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HomeMy WebLinkAboutPermit Electrical 2002-6-26 225 FIFTH STREET . ELECTRIC.AL PERM.PLlCATlON SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number d'.:l. -1)1> 7~ C; -01 OFFICE: 726.3759 ,.,....\.leIl \1AA In" \01l0'/l109 , I e~"~~J{o'llEl~l'\~t';HEDULE BELOW I. LOCATION OF INSTALLAT10l\ne\0\lo,"lngl~~~~ot l.qull. ep 5335 Main St #10 tOOIOg, ~no ~ Resi ' g e or ep~' v' -. zonIng Multi- er dwelling unit. ~ ,1- Service Incl LEGAL DESCRIPTION 17. ():J... "3 ~, 00 JOB DESCRIPTION Heat pump with handler t) ( ~07i~la ra . Slgna\ll AlJtnoflzeC1 Items IOOOsq,ft..orless ~ Each additional 500 sq, ft or portion Permits are non-transferable and expire thereof if work is not started within 180 days ...;.', , ,,_ ,. Each Manufd Home or of issuance or if work is suspen~&i;for' rul&5 cHJ0p!ea uj' (r'i; O~~ular Dwelling 180 days, ,\Jotlllcatlon C~ntel. :hose jUle:J>~i~}irfeeder ~ ~~~,952-001-O010 through OAR w,' . 2. CONTRACTOR INSTALIAnqN:ONLY/ obtain C(~;;~~ry!'7.1'~or,~e,eders calling the center. (Note: the Installation, Alterations or Electrical Contractor JB ELEctRic;rI:NC~he, Oreqon UWity r~f.~J~i (,;entrr ": .~."'r,., .,. . ,..... 'I \ Address 4685 Isabelle Street 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only City Euaene. OR 97402 Phone 541,687.5770 Supervisor License Number 38728 Expiration Date 10/1/04 Constr Contr. Number 37587C CCB 104929 C. Temporary Services or Feeders Expiration Date 10/1/02 3/14/04 200 amps or less NOT' C . 20 I amps to 400 amps Signa\)f~'singElectricimrH E. Over 401 to 600 amps IS PERMIT SHAll EXPlft~QQ llD\II~ or 1000 volts see AUTI1DBIZED UNDER TH ~p~nt wORK V XZ~~loN~:~ ~~:~~~~~~ NOT Owners Name D. New, Alteration or Extension Per Panel Dorothy Reid Address, 5335 Main St. #10 City 8orinafield, OR 97478 Phone741-803I One Circuit Each Additional Circuit or with Service or Feeder Permit The installation is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting_ Limited EnergylRes Limited Energy/Comm Owners Signature: 5, SUBTOTAL OF ABOVE MINIMUM 7% State Surcharge 8% Administrative Fee JB Jab # 02-409 TOTAL at- TRANS#:01-0009746 DATE: JUN 26 2002 AMT RECD:2 $ 52.90 CHANGE: CASHIER:032 Cost Sum $106.00 $ $19.00 $ $50.00 $ $63.00 $ $75.00 $ $125.00 $ $163.00 $ $375.00 $ $50.00 $ $50.00 $ $69.00 $ $100.00 $ $ $43.00 $ 43.00 $3.00 $ 3.00 $50.00 $ $50.00 $ $25.00 $ $45,00 $ $4500 $ $ $ $ 46,00 3.22 3.68 52.90