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HomeMy WebLinkAboutPermit Electrical 2002-9-5 Sll \~ , .' .225 FfFTH.STREET , ; SPRINGFIELD. OREGON 97477 ;. INSPECTION REQlJ\OST: 726-3769 ;' OFFICE: 726-3759." " , ' , ,. .if 3), 7'-15 r ELE.CAL PERMIT APPLICATION . ""2-010("(';'6,',,:. CIty Joh Numher u, ". " . .Jt , , 3, COMPLETE FEE SCHEDULE BELOW A. New Residential-Single or .: ' Multi-Famil)' per d\\ elling unit. LEGAL DESCRIPTION Service Included' S-A-r::t.LV;+y O?:./1 !>fll!IA/6FIz..U] \ollO"'\"\! It IS st Sum' 6~...\~e 61lse . ' {t\\\\€l '\\C \30'(\ JOB DESCRIPTION . c\.l'~.'i',\,e .gec1 1000 sq.ft or less iA,ft-U FoR.. At. "~~rfJb;f!t~ 'ditional 500 . "(ne ~O~u~"6 00"'- 00 sq. action Permits arc lion-transferabl..'llll~~irc /' ,.0 lereof if work is nolsturted within 'l%l\ days 1-0"\"\\ /' :>. anufd Homc or of issuance at if work is suspended for Modular Dwelling 180 days. :'-' oq\e _ 51\\"..\\llb Service or Feeder _ .~' j;...iS,otfL.".... 2. CONTRACTOR INST ALLA TION ONLY B. Services or Feeders . .~, 1 ~7.i~.\ '.,.. Installation, Alterations o!," .. , Electrical C;;~tractoh:n1lHEe Eu=c:r~lc. Rcloeation:,l:' .;, ;, ."'}.,.,," \., ..'"....'.".-.,:' i'_~~_';';~:':'; :';-'~~ .<. >>'" - ~ . - Address J ~o'+ Se-' OJ.. .. c.c .' ';;: 200 amps or less ,. .,2 $,63.00 ~ ::.)~c V';;! ,<(";'r',c:;t",," 201 amps to 400 amps' . ...': :'>$';'?5.00.~.: City r.,t.L',j/k,K.'r#'.: ',;'fhonOb~-IJ1.'2;:'."~O.~:5~:' -:' 40 I amps to 600 a~ps.',..~' :':,< "', ':. , ',$125.09:" '. ",: (f.)l~ ~;~~~ ~;":<~.: /:~~:<:~t;~~\~':;':~:.~:~~'~.:~.<. 601 ampsto-lOOO',amp's . '~.~, '~~'$i'6~~09:~ t ...., Supervisor,ticense,Ntimber 34":5 ..": ;:"".,,"'" . Over 1000 amps/volts ,,' ,-- 'c". '.' $375.00-" ~ -, ;.l';~:.1. "'~ ;;;~ "'-J-.' a.:"" .~ "~R to I' . ' ';'~$:5000'~ 1;..~.I1-'~,,:L/ ~~~i..." ~ '\I -." "...:.':/,1\' ..,'-~- ,- .. . econnec'lo;.'n) ..'....' ".: ,'~< . _. ~ . ,/-1.... ~.l.~\.,J~oI'.1 _. ."";"'.:.....A,[,:.:1.A~,o.....;-.....~ "..... .u)......:." '", .' .','.~,!'l'l '-~A" ExpIratIon'DateJe I.AII1~l..-l". ..f:<--........lJ........ ~.":~ f.,...,o'_r ;.' _.<,' ....:i"'<,.~,.~-> ,''l'....',_.''',. ,....-,'. ,!\!.~- .~., ,'.1,. ~-.,.~'''I: :.,,:,) . ...~,- ." L ~~ ~..: _':,I'.f.,~~~,:;,,;_,\~,"t.~....~: ,(' ~",'i"t'~").' ~.:.. >;}""',~,,: ...:.<....~. ,-', ~. C..Ternporan'ScrvIcesor..Feedcrs ..10.1\.,1\.(' ":,,;r. ...t.... j.,," . . " .", ';";1 . '2.' .", ,. .' , . , . - ::,~,>:"\;'''''' \'j.',.,..,. - . I,.'. ' - ~V :.J Canstr. G.l?ntr.' NUIpl?-er1 ~BZ~'.{ _: ,',. "t,~:. '. . Instanation,l~t,ira~ion:ori}t~lo<;ation~~\';l~/ '.: :..::)'.; .: .. '< . ~.- '"...,.". -~__!. ";,',,~{.,- ..- ......,l->".' ~ '.~' ""',, .,.~~,\.\_tY""1i\:.'~__<tI-e\",i)Y\ - '):.,~l)~':\ ,...~;:...~" " ':c' .'.~' ".,~t_ -~..~..:4 '~.. ~':-.';:L"'~."'::' '-~'t ,'.~, ,'\,~;~, l~~i"..-"\; ~c:~l\;';;'-:-"'~,~.-:v,:,~ ,';"-'"J",\.; ~,;.: :::~>;'c;'~:'''>Expiration Date a 1ii>~&4.' .:, ';.-:'~3 '-"",\':;':'''''''~{~.''-~'~~\~'''200'liliips Of.J'esS\ : ';<:j\-.f,\ <;wi: i..,i.';'-":$'50.00;,'t~'; " :':;~-...'-. -;;~:~~:'~~. '. r.~,i~.;', 't')~?\' ~;~:~Oi1~W~'{io~~o ~}b~ ii~:~~~~~'~' "'h~' .~*69_0Q.:~ .:",.' . '''''6': ':',,:,~Signature of Supervising Electrician NO\\\\Ca.c' eo;>OYer'401.to,600'amp's ''\~$nn91::.' "- " $100,00 ~ .'- ,.' '" .;.,:'. -, - - ... " i\f\;wI;J.... '-' l""(l'I~"" ~ " ......9 ~Q "'~:'3."\~ J' ~ '" . ::.,c'. ::\~,;' ':' '.?'~~'X:;', .', U 1[101" 'loll RKer60~,;n~~;9ri1~~~,,v~y:see, . .",;. -,{:~' ' -: -- ",,"'" ,'<f', m' " '~'I:"' ';":. ",', 0090. ;'Beabo\'e' on D\II'" ' All.' -., ,,' ~ :::,," ": - , ~ '.', r~.;' ,''', ,".' ~\\inQ '" "''' QteQ ",~??3" "" '",", "~J'" '{" .' ~ ''''''',''1''.. " . "-".' _ c~, ...1.... nO;)- - .; ,'. ',,," . h.'.~..."';;.:r:..r .., ,. ,,,,,,,,,f'1C)\\. .....~'l\.' ~u '," ........:7~... . ,". -~::..-:,,~..: .. "l '. .... . - D..l~Brailch CirCUits '-' . ~. . " '.";':'Ow~ers'Na";~.' ':'fi4-Ftw'/I'1' '. .::I:V..r "Ne;' Alteration or Extension Per Pan;I . ".,..' ~'~'~"-~:i,\:'~~~ '-. :.:;,....~:..;y,..:~":. ..,,-':...:. ;:,. "',>;'-,Add~~ssl6Joq::' 5~: ~j(UYN S' ",' '. .'.' .' :,~-'C!t)'(i{J;;k:;N.;:'<>Phone {S7- bV,f6 I. LOCATION OF INSTALLATION 5'-//5'M-1'b:-AJ' ,/,U~ r ,:-. $106.00 ,.. $ 19,00 " \';., $ 50.00 .',; ~~: f:_'" '~L_ i ,~'~~:.' .. . - ~~:":'.' >, -;.' r.,.-!<-. .J. }J:':' One Circuit ~$4300'i./3' DO OWNER INSTALLATION The iflstaIIation is being made on property I 0\\'0 which is not intended for sole, lease or rent, Each Additional Circuit or with Service - " D or Feeder Permit -.a::: $ 3.00 ..u E. MlsIieaE: &\\'t(~mt~ti~ue\ffij,IF.nlP..~.ltl)ORK li4b. J,!!W~'i5fR THIS PERMIT IS NOT AUT\:lI ~~YRlI1W~~ABANOONEQ.EQB. $5000_ CO~~ IRh\~lo 1 ''[f $50,00 AN)L~6JU,IilI3l(eP~. = $25.00 = Limited Energ)'IComm $45.00 Owners Signature:' 190 : ~I3IHS\:J::) : 39N\JH::J g~'9g $ Z:a::J3~ lW\J ZOOZ ~O d3S:31\JG 61~0100-10:#SN\J~1 i\linimum Electric Permit Inspection Fcc is S45.00 + Surcharges TOTAL ~~,OD ----Y.4 :?> ~,I(L / ~~. ,~ 4. SUBTOTAL OF ABOVE 70/0 State Surcharge S% Administrative Fcc