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HomeMy WebLinkAboutPermit Electrical 2002-5-29 05/0~"O~ THU li;O~ r.~ o.li26J6b9 CIT. ur SP~~Gfl&LD . 'Oo......,'Oo~~~~...0 t 00 \\'c 225 FIFTH STREET ,,;o~\~ ...~0C CAL ERMIT APPIJCA no:>! SPRINGFTELD. OREGON 97477 . c' ~~0 . () f\ fV\/ _.., A ^' INSPECTION REQUEST: 726-~~ (\~j'\?~~V1 OFFICE: 726-3759 .\0....\(\0000 '000\0 ...f:' . C _I. L~C~F' I4DOU:! A. New Re>ldeatlaloSlDele or Multi-Family per dWeJIin& uait. Seniee 1Jlduded: ~,0 '''1,<'''' ~r1S~' J~E o~. . n..l~D 1000sq.ft.orlcss - ~ w.'t\~ Each additional 500 . \ ..., sq. fiotportiou Pennil-' are nou-tnasfera e and expue Ihcrcof if work is not Slllt1ed within 180 dolys Eaeb. Manul'd Horne 01 of issuance Ot if\\lork is suspended for Modular Dwelling 180 dolys. Service or Feeder Items CoS! Sum ..-1..5106,00 ~.cO & 5 19.00 --:3~ ~ 5 50,00 2, CONTRACl'OlUNSTAl.T..ATION ONLY Electrical Contractor STOIN.,{// .21;.672- Address <1,[7 ~ t:(~ ' 1/ City.~a--u.&- _Phone 6,f<f~!7;20 Supervisor License Number :2. t1eJO L Expiration Date 10. - I - 0 if _ Constr Conrr. Number :w - Ie; f- t!Z- , B_ Services Or Feeders lnnall.llioll, Alteralions or Relocation: OO@'ii'U@~ .'IHALl!. IDCPIRE If-Mif=l A.. ~ THIS PERMIT C13 \ Sf liU$.ABANOO~ " 3~00 = AWM~D, 5375.00 Reeonnect Only 5 50.00 C. Temporary Servicu or Ye.ule" lnstallalioD, Alteralion or Relocallon ExpirationDale~ -( -OL ...1- 550.00 ..::t:) ,cO 569.00 5100.00 200 amps 01' Ie" 201 amps to 400 amps ~;~~ . .r::::.~..&~ - Vo..{.._,\........A""'..A...f\..;..\-,'o' D.:Br~~ci~C\diP'2nO,.! , Owners Name~~\(}_y \ \ 11.JJ1_ ~5~' N~~ A.t[edCd~~ ExiensiOii'Per Panel ?@Pb~ ~... ;,;'" 'vU' uUIUlnrougnJr\:::S~2_Ctl_ l\ ~ TS!~r ('~' jl1'1\1 "'ht-).. I Address \\,~ \-J.,\"", ....9rieCUcuiP capIOS of thc"t:!~ 143.00 _ t~ ~Q<\~"~'~'!''' r~1!iJr:'J('t'3:tllr.tO!ephoi10 - C. Db' . ''11\:orfoE' "'I"A"'dili' "'="'C'''' . btwilh' Se . Ity , ,_~ Ooe _ ,... .ac 1 U UJ.IoU. 'lfC!Ut, _ 'l........:...~J,ce \) 'orFoede,Pmmt' '_'n,.. , 53.00 OWNER INSTALLATION ., - The instal1ation is being made on E. Miscellaneous (Service/feeder not iDcJudcd) property 1 own which is not inleJlded -Each installit!ion for $;lie, lease or renl. Pump or itri~.tion SigulOutlinc Lighting Limited EDergylRcs Limited linagy/Comm 550,00 S~O.OO 525,00 145.00 O..n.... Signature; Millimwn Electric Permit J..poctiOD Fee I, 145.00 + Surcharges \:OO:~3IHS\iJ ~-:W'L\o~ ~~~~~~~ $ <;:QJ3~ lW\i ~ \> \ rv \-~, <;006 <;1: Nnr: 31\iG \y 6tg6000-1:0:#SN\i~1 \~1~ ~ 4. SUB'fOTAL 01" ABOVE 7% State Surcharge 8% Adminimllive Fee TOTAL