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HomeMy WebLinkAboutPermit Electrical 2002-7-18 " C' ,.. f"f- i ,',' 'I 225, FIFTH STREET i "" ,\ ", 'It! : r, ,.SPRINGFIELD', OREGON 974771.:~..Ji ( '~:'I ~ INS~ECiIO* REQu.?ST: 72',6~,3,' W', -J II 1,<, ,.QF.F\CE: 726-3759' : t " L 1 f 'j I: r':'"~r I I 1 ,---" 'I ~. " ' \.' J.j f r }"' } . ..' ,\ : \ i I,' \' ~ . l J' i... ~ \, I L L~CATION,OFINSTM<I;ATWN [: .....j.. Z f 9' Q. , '-Lo d,":' ' \:S'1'l::: ' JOB DESCRIPTION ,1000 sq,ft, or less A-b ~ / / C.I ~ :ts....O~.i09 p'ojec! e5 submiued"l:ld1tbEldliliMiI19S00 (:::/< (,S ",if&- ~lqmJ does no! require sP@.'!'fRlil"jicifflOn Permits arc 'lon-transferable and_~~.1. / ""tt.Jhereof' ," ' if work is lloC'startcd within 180 days Zoning' ~d E.;...;, ;"~(lIllU'U nvme or of issuance ,br if work is suspend'tJ~r -7'C \ <6 -0 "6.m,cl':'o' n...~ 180 days, " ': ,.,( vJ;;rvIce or Feeder ~ Autnorized Signature '1 I . " 2, CONn:y,.C)'OR I~ST ALLA TION ONLY B. Sel'viees 01' Feeders /' "::,,,.;.' ,~\ ~::':. i . \ ,'" Installation; Alterations or \, r , Electrical Contractor Reloeation:-NTldfll'()reg'cf1la'1ltfl;l~uii-<jS y,oU t;,;., ' )" /, ~1~\~ , 1~$adoptedbytt.\~()l'eg0J1U~I~tY;: ' Address i /', 200 at'~~f~~l{sl r.Al1ter, ThoSI: ~:;,I~,:, ~,6~'9j)tfortil " I: /, ''-''- 201 ~mp! lo'1~0~:n8f1-OQ10t\1rO~;~~;l>J1);Q.Q.!-On1,' , City i \ r 'phone ,/: '. 401 arn~1tf60(iian~ps .," "_uj$lhOOp", bv' \ \ A /".'60 I "".o(V ']''''i~ .....,'" obtalnqvl"v~ ~ $"1'6~3'OvO' , " , . \ 'r"o '. mnl^' ,0 I1tH:Janlps "IN t~lrhtjUHV~ Supervisor Licens,e,'Number, '\ '/. " Over IOllilJa\\fIiSAIoIl.f-enter,\ 0 """~'~,$375,00ti;"'''' . . ,". I,' hO on ~l.ijo.lllf\"Q J V /'(1k',,' ,Recou~1I0hlwfor.\e. reg . l\Y':t;, 50,00 ' Expiralion Dale' /' C " . " ,".'C,El,~t~ris.ji80Q-~~~:<,;p4~). - " t;onstr,c~~~~~1'7 ";\.; ::~~:;~::~:;;~,S~;;:~~:i~:!~~:I':eatiOn ' ',,:,;. ': . ''''-Expiration DOle -~'--<-..:. -_ 200 amps or iess '1'," --':';$50,00 :~ ':': '., "', _ 201 imps to 400 amps ,',",$69,00 Sign:lttll~C of SUJlcl"vising Electrician 401)0600 <.j $'100.00 ' , . 1. "'. ";,,:j'''"'.... .{ '~". see, ''! 'r..." :.1,"",: ,<,':.; J, ,,;',; I ". f.,". "1 1,,\, \ ;, :',:;~..'J: \t..... ;:.{)':: <,:'~ ; " ". '.,' ! ,,", l:'" ';~':',: " ,.,' :., . ,,', '. L " 1" 1 ~ .' "~ ..;, I..... "" r",:::)'~':'~ c, ".'''' '. :.- ;,,"" l..," 1,.-.... i . , " '''! Ie "~'I ELACALPERMIT )'J'PPCA.)'ION!":>": : !. ~ , :\ ; , 1,:. _' ~ _.<' _: .",_ .;:; ~"".\" _" :; .~. \ 'I! i 'dtyJohNumhe",.oZ-6Ot(lSz:,-.ot ' ','" 1:,1 I ""'~'" l ~., I ! i; ".': . .' \: ' '" : ~ ,3, COMPLETE FEE SCHEDULE BELOW ' !! '!j 'j' I '.." ,,' ,,' ,', >f' -~ K"Ne,Y'Residential-Single or'-~-c- . --'- -,--- - ',',; Multi-Family per dwelling unit. :. Sen'ice Included: I ' ~. .~ ". Items Cost Sum" LEGAL DESCRIPTION /70325/7... 02..70-0 .\ . " .,..c.>.... OWllers N'amc -tMi , ; A->"=V .'" ""., I t~c.:L.... \ lj( Phone 7lt'i ~2:bLf / Address 2 I 9 ~ Cit)' 5" P F'I\ " OWNER INSTALLATION The installation is being made on , property 1 0\\'11 which is not intended for sale, lease or rent. '. , owuer,sig~"D" , ~~-~ ~ nO:1l3IHS\KJ - -, ' : 39NliH::J ' t:;l,"IS"$ &:U::131l Hili ' , 600& 81 lnr: It\!U ~866000-1O:IISNlial' " ,_ '." "__ _ i._ ~ ',' $106,00 . :.< ~ , .",. $ 19,OO~; .,., $ 50,00 , ., ..';' _,r ': C' ,:--,'.:.':'.:-,' "':'1/;;':'_7;;" .;:-- NOTlC~" abm;e ":,~,.i:,t '" ! \ \.., .. 1i1IBP.fnBM€T~\iAll EXPIRE IF THEiWORK AUTHO!MnEl4j~llilbnloll1tl&l?~MG:larlllOT COMMENCED OR 'IS ABANDONED:FOR '.. ,', ' ANY 18~~NfrP.~RIOD!': :,~ .!...- , . , . Each Additional Circuit or with Service ' or Fe~der Pen;1it :Ji... $ ),00 n ' , "'1 ' E, Miscellaneous (Seniee/feeder not included) . '. 'I' , -Each installation, .. I,' Pump 'or 'irrigation ': $50,00 , Sign/Outline Lighti~g, '$50,00 Limited EnergylRes :' $25,00 : Limited Energy/Comm' $45,00" I'''Iinimum Elcct:'ic Permit Jnspc'ction Fcc :~O + Surc~la..gcs .' _ L:Y' ';..- 4, SUBTO+AL OF ABOVE' . tf.J 70/0 Statc"'Su~chargc :st.>.! 8'10 Allminisirative F~e, 76 U ' r-/~ TOTAL .:>. ~