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Home My WebLink AboutPermit Electrical 2002-1-22 190' t/3IHS\kJ : 39N\:!H:J C;L'11j $ Z;:G:J3~ ll-i\:f GOOZ ZZ N\if;31\:!G;.,':' IjmLOOO-I0:#SN\i~1' .' '''225 F~F.I'H~mF ii;;e'!it- k<"',k.~'A' r T'),:?,~. ~;~ ; "'":~,,, E&~AL,PE,Rfv!IT'.~P.r,;I,CiYa9N' "':. ""'SP.RJNGFIECD OREGON91.47g ',"V.., c. ';~''''" k~",";:J l;!.ci'" ....:...''';: ....'..".,".'.".:.:.",.,..,:...,c . -. "-.,' -:c - ~",' ~:,....t\ ~r4. ,,~..... ,.....h ..:12"' ..-j. "2~' ~ -~''l. 1....1'. ).,.~ 000 "'IS: ~'a / . ,"- " :. ~:,..;~.~~.2~R~~~~?~11~n.~3~~r~~ ~.;~.:;:. ~,'. tjC.it.;fOh t~~:J:;.~~~::~~:.~':~.~ j'.:l,,:~~~~~</>';:r<:' ,. , ;..r; ': f-(, J t..:l ''< '<" \p*;;. '1,' '. '~': 3~. COMPl.:ETE FEE SCHEDULE BELOW .' :<...." ..' . '. ,j. ,.- vJI~~~~ ~~ ~:...;:;{., " ;.j ~-~r-~~:<l)';'~'<;_:~1 f)'-~'~-;'~."":""'(:-~,q,.;;,\.~,:.~...' .,. '. '.J",., .' "".J. LOCATIONOFINSTALD,~! '.' (;~'h;'!1i~ji"( .:t ,c..,<~,;.,""..!..."~"..;'.." /.." .... ; . ". I O'lo ~~... 'f:)j~~'JcI.ii$m~f~l ~.. o\.J"g ~~'~iN~~~~t;:~~idcnti:il~Si~gi~"~'r;'':'~'\"Q';'~,~,,; 'i"0~::~ :'1._. ;.:~.... .~::..'~. apprOVal. s not require h'M~ltinl!ilm~'e per dwelling unit. spec/tic b~ W/ LEGAL DESCRIPTION I"lLDd@jng I.. ~ M ::lel"l'KtJIllc ded: J 70 5 3LfZZ- ret;/,;' -:-;_ -~''-- Items Cost SUJ)1' JOB DESCRIPTION ~uthor;zed Signature .o;i;ss W U...lL . 1/"... i- I-'::'_~ I' aeh additional 500 ~ sq. ft or n Perm;ls are 'lon.transferable and expire thereof if work is not staned within 180 days Each Manufd Home or .. ~~~s~~~~7~.r work :s suspended for .~~~~:~~r o~;:~l~~~ .2jk:~~t~::::,~ :~ $ 50.00 ,.!..: 2. CONTRACTOR Il'~STALLATION ONLY B. Sel'Vlces or Feeders ,.:. "::"'. 'i ','''',,, .:.,1., . , ~'~~~~'. 1:'~:, ,Installa~ion, Altcr~i.i~2.S' o~.>j:~.:..'~:~"';' .':~~~ . ". ' ElectncaI'C?!'~raclOfdlrGmr nttTRlc SERVICE RelocatIOn: /'.::'c ~/~i,' ""'~~' t:..:~P~..,. "J,.'~,~ .....,. d$; 'r, '..... ",,,,,~\'r..,,..,,~~. .:\'-<,., .. ~1:~-~ ,if) i;~~).' . ~ .,~f~.~;:'~,. ~t.:-....tO''p ..,~.,~~~~1-, ~'t'\Qt._.' .-:'.... ~' Address ~""~O..,.:~r~'0'K:.cS&3J L".';I~.\,~,;,..~ 200 amps or;""s'.:'..' .;"'-&'<:'r,.'~.'S..'~~. .,~. ,.l>3:o..0,~. \'" ,.:, ~""\'~I ~:' .~ ~""?"'" 201 ~~lQ,~1l:\.~r-:..c:.~".:..$,.75.00 '.' city~€,.tpA~q~hOne ~:t:l'~O;!'~~;lJ:<.r~.::~):," ~~~~~~~~~ .'.:'~m~~ ..... . SUPcr.'iS~~~c.~~~~ej~i~l,~~r ~~&~~.~:: ..:~,{;'t.:t:';':si/'0:~;}QQ%~Y~~ @\99t" '.>. $P5~QO,'.. . . .:~ ~~~'.:~?-~',~J!~!:~!i:;~~Pi('Z:t.~t~ :;/fe.~ ~~': ..,~:~' ':I.:,~~~~~:~~~ry:~~~~~~: ~~~": :~:. ~'~.:~S?-?P/ :~'_" EXpIratiOn -Date .,l-.O.. _ .1J'-l:S'" ""'--~,J ~ ~.- '~- " . ,,},., ,'"' , :v~.. "'\CO\;. "~.'" '-, I '- r . ,,' ~ ", '~".' _. ;:... ..-.:';-:.~:..--..~'I';'-"'_{ ,~,i..,...~,'\. "'::"'~"''';.'';''''',-'.J...t..;,_.''''''' '," -," ,....,:~ :." ~'..r:""".'..',:'..~',-.. .::' _,~:"",,;.,.~._l.:; ,.,:,1"" ?:"~ ":1; ',~<; ~., ...'",,:..,.. '.. ~ C.~,r.cmp~qlry Sc, _ .esoJ: F:eed~rs\ ","': ""-_ s.~; ;r'~" .-~~~, l,~~,':',_( ~"C~'rist;~Co~tf\Nunlbet': ".~Cx51'; .'~:5 ~::~.,1 : . - '. ,(rrst-ilIY~Hon, AItcl:atiokor Rcl~'-caJ:~(;n"'" '."~ .' ~~:': ..~, <~. ~.: 'r~':: '-" . : ". , ('~:'Z.~~i~~(:t.~;~;~~/,~(~,.~~~y:,:", '(>'~":-'~~~:~c~(-/,:""I'.:' ",~:>",~,~,:",' "-;;;!~,<':'c:~~,-":i..~r.','.: :".(.:\~. '~'~~ti:"::-~';': ". ,';:'. .'.....E'piration Date ex - r"'t4~o.q1!;._,..,""..". .:';'". '.'" .,;';:t200 amps'9r1ess !:,:-.: ..,.... '. ,II. ;~.:,'; " . '.$50.00 " ..~.f.' ..... ~"'!~~-;-,;::~,'.', -:-:".~.' 210f '~~.' tt'~Q(f""" .t.,~~ \)\\. '.7.~'_;""". -:.t. ~.'=t'$69'bo'~~ ':,...c .,';. ~::.. ~:\7'.~',~", ~~~~~.';:l;;~,t' :~~J?~~_o.~, l",aJl).P~,"'~.?,.....~~ ~'l.:" . \:':' .,,: ".-:' ...... +=;- .~ " ~. . ~'. Signature of Supen'ising Electrician -'~'~OYef'!tOl, t6'6QO',aiitps\.~.~; ...17.~i~\i .lI~,J,,'{':"': '$100:0.0"~ ';':. .' . '.::','1, ; ''''--i''~~, --..:.' ,.-,~.......-;; ....~., "'-~'4' . 1"(;t:l'1;~~~'~'1,.I,,r;~":~, . . ""'1 I " : ..~t\'l;.l",~ Over 60Q"amps.or".lOOO,volts"see!'''' "~;;'., .,~\~{, ...tJo'.-~"1:;.~.r . ~j~ ::.' )(1 ,\:,~ "-.-i~ ~:~.~":t~.~~~ "B" above t:).~'f"':'~\\)o.lt.:..~~...{tt:".....,.l~Jt';'"'fVtt.f~'J'~':'" ~ .. , .;>>-,... ,~).\ , ..1v ^ V '10 '.... '... .".,.1, ',,~'f... . ;:;::. t','~ .\..... l-"'<\.~. /', 'i;)..... 0'. ~"\"i'l''''~/'''~~I.o;,)"''l:-t ': .' .".".' .,.. "'" . ../ t,'I,00l'0CS 0# S:>'l ."..". '" ". , ." :..' ... ~VM"..". "~~"..j" "~~:..o\ ~ ,1'), '01 \ ',. .'.'. .:.... . . :':.'~,' '.,..>:'~7:;:.:.",e'\, '"~ ...:1:..1: ,:'-, D. Branch~~~~.~\6~f> Q)~~0'" .", ..'. :-'," . . " ""Owners Na'me' ~ ,;,,~,; -, . ,.... N'lil!' ~~' '!ro!S~r anel' , '~:'. " .".",'"';;,.i-.>~:" .,..;,.:;",~>;...... . .,~ '.H.......~ ~. .0\~~ ,..lC\ 0., a~"" .' f'" .",'...... . . :~. .'" 't~. . '. . .... ".~'..,:.- .' " " ~ _ ,~' I~ ~~' ~,,'b' c.1O~ ft.'\)'\". ,.. ,. ~ '~~: 't .. tJ.;O . . .~~. .' .~, , ,':c'.;",.: ~:, .~, _' ~ -..." , \\,1 ).,Oy, ..Po.., .'\.~ 'K\: ~ ~$"'O . tlc' . ''''.'Add.ress'~. ',". .-s..... "~,, 'j>'U')1 ~,Q:.iJlJ_,o~ ''''.~ ..' ?~~-, ....,... .;.,-o.~,.' ~"':'~iJ'1f[~:""r.,r..,.~..., ,...~0"'r.fl; .'!.r\"\ ~(P')'0~;~'~.~'" ".".. .. . ',;' ."":..,,{\.......,~"'.I,.,;f":l;:.'':;11 " . >tl~ ~V:J."'iI"' ,,~O,.:A>,sO'i'-lN"'. ...".............". ' " Cit~. .~r./~a:::'.J....;..,~..?ii~~,~.~ v>l.., \ oj'l.o._~o (l:'#IIc : .\~&-\nJ.~.'orwith S~:,:~ce:-. ,~';:""'.:'-: ,.,'. '" ;...~ . . .'~'-", *:'-:.:!)' '~:'~:~'u~~. .~'.'~ .. ~\v:.~<?Jt;j C)!\I ~~~., ' "~'~1~.$3~OO..'" . ",. ;::::..O~~i.ji.~~~t~~~~t~*.ti~;~ti~~?J ,: ~ O~ -4.0~(~~{~~(.'~ <t.:~ .~~ ~ '{}*':;.e;) .~,\!:~ :. .~.: ..". T~e i~s.~all~q~~o~ ~~~.l>e.~~~;!H,a~~ ~~~I&r I~ \'()~()~~~~~~er:':~cr~~~~ilir not includ~~),,~ .::1I~~~'.. , "'_:' "'.':;. ~.propertyJ?,w~ :.~lrc~ls;n9.t 1.n!~~~ ';' / c7> ~~~~~.ID~,tjlllal1?r;i. .t". \,*;C:':/::~;., ~':.J :fqr sal~~~,le~s~. or ~~~F..:.~~.'~.'~:r~ ,;";..:';'\ '::J) ~\j c f.~~~~~o.~.:i:.~g~~~~,on.,.i_~~,? f~ ~ ---2:,$.~O~OQ:~' . . - '~". '1' ~\::t: ::.<~: '~~:''t'~'..'~' ~J~:.'t::.":/::;:.~~{t4v ~'. ~~g~Out1me.Llgl~tIJ1g:. ' . _ $SO,O'p';~ :.':- Owncrs:Signaiure-oc,<,;f;.."" ~:;,#'~A\.';-'fi}. r I:.iri'iiied,EnergylRes'.. "~"~: $25.00. _".J ,'I,. . ......;t~ l'\.!:-l';""-<o ,:"..: \ ,,,,\ 'f,::...~ ~~')'-:r:{:'''~ ~-;;.. ... ". ;:'". .' iE ,"". - . '/.C..... ''It $ . '. ,Jo...f .~17t"',..:]\~:", (i:~~_...)'.. .-;.::t.:::! ,,:,\'C;.t!~~.f ...~. . '~lp"!lted nergy '!II1Il! . 45.00...~ . 4.. ., :..;. ....:..::. ~;i,?1'''.~' :}: i. ,;"1~\:";;\~\:~l,~. ~'~~< ~1~ ~.~~.;~~\~:r .'. ':"~'_ t , . . Minimu;;,-:Eleci;.itp~.imi(I~speclion Fee is 545.00 + Surcha,'ges 4. su~~b"iK~~~'~BO~' y~ ~. 7% Siat~:S~rcharge ~ i ~ 8% Adminisirat'ive Fee. ~ \qb $106.00 $ 19.00 .. .. . , '. . :~<.' . .' .."';, , .. TOTAL s\\S