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Permit Electrical 2002-12-16
!;,;"'225FIFTH.STREE, T :,,'~,:,;,. ,i~'\4i'''';~\:,l ,;.:t',-,!>o ':;:' ,,~;.~." EL_~CALPERMITAPPLICATION'" '. J ,.- ..." . ,. ,.,. . "",'''~'~',, '" l;:..t,:;.-:~!;.t';:f ,01,/ . to.:. . :Lo,>It"~,; l.....~~ ~1{i~ ..... ,,~;>,...k""''('<''''~'''' .'f'~ +;" , .,0' ~1(SPRJ~G~~L~, 9~q9~:_9'.7~i'? ~t~~;~? ~~fF1t ~~ ~)~~;\\~~/~ ~~~t:~lf';8;;;t~~~~~t::<. ;::~ f~~:-:1f)j:~:t:.~~t':;:[~~'., C~ INSPECTf0N~REQUEST:>:726~37.()9;;.;"li; ~;? ~~3t~:_~!~ ~.City Joh N~~.b.el~~/'~..g, ~:!OO~;7q,{7.:;ffl>.~K2~:" .~,;:X~ L.",;,: lio~;';'F.""<'- ~C,,~.-,.~,~;.,,- ,}:~-' ':"\p~':;", ~;, i'!:::t;1'j ;;";;4f."t ~ ~~~~~ ij:1 :;,.;': ~-:-.~ !tJ.j:~",,;:;'t"~'--<",)4;:';M~*"'''':'lY';- '~./.';-:,>W,,~::<j!. -'+~~\., .~'; .: ")~;'~:~: t;~;,~~OFFI,.'J~~?2'7~9;~?~9;':W~F~'. ~J::':' ~~\\i1 ~~\~7;~;~ fff~ ~~\fi~l :,~~ ':::.. ",D\ ,:f;"1,;">;;'f~7w:'d'1)~~'o ~'t:\ . :'.\L ~'~~"'~";~ '1': < Jr'~! : ,> ,. ':;':: -' :tt.' ~~!r' '~'. ~i~':"'~~ g:W\2 },~ ~t\f~~;\{~~~;~ Lj~1~;~ ~ ~l;,,,,: ~:k~?~~~TE FEJ ,~.~~~*~"~i~9.:V ;\H~ '.-" ': r~;..,. \..}.".:;~' ~~{ 1. ~9. "..'1 F;':' ,'. . '('.--.1' , :,^\J':'~.,".,., . ~ti ~j~~~ ir~~'".', ~rl'~~i' ;,~;~t;:~;.:~~~t.r;-;J~~1'} d~':.~~~ i,- ;'~~ ':,1'" . ~ <: {. \..Q. \ A r \ ~ : A. New Residential-Single or"'r~. . .~ .. .,. '!~,:_'. Multi-FamilY per dwelling unit. '.":" ':" L/E1~A{)~~~f~3/T,IOON ,f "'0 ' k~'\'HO(\\\a\\s\c\,;:~~\~:~er\'ice Incl~ded, S:I'I;:I~n'i.,},? ...,., U'V CJ s.Jv'''''s\loc Items Cost .',.', {O\0C\8. {0QU\{0 IJ ';;' '. __ ~DESCRIP1;IP~ ~~\~~.,.\n~~Oosno\ t;;:>CV --=+-$10600 i44H, 1) 4~-.r " rl,- 0 , .",\< , . a\l\l\o'~ 'Z-on\nll-- 1- s, \ ' ,:;::'" '...- Permits m~ Ilon.transferable and expire thereof ~ $ 19,00 ,'lUi,' if work is not 'started withilb~~ '. s 'naWle Each ManuI'd Home or ,;:c:''-;:.'.::'' ~~~S~I~~~C?,~:f work IS SUSp~St~~~ SIll ~~~~:r ~;~~~~~.djtii~r"['~'t;f1: " $ 50,00 ":~~:': 2, CONTRACTOR INST ALLA TION ONLY B. Sel'vices 01' Feedel's ,/;,j';~J<;:' ')", ,,,'k-' L'L ' ,J';:, i:~~~~~~' f8) 1\ _. .1,' Installation, Alterattori:~~~9.~~:'~~;~,:?':.~S:.V.~,~'L;~~. :~,;'iS~~~":: Electricar<g~~,trpcto~~~~ose_ ll? ~ (l)..)-1()Y) Relocation: )p~~;~~~~~'~;C~~~;f~~ ~J;~'~~!'(~~", .~!'/-~. . ~iS/3'~', ?~~ \' l ~f~~'; >:-f ~\~:;I{~':~~'7~zi,.;;~~.'~~j.:;t~<'};}{,;, J.';{X~:, Address ~.~~ ~~:~v.l lc.L4 ~'~,~:i\;,. 200 amps or less.,:l~~:~'#iJ~~:'@.~'g:~~~~~:,:;,~~~::.'."'~~~lg~,:2q(:".Lr'~,"/" , , ce~~f~trt..:; .~l~~~ I ,-'&'~1~~~;~~t1~.t't , 20] amps to 49QJ~.mP~5iF;;~~~i~t~,";~1:~~'ii;~~.~):9~'(.:.o.;~~:.;'.~,,~: ~,',.",;~.""'.":.,,'.:,',.\:;,c.,,.,:,','..,',:,',, . '(.J;'';';', ,~' ~.. I A.Ci':i:.I,<,-~),~~(j/ri5"- ....r. , . -. >""";;d~1.,..,;.,,;r;':<'-"~"y,>.,,''';t1;:,-',,~,,",;,,,", .,' ....,....~'.-... " .....,'~ _..' :_ City 1:i'I1(~' ",Phone ~)"ll!:Jc':;:"',',,"", -"" 401 amps tOr9.9.9;~~lPS~!.jj~*J.%!:':';"';'~,"',~~12,?Q.9i!'~""'i, ,: , " ;~~~rlW!i:" ~\~r~~~ tdf~~~~J:;~21 amps liiJ"Q~;g~t~~s ~'o'~''''~l\~f~~~~~~i~r~:QQC~~:'';~ U~i/~.' Super'Vlsor,.'I:lcense Number .ll:tW,(ti~*1'~ . ref lOOOFa.mps/volts 'f::,,:'h:;r~~'t-~$3;rJ:OO.:...~:'.~1j'i,:;:: : ,~'{?,,~ ~",l,~o/:'" -};'~';: :<~:'(0'~~~!~'~:~~:~iSf&1H(,'~,i i '~~h~ft0i\1- . . . {~;?~~t;'.:;:n$m50:0()"'i~;:'~,"~~t:; '".. .' ,J. ';,~: ":',' f..:~: ~::~,',i,';'~.," ~ " ... . ~)::~,'l:,'-;;';;';:.I;;', . "'.' ''','l'.~t,'.;;.,',': ';'~;~~~i~~' ExpIratIon:.: a '-' -', .!'~~. 0...",,\;:1;.. ,'" ~~J..~!tJn.~ ....... '?o~,:, ,.\ ., '<;1":,:hr,;~:;~r~~'~';{\{1~':'~"'i~/&~~::c~:t'~;Y~'$:i&t-;!:'i;'\l~WJ?;4" .~:\~:3~\.?'~. :\:Fii '~€K*~~B1{~~~ftf6~~~~m;€J~~11t< ~~t~~ . ,>~~:~ ,~~. ,. ';:~~<1lP~tikt1~~~~~~~~1~:i;~~:~;~' ~~~~~Q~-:'!f~~~, ~ , _ ,,:,-,~.<~,~~i~1~: ::.+~: :A..~~~i)]:~,~PlratlOn Date -, 3@~,j,(P),.. .".PP~~~~}P~c,~-,~~,!~,s~~. '.' ./.,!~~t".;, ~-,~;~~~~,,?R,:22!;lt~:~~~, ~ '(;~. '.,.:,:5~~~8~~. ~{'.,: ". _~ ~,~ti:~~;:~J1~~.m_PA~~~{l~P,~:~"iE~t~~,;t~~~;~.~:;~?~~~~~~~~9,;~.~2!':~:~;;':~' . ;' f~::- ;~:,:~,~:~~iS.i g'i:i ~~~~ n~ lof S U)l ervisi n g Elcctrici an"~lo;;~:OY~,i:;.~Q ,bt9,~909.;~rr~~i;r~it\~('f:~'~,~::~,,*I:::tl?~;,:: $1 OQJQ.,O,;,?..ik;.~~';.1' >::"'?1f~~j;A ~'~*~~]i~i,"'f:~';; ,,~e::~~~t'rnps'o~!Q~t%~f~;~~it~l~)~~" ~""'o~;'f~~ , "\"'"'4";'.'~'f ....y'", ,. ~,-. ~ tl.\, '>" --;J.r.. :t.~"7":~""" ~-~;~.~~'{~':~'~a~b1t~~!~:~JI~~l1J~t.t'f:f;~~5~'i~?~~,__ -. D. Branch c;O$~lts.., }i.:~~ltl.'_ ~~~~ti:::~~t~t':. :, "',"";;:;rJ4~R\v.ilci's;~amc''/.JJ1!!g'&':ii~~/I.J...II~~1.1 Ncw'A\~~[~\!on or,t;:lftension Perla'l~lt5b")j;"'-i'~:",:L";"',,, "':';;::~~~~j~~:~~?:~~!~f:'~;~~~~i::!~), () A I ,0~~8~fr{~reg~~~aw (eqUlrL'~~)1~~~?~!f~f::;i:~f:' '., "'t;'!,,~.\:.:~,.,~.: :ij"W\"'\~' i}?;:~,':: ',1,,:/,,;:;;\; follow'(I'j:l~s.?g!Jpted9Y the OreaonUtmty'::":.'7" '::,"',' ',' .::. ", Citv",,:""F,',""' ii/Phone','." ",' ", NOtifj(Eacl!rAddi, ,'tional'Gircuit o.l,witIiiS1~jiffG..th"\: f\.-..., ' , :;'\~}:::<'":::;:";;~':1;>..';)/;;.::;~,,'.,',, ..::::.'~;~~~>' :'~~~:~(}'::' In OAlq-;J:id;~~.iuni.to't~;oVu'ghOARc~6'f~6o ...:;, rr~~<~: ,\:OWN,ER Il'iSTALLA,!ION"".\;,' 0090.Yol{m:aYhblain "Doies ofthp. ~,'p."byi ii", :',', ':...';~'\~ ~?!le;i,n~t~ll~~~?~;~~'.b,~:~~~.:Ih~~9' ~p:.":~'" E. IUi'\fl~H~B~g.~:;Ef~f~1~~f~f~f3:cr not itcludcU), '<:~'. ..':. .' , ,,:'property, I 0\\:n\jlll~h}~.n9t Il~:~gded', numb.r.~'il1:\?f~aHj'r\1,~n'9, .t~e Ie ~~no~e, ,{', ' ',for sale, 'lease orrenU~.-': '\ii,,:, " Pump or Ifngatlonfll1l,Jtlhty NotlflcaIIOr$)O,OO , , '.' '" ,', .,,' '.l~mp'''L ' "'," "'32"2344) - ,,'- . >,.' .,.,::.,'-, Sigh/Oilt\ine Lighting, ,- . $50,00 _ ~,'::>Owl1c;.s:SignatUl:c: " , . Lililite~EnergyiRes, $25.00." ;:.: '.NOTicE:;:,<,:'~.:' "" ,,' LimitedEnergy/Comm $45,00_' ,I nl",t',tt1IVIU":,t:1I:\~L tXrlKt IF,THE"WORKMinimum Elecidc Permit Inspccfion Fee is 545.00 + SlIrchai'gcs ,AUTHORI.ZEp q('JOER THIS;PERMrf.:lSNOT ' ' ,,' ...' .,' ,.', . _ , CQMrvlENCEQ:OR',ISABANDONH)FOR ' 4. SUBTOTAL OF ABOVE f) r;)' ',.'.IV 180 DAv'PERI'0D ~;;c;/...::,:;.;..",:)\.,.' 7% Stat.cSurcharge ::?f.:.. - , ,:' '.:.'; :{;;~p::~F:{;';' ' ::~I:iniitratiVe Fee .~;,~ ~5~. ",:,' "" .:'t,:r .::~~:~. . '\;1 :.," . .;' .,;.... :;':-; '.