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HomeMy WebLinkAboutPermit Electrical 2002-7-26 'tted has tJ:l~lollowing lOB DESCRJPTION f lIowing project as subml cifiJ'IaIIllsq.ll. or less ~J-.e::L(:C,;t;:;.Jlnd does not requue spe E,ch additional 500 approval., vG1) s~. ftor pn1"ti(:ln Pennits are non-transferable and expllOning - z- _ thereof if work is not started within 180 days -:? ~ ;J-. (, ~o, I ;:.."" Manufd Home or cfissuance or if work is susp~a .tor sr)'V-/ MnAnl..- B .....lling 180 days_ Autnonzed Signature --: Service or Feeder Jul-22-02 lO:2BA --'. 225 FIFTH STREET SPRINGFIELD. OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 : 1. LO!:.:ATIONOF~TALLATION -Lq ~O , F-N7)1"'}(5N-J LEGAL DESCRIPTION J~n ~ I')~ 2.0 O~O 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor CR~Jibt'.A ijA::'j"" Address_A? ~ :2 7 s1- City~LI Phone 5'1/. ~/p.y3bo I Supervisor License Number 2 7..2t9, '"_ Expiration Date /"-0.2- Constr Contr. Number CJS"~ ~ t:. ., Expiration Date /0 -"2 Signature of Supervising Electrician ^ll1:.o..L ~ !.Y Owners Name 0 l:Y) ! Address g~5' ,4/~A!J,-rt=~X City ~~ Phone 9.1. 98b.::4'.J7B OWNERINST LATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners SignalUre: ----- . T90:mIHStl8 : 39NtlH8 Og'Lg $ ~:a83~ lW~ ~OOG 9~ lnr:::ll~a. ': !;:gOOTOQ- TO: #SN~~l' . .~. :-: ::;. ...-,.. G JUL-22-2002 11:51 ~ ~.02 ELECTRICAL PERMIT APPLICATION CitylobNumber /?/-t!J/~ge ~O/ 3. COMPLETE FEE SCHEDULE BELOW A. New Residential-Single or Multi-Family per dwelling wtit. Service Included: Items Cost Sum Sl06,OO $ 19.00 $ 50.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less S 63.00 201 amps to 400 amps S 75.00 401 amps to 600 amps ~25.00 601 amps to 1000 amps It,,~'f!. 63.00- Over 1000 ampstvolts ~ 75.00 = Reconnect Only ~ . -~~ 50.00_ JJ~~ ~~~\~ "<~ C. Temporary Services or Fe~~'?,,~ f::>~~ Installation, A1teratio~~~,-:-~~ . I&~~ f::>~ ~<Q .20 ~~~;~~~~~. d' .~nW:~J1{,~~~~ ~: '(o~~~~O volts see .' ."B" oe,~~'O\J ~~ ,0 D. Branch Cir~ :",o~ ~~-\ ~~ New Alteration or Extension Per,~a"n~ -S ~,o !::l'" \0~ ~e~O:e <o0...qfS '0'0-\ One Circuit \~-II eO _~~ ~43.~~ ~ (),O~ ~'S' \~"'" o?-'~e~ ~o .O~ Each Additional Giieuit,~wiili' S..,lC,,,e} 'I ~e~ <,<;,~ ~v ~"-<~"' O~;:''O -" ',,_ or Feeder Pennit . oo~ ~' ~~ i<,0 .-C!$'3.,QP' _ . :<,\V ~ _>,.e' ~'>:l <;,0 ." _,'<'.~. ,,:~ ,,,,'" ,,\'- ,,'>:l . (\ ",e' .~...-, noD< E. MisceIlaneotis'f(ScnriCelftedernot'lncluaed' \~ n~" " , .. ~, ~. ~~ '.:' 'S:'N .." -Eacli'inst8Ilation,s:l ~ 0 ~e'" ^O ':!:J<5 Pu ,,,,,. ..'1)-- -...v.....'I>' ,,<:, .0'" ,,\:J $50 00 mporll!'ganOn~,_- <;''' 0' ~ . _ SignlO!illi~iEighiing\S'e ~e '\'" ~ $50.00 _ Limited En~~'~ ~,o\ ~..'a\ _ $25.00_ Limited Energyt.eom~ O~ $45.00 ~' -- ~Yj. Minimum Electric Pennit Inspection Fee i. $45.00 + Surcharges -!:::::.$SO:OO ~.- _..$69.00 $100.00 5. SUBTOTAL OF ABOVE 7% Suite Surcharge' .' ',:I) ,. 8% AdmiiiistrativeFee''-'' ; ~t9,6-0 .1 S"c . . - ..-:. 0 ,';l T ",t':',),... ,..' TOTAL ."'. C:::7. ~CJ 95% P.02