Loading...
HomeMy WebLinkAboutPermit Electrical 2002-11-21 ,. . "e- 225 FIFTH STREET, . \ " :", , 'SPRlNGFIELD, OREGON 97477, ,..J: ' INSPECTION REQlI\'ST: 726-3769, I: ,,-; I : :city Joh Numher COWl"ZOO"Z ~ 0 Izz.i OFFIcE: 7?9-3759 ",: ': c ; I' I I .! , ,.,'; i; : :' ,-:-' :3.' COMPLETE FEE SCHEDULE BELOW *' .. i 1. LQCA T10N OFfN.STA!-r,A tlON i ' [, !; '!.j !'" .. .. , !:L'1 33.") ~ t;;:Ir. ~ft2I~tl&/j orc:- A:' Ne\r Reside(l,l;ial-Single or" ~ - -- .. .,-",-,,- . ~e\.~wI!~ti-Family per d\Yelling unit. _ " \\, on~~ ' ., LEGAL DESCRlPTION \\eo\\"s \,,~<l>errice Included: ' , 1702 33L/l.( oolOI sSIl'O"'~Sl'ec\\\C Items Cost SUQ1' eO'" o.'V\~ 1',0\ ~o\ ,e JOB DESCRJPTION \O\\o"\~;;ooes ~ j 6-,v L I 6-t+rf~~ ~~ . I. 0""'- .....\l , "1'1" "'Lo~\" Permits are Ilon-transfcrable and expire \ if \York is n?t'started within 180 d\\l\., '="\l~,,\Il,e of issuance or if work is suspendcll for o~\1.eO ^Il\" 180 days, I r 1--<; ELE.CAL PERMIT APPLICATION 200 amps or less ..~ 20 i amps to 400 'amps Sigm,l.tu'rc'of Supervising Electrician -'., ~,Oyer401to 600 amps _ _ , Ov;;;'600 amps or IOG"lbvolts see ~ "B" b ,iO\)'~ _-" , a o,,;e lIeS , \)\\\\W~--- , 'J V-V' <S 'L. t:'ja/7 ,,,J.1~o,<J e~ofl \ ,o~~ I, , D'.8rl!!~},~q'i.H1i~:c,a.~eS~?.\lO"\' " Owners Name A~~~..,..d.\\O\'o\..., .-I~e,rAlteratioR.of{EXtensiQn\!lerPanel ''\ ,'\'1' \)0,.' \,0"'''' UI'\" \)\'d~ ~W \)\eS'Q. \et,"\ "!n'o\)~'" ~\,\\e~ fie . Address 575'<) /I'I~(N ~ I' ._\\()-.NI 'oflcefl eJ'~lJlfcuit\eSO \e\e9,\\0'i0.o(l _ $43.00 ,- l\'&Ca.\\ r:,O'l- "~flOUl' .\,\\e :iI~\C'Q. Cit\' S PF P Phone 3'-1Z- w'@;'ri~'?- 9~~ 4':1 E~~lp,!aditi~~liG&~i~)Or mth Service \'- '{Ov'" "nw ,!'iV' n'3..... \ 090. \,\\e Cor Ee'(cj{r.Pe~n:j~'" _ $ 3,00 OWNER INSTALLATION 0 C~\\fI~ 'o~'-~:--' ~;'6a"'Y . The installation is being made on fI\){(\'E~I~U,c'cll:\iie~us (Sen'ice/feeder: not included) property I O\vn which is not mtended -Each mstallatlOn for s<lle, lease or rent. .. Punip-'of'irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm " !, ! / " 2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders , Installation, Alterations or Electrical Contractorj!/jAtf/N 6/2OS, S/t;Y'ir IW, Relocation' / Ijf?,,'& .' . ;, /., " '\~t. 'tl ~Ij'\ Address . ~~4-\' JF-~4JN.~T. ' 200~'I'~~~\\ \~ . ", / t:.' '. ~\.~t: r~~~'fI~~ City~e Phone Y""2...h'1~\.~\J\\\ ~~\\j;j.~,\ )1..\I3~w-Mups , :' . '. ~~~V t: <t:'i) ~\" rlli ~1O ~1o 1000 amps Supervisor Licens,<Number ~ -'3~ C)f?,,\"VC't.\l 1j'm~~'t5~Q?O amps/volts I ~~'i:.~ ~'{ ?'il.Wonnecl Only Expiration Date I 0/ ,!O-;;l., Clj \~I:l \l (' \>.~'l c. Temporary Serrices or Feeders '--Constr Contr, Number &4-tp I ~ Installation, Alteration or Relocation '- , --' ! Expiration Date Ot:/""r J -0'3 Owners Signature: $106,00 $ ]9,00 " '--, $ 50,00 -., . , \ ---..: $ 63. 00 . $ 75,00 $125,00 ---.:. $]63,00._, $375,00 $ 50,00 r'l $50.00 r- ,:r,- $69,00 ' , $]00,00 $50,00 ~ $50,00 200 $25.00 $45,00 1\:linimum Electric Permit Inspection Fee is 545.00 + Surcharges 4, SUBTOTAL OF ABOVE 7% State Surcharge 81Yo Administrativc Fcc TOTAL 'z.: C:fC /"1 - -..rb.-' i-'23C)