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HomeMy WebLinkAboutPermit Electrical 2002-8-15 . ('225FIFTH~TREET ~~ ~\ ; "1[' r:~. ,"; I" \ ELaiCALPErovlT~LICATION . -, ,\ ;SPRlNGFIELD, OREGON 97477' :.' \ I,. .. . . . . . ','" I INSPECTION REQUEST: 726-3769 -=:- I: l ;CitYJOh ~umher 62'.-6 <> 9;8~' >-oF \ . i f OFFicE:' 726.37~9 ,! 'I ' :1 i. i I I" I I. r. . ,- , ,;-': r '.<: ! .i:' \! \ > j: . .. : ; t ,- -.3. C()MPLETE FEE SCHEDULE BELOW , I 'L LOCATIONOFINSTALLATION:' i :.,11;1. -/! ; '--.. '.. fPi1-fifW);EJ\(/3e/r:6t;;P~~~:i\:'N~~r'Re~identi;II-Single 01'- --- . --- -- - Multi-Famil)' per dwelling unit. Sen'ice Included: 1000 sq.ft. or less Each additional 500 \ sq. ft or portion Permits are uon.transferahle and expire thereof if work is n?t started within l8fi,I!'1oRowing project es submitted h~~lfilk9-JRoW;\;1l Home or / of ISSt"mce or If work IS suspe~rand does not require spedllwQli\\<lr tR_venmg 180 days. i .~ epproval. LrjL Service or Feeder , ~ Zoning I 2. CONTRACTOR IN~TAL4I\TJON ONL yc;r... 1.<(BOS2.niees or Feeders, 1 " '\ /;, I, '. M lnst.allation, AJtcr~lHons or Electrical'Contractor. Authorized Slgneture F._Iv...::o....,.. LEGAL DESCE}J'TION 1703 ~bZ.( OfWO . . JOB DESCRIPTION . ('AMbr= UJ'MP sVC. 77> 2aJ-AMfJ \'" ". ..... I' . , . \" /" / Address J , j., Citv Phone SUP~[\'isl~:~iCeil~6NUlnb:~1l /(/ Expiration Date ;; ',' '/ ',; V'X... {;onstrc~nti. Nu;,i~e/ - -:'<-.~.l~~ -'"'-"'E~piration Date -..,. I I' , I~ , Items Cost Snm $106.00 $ 19.00 $ 50.00 .'. ., \. tc..,. ; ; 200 amps or less 20 I amps to 400 amps 401 amps toJ500 amps . I 69 I amps to 1000 amps Over} OQO amps/volls ReconneCt Only -.i$'~30}:t, ~ $ 75.00 ------.: $125.00 $163.00,---- $375.00 . $ .50.00 .~- ... '/;'-"" r- 1t . . Signatui'c'of SUJlcn'jsing Electrician - "" OWllers Name ..:SJJtt/t::1f':A- 2v/hl;dAi...'i, Address fB7'.J!n,..;lJsJ ~U;,l;; fL. City:2&;P6HfL.D Phone ~'0 7'6,f OWNER INSTALLATION The installation is being made on . property I o\m ivhich is not intended. for sale, lease or rent. 190:tl3IH8\J~ ~~.L. $:39N\JH:J 00.08 $ 1:0:J3H lW\J GOOG ~1 8f1\J:31\JO LO~OI00-10:#SN\JHl ':, C. TemllorarySerViees or Feeders . Installation, Alteration.()rRclocation ' ;':~,:.(,-; . , ',' \NO?''t' '. . . '. 200 amps or less WQ\?'t. \f ",~~~"50.00 ,..,.-- g,amps t.I1ll'S. S~l?\lI~ ~ $69.00 _ ",,\)1 lifi ~~~-;'\ffi\~l\) ~ $10000 - '\~\~ ~ \S~I\Rll't!;-see ~';~t: ~~ ~~\O~~ -. '- , , D. BH,Q,~~~~ / ;,m;\,1 AlteratIOn or Extension Per Panel i'O' \ '., Olte Circuit ;' eS >Inti \0 $43.00 . ,,' .. ntl\aV<J{eC\U\{. ~ut\li\Y - Each Actct'iii6}gloGirCtiitror.Wit'i\'!Jer.viceOnl\ .. ,.' '''oi:g~ederIPeflmL;~s~ ruleS a~:';.;..o$'iJ:oo . iol\~'JII~'.o'~ce(ltet',\"'n'iOU~"O~ ~~,' lesb'1 - E l\I"~"ll' (S"" ., "'I' d -.. nP., ., I) :,11 'loSec unCOllS' CrYICC, cc CIi!Dot'me lluC(' e ., " O~.RE'~!G,I~iallli{i8h~:'Vo;~: \"e \e\e~\~c'::;\Ol\ " . :vnU,Hl"",J' .I '\:u 1\0. 40', \ 0.\ J090Pllmoor,irrjgation\ U\lliW ~o\ $50.00 ..,..r-. ."", ~ '" ~nn 44-'-- - C,Si!~~\I,t,lilly:IJight~g _'332-23 ~ $50.90 _ r.Ui':imit~q~E!!,~~gylRes'~O _ $25.00_ Limited Ener.gylCollun $45.00 I\'1inimum Electric Permit Insflection Fcc is S45.00 + S~II-chargcs 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8 % AIlminisirative Fee b> 'i'i { ~ ---- _50'( r:<t~ TOTAL