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HomeMy WebLinkAboutPermit Electrical 2002-10-18 I , i.' , , / --' :225JIFTH ~~ET ~:.:~\ i,.--I -, " ,'j E,L&CAL PElUvllT APPLICATION i-';:.") 'iSfRfNGFJELD, OREGON ~7477: ....J .! C..J!': i ._,', ;. 1'1. f') 0 / 0 0 0 ( , .:.:- : INS~EC'r'ION \l-EQ\wSl, 7~6=~(6?"'1 ,I -I L' ; ;Cit)' Joh N11IInher V L-" f'- ,,'~,'\i OFFICE: 726'3759.' 'i ' ,,;1. "" It! 'i ' ". . l' "\ I j -, I ' ~1- I, ,...-< I! (~........., t ~, \ . i: ',1:'--- : ,-'," I :; " '~ ;. i I: ,I "-:- ,3, COivlPLETE FEE SCHEDULE BELOW \. r i 'I. LOCATION OF INSTALLATION I : Ii j~ I I, ~ '- . I"?" '1 1 A J 't ~ I '- ' .,., 'll' -:?;-' "!llfe/( r=eAl ZIi:-( .J'~';..:r~ A', New Residential-Single or- ~ -- - ----, - , Drt,rv& l\lulti-Famil)' per dwelling unit. _ LEGAL DESCRIPTION Sen-ice Included: /7032343 ....$-/tr' Dl{ 'Toa 101l0<,i,,1I Items Cost Sum \'Iasl\'le ollSe ll(O,I\eO 'lie la" JOB DESCRIPTION ee\asSllllile s~ee' 1000 s ,ft, or less IVll2c C,-T7l'lt-{~::1~~O\I~C\" (I.-=. , laddit'rt'0,naI500 . I, L\'r.\\\~'. v ./.. ~ s r po IOn Pernuts are non-transferill*~ eXRl/i~ ~ (6 /'0. there I if work is not 'started within 180 J.\~s D ach Manufd Home or ./. of issuance brif work is suspend . Modular Dwelling 180 days, J oa\" Service or Feeder $106.00 $ 19.00 /' 1.'\ ",' $ 50,00 2, CONTRACTOR INST ALLA TION ONLY -, B. Services or Feeders Installation, Alter\ltions or Relocation: ; I / 200 amps or less '-" 20 I amps to 400 amps' ", 40 I amps to 600 amps. , l 60 I mllps to 1000 amps O,;er 1000amps/volts " / Reconnect Only " , .' ,l.". ElectricaI.tontiactoi' 'gl~tf) -; (;;j:=~C -. <:, ',- : ;'" :.-, I ' /.... Address: 2 fa I U) Ikl-I <( -:#''--- :'" " , /. City EJ fd.t:::71/E:- Phone &',;/7-{ "$-&"2- , 'I, I /, . Supcrdsbr Licen;c1Number l~" Lf--1.d I . ':" . "' V ' . Expiration Date I () -I - 0<1 . ,', .. $ 63.00'- , $ 75,00 $125,00 $ I 63.00 $375.00 $ 50,00 , ,-- ! , , -' i C. Temporar)' Services or Feeders "'Constr ContL Number . '7' <;7. {; Z.-- Installation, Alteration or Relocation , -- , ~~ ' \'0\)\0 ~----. " ~ ,', \{as, X\\,! . , 'Expiration Date {. "'-::- (;,,~ 0 J, 200 amps %,'lq~t\\l 90'f\ \.l\~ t\~ $50.00 _' - , --------:.._ J,g,}{I@W!O :\I(I&~ {a se\ \0 '~ $69,00 _ Sig.iature of ,~uJlervising Electriciau :\i~\.\U_\~li'O{l\~P~\Il&~t~~ 9S'l-J$J 'oT- $100,00 _, " '- . p.. I't-I {\)\e~\'fI\~rJ:li\'W!b~,"-:"', rft\rf\~IlBS ' , I /1' -"d. ,//'.# \O\~~ ~\iO(\~ a~O~ { ieS-O\~ ~ "nO~a [///F'A- . /' A--;,---~--!-o\\\\C 9'6'2--001 '''':.~i'f\c09 ,."e\e\e~,C'~\\O(\ '--' - . ' ~ /.~ r..!I.,~ "" 0"" 1"\O~e. \ ~'O~\\\ . ' . . '" i'f\ '-tI~ l;(o'\!lCli'\!;i1;<;\iI.~ \'~ \i\i\'l'~ .' Owners Name ...:To tI tiJ "L'If tV bGt:- 0090. ",,~Nn\?~\rell91\Qli\ ~~2.~M.~er Panel ',\ C~~\\,,\f'\ {\ne \ eOO~" 'i?S".3 ;I1C:-/(6-;U'''2fEt1ur(\\)f{\'Oeb10f!J{~t~'t'\- ,- -+- $4300 If3 " , .' ., Ci;)' f:fllMC)--IJ:'ij> Phone' '. E'ach Addition?1 Ci~~~ or with Service 3 or Feeder ~i~~() ~ $ 3.00 _ OWNER INSTALLATION" , ' ' \~t. \~\\"\ \':1 ~~fi ' The Installation is being made on C~ ~t>.t\!;-9'8:li't~\I'.ij\(eeder uot included) property I 0\\'Il which is not intende,\\Q"~ . ~\, ~ t.~ '\~ '~ibn for sale, lease or rent. ,\\\':1 ?t.\'\ It.'V \j~'V \':I~ Irrigation _ $50,00 " . '!j'\\()~\ t.'V 'iJ~ ' .IllOutline Lighting $51l,OO Owners ~i~nature _. N ,,~~t.~C ....i ?t.~~ lIluted Energy/Res $25,00 C\J" .~I:) \)'" Linuted Energy/Comm $45,00 l>-~\ ' . l\linimum ~Icc.tric Permit Inspection Fcc is S45.()() + Sll..~argcs 4, SUBTOTAL OF ABOVE 4ft? 7% Staie Surcharge :.s? Z. 8% Administrative Fee :> b 0 ,lJ,2~ Address . " TOTAL ~\