Loading...
HomeMy WebLinkAboutPermit Electrical 2001-12-17 ,....' c -,. ..101I0Wing proi~c! ~s_~u~m,i~~ad has Iha.'ollowing ".J . t''''. [.~225,FIFTH S~ET. r.. ziini~g'~2nd dO. as not'.raqUlra[SpaClfl~ .Ian.d,~.sa EL.ECTRI. .C. AL. PERlvrT. APPLICA~ION. .,:-.;,; I '{SPRINGFIELD, OREGO~a7dYl>f.l. !ld:;?1 i j,i h!,' ,,"',1 /' '0" l >':;:'.'INS~EC.iIq.*RE.. QU.YS1.:"72.6j~i~q;!~.J:;f(l)~ .11,. I ;r~u.mber()I:. 0...0 loO~. ." ".<.~A . OI;'FI,CE: 72?<P5?,,:..:, . " I LI'):.l!.11,OL.l I, .,! I', ,..;' , . ,>:i,I,:', :, r:""'..r- ~. ;;11. ; (:\.": !';[)~:I'>1j.: lji.~"v'.il:3R,~Ql'9L.ETEF~ESC.HE.DULEBELOW" .,..... \. :,,:'j! .;1. LOCAT~9NO~'~~~EIlI~~ture~~, ' I.." ,,':, " , , ~,,,,,,, ....., /~/7h4..;n;;.',/" ~'-' j),.J-'\J'" 1"/11_~\:..-j~A--'N-'1 'R'-""'''. .']'s.' . .. ..,', ',' "." , ,.' "_, to. 7 f n-u./ ...'" 9hd:!" LA/ r>. ew eSldentla- mgleor'-"~'--""----"<''''',,: , l\1ulti-Family per dwelling unit. ( LEGAL DESCRIPTION Sen'ice Included: I 703,ZS;Zz ooS-OO !terns Cost Smn 190 :,l:l3IHS\ia .,' : 39tWH:J -' 06'l9'$.Z:Q:J3IflW\i 100l'9l;{)(JN.: 3mr v\:\:l.OOO:':j:Q: #SNli/l,b .. :. . .:"" ", '.~ ,.'.." ; :;,:: ,<~ , . ~ ) ,t .:' > '; JOB DESCRIPTION /./. f 1000 sq.ft. or less \.., MY'P JV"'uJJ'J.fl(j( "'ON Each additional 500 j' ,. '. .: ,. sq. ft or portion f . ~', Permits arc n'on.transferable and expire thereof ; '." if work is not started within 180 days Each Manufd Home or ;' ," .': of issuancebr'if work is suspended 'for Modular Dwelling h:'~',"~ 180 days. ;' ,.J, ;. Service or Feeder ~ 2. CONTRACTOR INSTALLATION ONLY B. Sen'ices or Feeders ~:~~.: Electrical~~~t~acJi' rLrt E~'C!- ~:I~~~':;:~~~' Alteiionsor <' ,'....; Address ~9J.:i 7/ :,~Jlore lI"ev-l($~:" 200 amps or les/ J\, 1 b, ( " . i;.;,\".'......~; ",J:.'.\ , '. '.' \ .r-~I/~<l.J::;';' "/';;r ~ 201 amps to ~OO amps [.1, City <Lr(l ~ '.. , PilOne) -, <- 7'1~-- o./Z\..... 401 amps t~600amps ~I ;:.': .. f. \ \ . .', ./'" '," < . .6QI mnps fO 1000 anlps Supervisor LicenseINun~b~r #. 7. 5"(., 2)... ,..',;Over,,1 ogo amps/volts r:'/.:.~': f:" ,V;";: 'v":", ,,;, ',,' ... .ReconnectOnly' ... ...., EXPirationDate''/OYr?/J400''</..>... ." ',.'. ~~. '~:'".f ~._ . "',:" . .'>;!~-" ,1;;'<" /_:~~:;~I':,--,:<:,,~' _:-:'_):i('(''t-'~;~:L;':_C.'' Tcn~poral.)' Scn:ices,orF~cllers " j!' .,.; '-constr,~~u~ber/7'~1?"'\,>{',~f;'Irl~~~"~;:~II'~l~~ratio~\or,Re~ocation ,',*,': ".; ~.' ,~-\~~ ~ <;';',', - "if/" _;V'".' ,>Jt~; _;,1::,}J:;t~~"0';:~';; _,,-i(.'i;?<?~_:,:.j;j~-:\;' :.".'" , , .<3'1" >~k {'!/~< ;0: ,">'. "'ExpiratIon Date /,5L76'7~j.~o::;:' L,' -;'. "";;"200:amps ot less ,'k---...:.. $50.00 _ r/-',y ;' '"-" ("~. ..,,'20(arnPsto,400ainps ~::$69.00""":"",,,; r)t':;~;;, .' Siin"tu're:of.~upen'ising Electrician ....:~Oy!(40 I io600 a~lps- . . . ~ $'OO;~O ~' ,l' ." ,:..: .~..,...:.-.,.." .,~ Over600'amps.orI000voltssee', .50 'i' . {..../?/j,; :,,:;;yf . "B" "bove --------- .'i1~~ 'ii" .: 'q("yk;'" "'3;77":' . , /\ ~\ . . cr" ,~:::~~._, '~.".." .,_"_;:.~~~.,,.~-:;:..., . D. BranchCi~cuits ). ~ . "'{'--''', . ,.,..,,'\ ~. ,T> O. ivncrs'1'I..am. ,.e'. :.,:' " ....:........;.... '.' . Ne'j/Alteration orj,~xtension Pel Panel . l':.. -"";,.<,.,:/\ ;/1 \ i I' '. .....1 ~';;. ... A.ddr.ess'I#oIp.;.'7.,...;./fq~70e..~.' J.J,e.fZO o.nj~Circuit;' jr,', :.: +." '$43.00~' l' . ";," ,.' 'I ," I / 'I ' ' . . I ,. . .. t~:'"., Sit~';<if?rlrJ'll-.? /t!-Ph o:n.;' . ','f E;!eh,hd. diti.On,~{Ch;:?it,or with 's~'rvt .... .:..., ~", S;,i I,.,..;,'.,,',. . ,""" _' , or.Feeder Permlt.-.. . '$300 1. '. ". " .."." ". "",'" .,; - '~,""",' '-. ~., i:;: . OWN.ER.INSTAyA.rIO~','.,/{ (JI' ~ 'P//..~.)\ \, ..' " ". \;, . Tlle:installa.tionis}~ei\!g niadion, . ' E. l\1i~~911aneous ,\Sen't~e!fecd~'~ not includ~d) " .- I.. . property I 6\vn.wh.ich isnohn'tended " II :.Each:in~tallatioh: : Ie \,.,:. , -":"~ .', fQrsnle;l~ase.?Y;i~l)i::> .~~:~: ':,'''''-1_ ~ pu,nip-'o~;'!~f~gatibp>'~,,,'J: l __~i;$50,OO ~ ~.' 'J.. . ,. "",. ,1. Sign/Outline Lighting " $50.00' ~~: ." ~O~YllCrs'~j'gnature:'.,:', ':. t\ '"' ~\ Ljrtyte9)::Ilergy~e~. ..'; - $25,00- .. ' . :"'~;;" ,"..~ '. - " .:',. i . 'l.. :".~iiili.te? Ell~rgy/C~mm _ $45"O? --.... ':. 1.ld.,. i.. . ,~ . l\IinimUm~}ed"k. permilj,lns:,cetion Fee is 545.011 + ~:~ha..gcs 4. SUBTO,TAL OF;A.BOYE , 7% St:ite Surcbarge '.'" 8% Administrative Fee,: ..... ',':..;.....' '-.~i $106.00 ;' , , / . ,'~, $ 19.00 ) ,^( , I """\.~ $ 50.00 ., , .\ . I ~.' , ". ., '~, , "l,. '_- ,...,'~ l~ , " : $Ho~":'.': ---'.: $ 75.00 $125.00 $163.00. . ~$375.00 ---;-; . $ 50.00 ~I ;! ',,' .'~ .,. ~' .. , ," ',\ '- ,'-" , , -. . .....,_..:..'__ ~,.._..--,-"..;"...-.__f: . .~ '. .,' - " ,- ~':' , -'.-.- ----'-.-..;.--:.,. '- TOTAL , J .& ,/0 I~:L~' 'J-.. .;. "--. " '. tl: . .-~ ..: