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Permit Electrical 2002-9-11
2, CON~CTOR INSTALLATION ONLY B. Sel"l'iccs or Feeders '. ,',. , ,.... Installation, Allerationsor .. '~: " Electrical' C;ontractor':':C:hri ..~pn<m'LElectric, Inc. Relocation: . :,,;';';'- i... ;':': ":,' " '.~ . ' :: ,; ~. ( ",~' .~. ,}~ ....(.~~ . '..-:';.' .,'.:. !" ..:,.,."'.. .' .\,; Address-1291\'Rp~J,pl TJrivp /: :c:~>" 200ampsorless;' ;.'...-.....:.>,~.$63.00---'-,.! " .'; /.'". ,:' ':,,'< ~~. 201 amps to 400 amps' ". '" "'4 ",$ ?5:00.~l City ~~". ~ . "Phone ('.ide)" ~RR'-'6'r2r ,.~, 401 amps to.60Q amps. '," -'. ," $125.00 ,.1 '. ,,' . :,' _:'::,', "::.691 ampsto!QOQamps' '.' . $163.00.--.::..: SupervisorLicerise'Number 2'7195." -- .,' ,..,Over 1000 amps/volts" $375.00 "'" ',' .:.,"1 : . :" ...1 ,:~'\t , <::..:..,,:.:-. ~ " ':~.. " ,", ",'-.,:Reco~ne~rOnly; ", '"'-.' ('.... $' 50.00'~" :.~.,:;}..,~ Expiration pat_e,.lO/Ol/01'...,'-",~, ,,_-<:.~~~';.<:\~""'!~'" t..; __.",,,.-)~:,I_;" ~,~.:.., '. \~". -, t,' . . . . ~"i '~<,'. ~ f' (..: :1' > ,,"~;~ '~" ~il"'~>" ~.~ r -; ",,:,' ,',? '0 - .. ..,': _ '"', :<:. .'T~rilpOrary'~)~~~~sor Feeders ~ "'. ;l-\:, l ,.;)., \ "'Constr CODtr:N.~.~ber.,i6~34t" "": ',- ..' ':Install~tiijn,AJteration or Relocation'" ';, ',. 'I ;/:~\,7", .. -o;.'~-::;';'~..::J_l~~l ,.: :'.....(-';.,~.'..;~.~":~.>>::~1.'-',~... ,;"";\:"~'",,.' .' . .. ..' ,,' '" :.:~,.,,:f,~~ ,:(1.,<t,..>,pxpuallonDate 10/01 f()?~'"'' ",>,<""-"'-:'" ,"", ;:,-20Qampsor:le~s^',"'::\, ',' "'$50.00, '.', . . , ' . ' .. _".... ""'. ,. ." .", ~.~ , . ~., . .., .. I .,,', ::",'.c:;-r- . -"~,-,,:!:::.:::..,,:,' '~ " 201 amps to 400amp'( :,,'-:' - $6~:00 = '.;:':Ii;':~;;;,S!l1,!,i!ur,c'!'r~upervising Electrician """"-~~-'.:.: 0Ve!-40i,to 60'0 ~mps,.:".:", ", " ----.;,...: $100.00 ' . . ,) '" .':,.::'" 0>': :".; ",..''''. Over 600 amps or 1000 volts see. ' ,'..: :.~..:,.":".3, ".I..;:-:":~".' ...~.t ~\. ,~. .:'~'C::.;':""" "B" b t -..~--.'.. .,~.,. ''''1...'. . ~" .;"'..... .. .. " "'''J'''''''''''~ ......-'1 ,'.. ' .....,'.. _: '':' --J a Q\e _.~, " ~,' ." ~:~:~~~.~:;.:;'::~:";:~,>~::, :'-~:~~".~,:"'~':'2:"'''._~~' . .' .1!~~~. -~',_,.:" ,r, "':'. :.3:~":' . .\ . ,F:"." --:i?~ ~'",. .~:~~~Mr}.~:l1ps D. Branch Circuits .' " q::'.:t;},:'....~:~~ers,~.~~~.~~ , New~it~atiOnOrE,~tensionperJ'a~~r;_... ,,', ::~! :.: '; .'A!ld':eSS(.D~F.:hb;~3 " :_~-,:.~:;...~~2'~~Ett~~~~~I~:~:V~~ .~ I ,,; '.. ' ..f.,,'( ; Thecinstallalion is'being made on. . . ",. '-properiy I-o\vn which is'Dot intended, "~'. " for' sale, lease or rent , " .' - ~ .' "' ,..'t " -..;" ';' ~.. . ."~': " ";"," :;,.;; ,:~~. -e, ......,"'..;: ,: ",. ,.:; ;~:;l~:: 'f':o<!' . ~, ,~o ~0 . .' 225 FIFTH STREET <$'0l>." , 'SPRlNGFIELD, OREGON 97477 _ .I;,,,,,>~~v ,'Ii INSPECTION REQUEST: 726~'{<.~~ev' , ,OFFICE: 726-3759 ,'~,,'O.~~0,' _M .. ~~ . ~. ~"'. LA. EL~CAL PERNllT APPLICATION OtyJoh ~~mhcr~()lDgl.o\ , , " , COMPLETE FEE SCHEDulE BELOW , . L~~N. ~o '>"':N.~~"'<!'/ / / L~~d~~~'0 , / "'" o 00 ,.~:~~ \etQ Permits are lion-transferable and expire if work is not started within 180 days of issuance pr'if work is suspended for 180 days, " ,'" .~~. ~ New Rcsidcntial'Single or Multi-Family per dwelling unit. Sen'ice Included: Items Cost Sum' ',' ---.1$106.00 ~.ro 1000 sq,ft. or less Each additional 500 sq, ft or portion thereof Each Manui'd Home or Modular Dwelli ng Service or Feeder As 1900 ',~~Ii S 50,00 -}. .....~. One Circuit"" , $43.00 " " <' 'C: -. Each Additional Circuit or with Service " . , or Feeder Permit $ 3.00 l' -' . ~ .' -;- . . .:' 1-'Owners'Sionature: ',. "" .!.. -~ .' E. Miscellaneous (Service/feeder not included) -Each installation Pump 'or irrigation Sign/Outline Lighting Limited Energy/Res Liinited Energy/Comm $50.00,----, ' $50.00 ,,' $25.00 $45.00' .", ~' .;'l.,,, lVlinimum Electric Permit Inspection Fcc is S45.0n + Su..chm~ges 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 8% Administrative Fee M~ ~(~ no~ub TOTAL