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Permit Electrical 1999-9-16
The followinp: project as submitted has the following zoning ana Dues not require specific land use approval /J 225 FIITH STREET z' L [) r...... ELECTRICAL PEIti!I7 APPUUTION SPRINGFIEI;D"cOREGON-974-7'7~:-?,!;!\Qg-A-=\C; '-0' ," ,.,.:t":?:'"7'l'''''''''l1;'P~-'''''~~~rt''''' ,. . . ..,.",...... ".,v., '~ INSPECTION,~REQUESi::'~!,: '7.i.j;i.a~i~'.'<! ;:~:;i>~. .;-",Pll':"li,\-(:t.':'~"i:i(+'{ :lb. '~".JNiff;betf'~ '1, t. ?{pyrt'lJ,t-c..' .i(.~';\t4~,",,; 1i\""~""\Y.: ,..~ '.' 0;' 1,'\.l""l.n- 'l'~,:,' .t,~~I'}'-p..t~P~"~" -; .~:.::-~". "i'c", ..'_.... ~' l'-"\'{.)~' \r:'~):r:,.r.l.ril:Jhf. ..f, .\i>(' '(-:.f~~"'~\/;'~' ...>C, "'. -.1 OFFICE' l' .;'J)7/'6-J759" ; ;';''>' "'A'-~ "/',~, "';';S'';'''''_r,;.;\,: d~ .. fli'f',:~I~\ f.....'.'...:ri.;;' 'J:<;'l;....=.t;.,-;,...;~"t.~..;;:."..ff.:iF~J1;~: ,J,~t..~!"R~'w,. "~)li' ';~II . ~__",4 -- ~ - _._~.-. utAofl26(1- Ignalure~~. ~ .cOMPll~;t"l>-;.~.l~stHE'DlJU:2$-BETIv . ".;.;j.\f":"~:.o\ '......'t<J.,.~. 1. LOCATION OF INSTALLATION , ~4 l.-n....1I\ 0 L.".,r A. Ne".~e~iri~~ ~ial:S~~':~:,:: '. MuL..l.-. art..:.) pe~ 0"'__':'_.'0 unl... 07/r/7 Serdce'Included: 'cc<' ~"'1 :::tems ..." . 'r'..:.... -,iid'~ yU'J \0 , . l ...,>1' ... . ~ r-\1 .,-.\ ,. t1t:1.'V JOB DESCRIPTION follow r.ules adoptaa oy me 01e9'1000t s~'lf:. or less lesar.""" 1(; , , W\Jco-JI:> ~...... 1- D~n Center. Tl1Dse ru EtCli 3',?M lional 500 '!~ OAR L'52_001-UU1Ut"fOUghOAHsq".~ ft,,~r portion ~ermi ts ~re non-tr~H~~!.rapJ~l~dltexii~~ePi~S Oi t~:t!1'e~g'fJ.: . If ,:,ork IS not :tart~a~Wjghl:1J c180.EdaYSJte.t~eteE?;r,h')lj~ur'a 8~me. or of Iss\:ance or If I/o/itn~e;S..~.~P.:elJctem[ftorUtlhtyNO~i{djj~ar D"w'ell1ng . 180 days. Cenleris 1_800-332-2344 SerVl ce or Feeder . '. . I !fg1 ~sn~ION 2. CONTRACTOR INSTALLATION ONLY . Electrical Contracto~f"" \=1",. t-,..,. . .... \- ::,.........-v'l~ Address \,)0 ~r>..." ~, . Ci t~A-D'~' Ch~ Phone.il.l\-.i\ \ln~\ Supervisor License Number .L39...::1.....Y Expiration Date \0"\-0\ .3'6'001 Cons tr Con tr. Number _.; Expiration Date 0. - \ ~ - 00 .E. Services or Feeders Installation, Alterations or. Reloca t i on: Su~. S 85.00 5-15.-0el S 40.00 200 amps or less 5 50.00 . ~D~~ps to 400 amps S 60.00 NO 'lfi''aJnps t 0 60q,.ti\~-nu: wosKOO. 00 THISll31R!l1\j:!sSItlb.LlGOtI aJbp's _, ~.SJ,30. 00 ~mll@ecu~8~~iElBEt'lIVlII I~ '''$-Sbo. 00 AUT R'econn~<;JOOnl.vABANDOf\Il=n FOR 5 40. 00 COMMENCcU IHI~I . CAN1mOO.a:fY'eROOees or Feeders Installation, Alteration or Relocation 200 amps"o!" less 201 amps to 400,amps Over 401 to 600 amps Over 600 amps or 1000 Signature of Supervising Electrician 7b ~(C)!/O,"W ; - D. Ol/ners Nam~\..-. '~,a.,....'\. 'S~TL Address ~ ':i tv Phone Jd...b - ~lf1 OVNEF, INSTALLATION The installation is being mace on property I ovn I/hich is not intended for sale. lease or reni.. .: _ ners Si~~ ture: I DATE: ql(,/f~ " REw..L~.. f: UJ STkJ, (I.:;' 11/ RF...w;."", BY: ,..~.., V ~'7'-. :~~~ .' c":' '_';'_ ~. -,,", Branch Circui ts 5 40.00 S 55.00 5 80,00 VOlts see "E" above Nev, Al tera tion or Extension Per ?anel One Circui t ~ch Addi tional Circuit or vith Service or Feeder Permi t ~ 5 35.00 .,:\s, .." 5 2 . 00 \...j 0..0 E. Miscellaneous (Service/feeder not included; -Each installation Pump or irrigation S 40.00 Si~Outline Lightin~ 5 40.00 Limited Energy/Res 5 20.00 Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE . ..')s,t ~iate Surcharge '.:' . 3% Administra ti ve Fee ~-:Z".~ ':.:. .~... ~&-O ~..,~ (n ~~"I0