\~lj, LAJ :~tt ,<?~~~&.~lt;~11J,U~"N?,~ ;d:;90MMEN . ij' f';,~,'~~~ i., ,,,,,,ll'<~;}:' , ~~~~!l:li;,~\\~i,0"1,j~t::: '.41~'~~~: ~... ~:tt'~'~r~;.ws,t,~1~~~t~~I!~k'\~;.~~?t~},~ad,e1g.~I::'\ ANY 180 DAY Pi}EIMrslccl',~!~e?:l.I~,,(~.cl:"lc~~f~~dc.. not Includ~~I~ .\~:~;. (t~\,:',..~~~:t.: 1.~"'~~';~~II~propemytl:owh)\vlucli'is~not ihtended ./,'. ... r-E3tll'Jnstanatiofi\fih~~:(1 . '~~;~;.'~~)~'''''t~!~. j', '.0>"';" 'mJ'1i~('t:::;': "~,' "'.~, 'r"\".ol"c'~"""'~""I~'~"""{[lff;.~' ..,,,j....',; L 14'10" "".,-,,1r.;.. " t.., '~~I'"..: ,'.. \:/11""1..", 'J" '~11 IrJ '." -.. .'", ...."I" 1-'~-'." --, ,"", '^'" "'," ~'" "P .." - -" ,-. - , $50 00 .... .:~:~~~:~~~ ~~~~~'~~!~J":' a~~, oJ)r:,2~K~.r1t:.,:':y"..~":!';;:\~: " \. ~m~p ~r}~.ng~~lOn .':l .' ~ _~ ' . " ;-;;",1 ",..,ei"'",',1t',QlI.~\!m,\;,~1\\!;!,1:",\Y,,\~d'ir.,\..;:\~' '[lItl"'[':'~t;"1 : Slgn/Outh,ne L,gl!hng ',,' _ $~9,OO" ' . "..hi: .. ~....,r'i..'r~'r~..... :i~P':P.. "fil........~;1~<l.o~:~,'..v.,. :1ji")' ~.<r., . .~, ~"..".' ,. ..1"'. . \ L .~ A' . ~i~.:'~N~\~!&:.Olvriers Signature':~rl]~ ~:,t'" '; it)~:F;;.'f:";:~ ~ Limited-Ene'rgylReS~ .:: . $25,00 \. 1 .r'.,.....:&~~~'~'::t-.~...... ";'~j~,'..:;.(u-.~...,.....,.:(.l'l.r.'''l'... ... . ,~. - r- ;,~TI..~ il(.ifr-~i~J!i ~:~;,t'~~"~:~1~~~~,tt1i~!:\\fg!i.~,,~~~.j"'\!<'~".{~~~':~I\t'~';'j~:",~t '. Limite" ~nergy!Cqnlffi , _ $45.09'~: 1,,~'.""1.c:~Hr~ 't\ 'I. '~~~>r'~~"-""^I';t;.." ~ 1::,'.~J ~..q,'!f'''-'tlJ' ,t, .'1.),,' Ii','m""'''~'' ...,~. t.. " 1\";~r:%.~I' '~~ c!J:~~:~~~1,,~,itn,...... f"~.1;r:..:i~'~\.lii'';i'''t-'l,t~.'.~ c.;...t~tl ';''':.r-';ntt\.:..~ l'Y~t8.,,' ';:~~:. '~',l._. 7ro~u~i;f~-;I~tl~'b~!'?0H1~~;,j~lt:~~' ~~ftf;~W~:~'::?~(~~\:":'~f';~ I\linimt)~'l~'Eltct~~:'il;'p~i';'nitI;ispcction Fcc is S4S.00 + S't~II'c1i'n~~gcs u~ ::tt:J:r;ltt$ t:~w'.~~~' 1- '1~\,:::~,1t~,~'U.~~~i'_.:r:,,:y.~~/~,~ ~!.:~:' ~f:~,;.1l4:,':,'l;, it! ,\ . \, ";::0 :391~\.lH8~'~4:1~~.iJ:':':;'~,~ }~'1_'ii~,\'.~:'~~~$~~, '~~,' i:,-i'r,,:-.~''t7:~. n_}"~: Ll'-q"'O',- ri"9r'-$',lf;,'/),'l'lUt.,'\IUIJ ,;.It,,,.,:,,'(Vi'l~M~'~'>i 4, SUBTOTAL.OFABOVE ...:I::::- ::I.... ~.. ,""Pi"t;U~~o;..\lrtv..~ :&.., 'r.,\,V) h<:! '!,.. ~t~~'\I\tt":,.~t:'f ':~;. :"... '.-l, '.l. 1,' :2. .1 "OO,,;-<;,_,otO'OltJ'::"lwa ,~; i)f;..-,,'i';":;rD\'i~ :';1;11,,!i?'~"\"'i'\~i~;11.{,':':,,:, 7% State Surcharge . -;;> '-f ,"'" u t.}".u 1"- ~.:::J::]...;J V. J:';.-li-t'r')j i',ll!: .. - , '\.)..~.bi~~it">>~.~~hV'l"~"\l' ...:.t' l" ,. 1 ~" r1..080"0- O"'Q.'T07JfONJ-,jI'~!i'0~.li~"~i~;'",,, ",'~:'~i\'! '".'~",;'ii:t;:'I.'~~,lJ~\ 8% Administrative Fcc, ::l" "i -:l.- ::I . O-~Q va I., ';'01 ,.!u.~" _\\.,.!iF-'!1' ' ,~ ~~"""'~~~ ~,"'.rr"'r..;~~,""~' i-.! ~ . . ~. . I. .:' !:,..~j::;h'\;""'{ '\.'11 ~..~j'l!""!' ~l."''t':1..,,:-,,:..,,: ~ 1...-:. r.;\,,;t'. 'V"'G.,~";..:~,i ~.... .';.", .. . .... t'.;.I,.;:;l'~;.;-":r:t : ;''''',. ",:-..~~~;y.:~t :..."t";;,,,~~,';;.. t~~'1-i:.\'1..-r~~~t,~".':'~' "l~ ~ . 5io "3>L' . ,". ", ,.~'tl,"'~[" ... ,....\;. ,'tl."1:'~~ (.......~\l".""'...-... ~ .'::......:..~;l~..,"A..~,..rl: .'.,( ,.....;;...';....-..::.:.~rl.Ij.~....:.:~.:;., '.:~)'~ih' i.\~...,.~1. TOTAL . . ,~..::.......' ,,:~:'.. ~', .'. ":;;~.~i ,. :.,',:J'._)....~ . ~:. "';,.',,,'V "'1<," t '\'J':\~ -';,~-'~J".t k;"~f'4 '}.;J~\~~ ~t,..l#.1};:. Q$r/< . , ..~~I- ~t,r~' r.'~r:. ,~1'''I"i;'' . . ~.~, .... " , I~'. ~~ \.,: (~J:";: *l,\~"~~ >"::Nt" u'. ~~. !f}.' ~... ~"I;.~\' It :._~ . t" I, - ~." I:!'i!)~,;~ "f/fo;\" . '~f'" :l'1~;t,.',() :~ff:tJJ~, ~. '~:tJ.""l;--. ''(II~'l ~W:~t ttif;\;!:'~~ 'i'l'.1;...~"f:' : \.kfi.f;~~ ~~'\" ~~1~;~l ~~t~~ 'fi",'1,! ~,,,,,.... ('[<l1;I'i>1 'Il,i\'\llil' f{f)ft", m~..~';~::;;'~ t.t\~t ':tf :V"(!J""'.t,. 'll''''''C ~ih.1~'!:~ :~ \:rf!t\{'..,Ah 'f~J;,.",~':.'" \1'~(1l::'-; ~. rI'i'-.i. ~t;'il" il1i~ ~ \~\.i);t~ \~..l;t~, I."'l't~{ " ~ ~)..t/, . LEGAL DESCRIPTION \'l'o'3,~l,(D /":>..;l. II 7