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HomeMy WebLinkAboutPermit Electrical 2005-2-1 .'-r..i{,(," . : : ':ci'tY'op's kNGFIELD~dREGON:~:"'~'p'-"'.,:'..: .'.,t'/ J. .,~,~,.,,,,.~ ' ~. _~ ....<'.,<-:,'>',4\"'_"._~~..',.. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~~~W,P~:!,;~~~~"",,{t:t ~~:~.~~~;::,'~ ~~ 1. 'LOeATIONOHINSTADEATIONiti""'>f't';fi: 3. ,COMPLEFE'FE:B.'SCHnv ELqmi\,:'Il'~i;i\\- ' 'J-);.,-'-~-'~i?~airs;,a":'f;'>w",,", '-'<~-""'-'_i>ucJ;z:t.0'1,~,}'>',;.Jd ~ "". '~~~,",,"ql'r'al~';J.)'OOc.9 ~~~~ j! , ~ c.. .17,,<<- --r- 7"/11 1.,,,.14/<" "00' 0',,-, ..,,0'''1.... n rJ ,~~J'-"""J:\"1,,~~-r"~J.w.-:~Wf ~~;? ~;.'i-,'\:tt/,r."'~~~~~~ ~.;i:jbT:f~f~ LEGALDEScRlPTION , Sr'''I-'of<L 'A.l'Ne~Residential,=,""ng : ulti-F04Iiil'~r.;er,dwelling,unitJ,~;t1 _ r 7<111 ~W~.~" _0 -'''''~'.h~i~ ~ ~""':\e~mz'.f~"'~'~' ~. ~~ /703. Z. 7/0 049-0") Service IncIuded """" / '- <-;\'~&~&O'<I", JOBDESCRlPTION /4/ L/W".,(tt..yl!dd/>1 1000sq.ft.orless 'e~o}\. r~:o%;. , Each additional 500 sq. ft. or - . ~O' V >~~' 1/l S'-?'~ 1/ /7e...v ~14 He, portion thereof /. 19.00......,'~, P't tr' bl d "f k' Each Manuf:act'd Home or ~~ .,)!.JI' . ermt s are non- ansJera e an expire I wor IS r , not started within 180 days of issuance or if work is Modular Dwelling Service or $5 .00 '. Suspended for 180 days. Feeder "- 'r~~<1NT.zmcrORslNsfAE&:TION:o~l B. 1;~ifi~~701'F~~a1f~iHln~~~t~iiitiijfi~;g,r'R;i~,,iiti6~~~fJ 2. 11~'t" -_,"'~:;\<""":J'''Y?'';;Y;;V;i(_' ';~V~'" ';::';~J.Zi{iiTF0<0r~~~ii4<<"''f,::li!ti c,. - " - ,- _---~'t00"_,,c.'" ''''i :'J't'~:O\I~:1<,'j[;rJ.;:"'e.i..;;'Y': .'(";M;,' .-..~:_,& 3~"V' /A'''A"",~~'~1 /./ n laIN teqOI \.ltili\'l Electrical Contractor ,,-,\ / d ./ '" ~ () .:=1 c-'L 1,(/c ~1le\l9. A)fipg~ 6~'\ne OtegOI\ setlnlth $ 63.00 P.111:: lulegJatlillP~~~t#I\l8S ale 952-00'. $ 75.00 ~(), /C-S? 10110W . (\(u'~Sto.linorM!j3.PP.R \es~" $125.00 tilicatlO ,,,~_()Ow1Jl\' - nUhe tU '~o ~p. 9~j)~8ti~~QtlO~f:W~" \elePhOne $163.00 Phone ? z. t - 'f. 3~090. 'lO(])~Y~R~~ No\i~ $375.00 ca\\i~l~t6\~~on \.ltI ~ ~,. $ 50.00 ..,0 "j- ,- / I\Ull\ ~~'*" """.,",~futl",,," '-,"~"f~~",,,"iiQ'i< Supervisor License Number J {,...J c. orary,Ser:Vl~es'<<!r.Feeder:st0i~~:Vf:;~;,\,jjf!f2Y~'''\'''',~ 4;:A.;;$.t"~~ /<>-~I <:) V 215- /;2-. c. /t> ///C C 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D ~B'~ ~li~Cf<<J;~~~c1!-~c~-,_;fu8-;g:~^f,'CI,,!-J~k,--&f4'1f4~"' . r'1iRranc- -lrCuh3t"-4>f~'''_11j;1''',4flk--q,/~-c+ ',' ~- .1~""~'<>"''''W~Xj,1,>''.'Iilk,"~cr,)r-. r;.~:,;;~",... J?:R:, New Alteration or .Euenslo!I'tPer Ii~:rel <1\1'-.1:: ',' 'f'\'::f'i''''' . r.One circ,?it \. \:~t-\, Q<:~~~\~ ." n '-\ Q ,\ C \.Each'TA'dili-a~narOJc1,it5~ ~fth ~Q;,,, L?u-o~= ?;~ S '?~~'O"OrF,~~~tenili}\1~"'~ $ 3.00 ~~\I ~!\~,t~nr"~""-%'.w~. ,,,,,.;-'*'""'~'Jt',~ '",,'1'-'''''','' } s:3 8' cCl~~'~Wi~fi:~~~,\~e-r,vj<;~J~de~n~t !i'<;hI.d!,d)~'i.lk..<;Iil2it~Il,~I!2.~ "'W< ~p or inigation . $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges '4. ~OTAI?jOE~~~~i',"~~~~ "0 l:it~'~~fi"'{:t"tr!:;!iKV.:\e:i_V0<4:~'~~~I'~. <~~~ffi1~S ../ 3S<-:> Address City .5hd . Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician /~( /;/ Owners Name I c-a.. 0(2..A Address :;::'C> 1.1 0 X- City eu G-GVC!' Phone OWNER INSTALLATION, The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspeetion Request: 726-3769 Installation, Alteration orReloeation $ 50.00 $ 69.00 $100.00 $ 43.00 7% State Surcharge 10% Administrative Fee 5eo S'2) ~ TOTAL Shared Drive(T:)IBuilding FonnslElectrical Pennit Application l-03.doc