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HomeMy WebLinkAboutPermit Electrical 2002-9-24 " , ' - <?Q- EIWnuCAL PEMlIT APPLICATION City Joh Nunillcr dZ -00 'Z..?b ~O /', 225 FIFTH STREET SPRINGFIELD, OREGON 97477', ',,' INSPECTION REQUEST: 726-3769 OFFICE: 726-3759' , '" " > ", ~. ,,:.., ,> ,_. . , ~.' ~-. ~., L L<:if:ATION O~ INSTALLATIpN ( 7b'-( nlQ Or~c 3, ,COMPLETE FEE SCHEDULE BELOW OJ A, New Residential-Single or Multi-Family' per dwelling unit. Service Included: LEGAL DESCRll'TION 1703Z3,V]. D5'SOD Items Cost Sun) ~$10600 lOb .'-.' " ~ s lR.916\li!i11llngJr less J-fo,^~,~ proiec! as su~mlllepdec~i~ lI!1ftilional 500 llrQ ..... not require 5 . zoning. and does sq, fl or portIOn Permits are non-transferable aW""fJire rTJ (L-- the"'Bf if work is not started within 180 days zoning - ~-o ~ Each ~ . Home or of issuance or if work is suspended for C, - ;<VJ 10duIar Dwelling Oale - > 180 d:.I)'s. . tura 5.... me or .feeder Authorized SIgna - 2, CONTRACTOR INSTALLATION ONLY B, Se,'vices or Feeders r. 7\ [f , \ t:~ ' , Installation, Alterati?ns or Electrical' Contractor L:.:..\! e(v I n; .Qdr iC.L; ..Jit(l'<.e, Relocatiun: ' ' AddrcssP.MB'/J2 '(,,5W-l D.vi~ior\)/q'J~1\ve. 200ampsorless ',' , ,-,--S63.00_ , , , < ,,'/,''-: 201 amps to 400 amps: 'R>~~$75,OO_ Cit)' ElX{ff'9... ' Phone bO'l-b908, ,._<,: 401 amps to 600 anipr' 'X-~~\S~~'SI25,O,O ~ <" . ' 601 amps to 1000~1I1,\\"~ ~\~ _SI63,OO~ SupmisorLicenscNun?b~r 4b~6~.C), ", " Overloooa~ll!t-~~~~ ~\:)~_S375,OO~' ," '{ ,( (, " '/1 ' - .< ,",' , " Reconl1ec~~~~~<? ~~~, --;- $ 50,00......:- E~plratlOnDate,' 0.01 ;2:.0~~:, ,',,' 'q;.~.' ~~~(,.~,. l>.~"S^'" , ,.., ': ' , , , 1,/,')'(--) J" , ';" <\'\.~IIIB..'l,~'\,~rW~~:Fe~<lerS ",' '" , . Constr Contr, Number /3 b J I. ,',',', ~~),\tS~r'u.~....~i~~;. Relocation . bpirauon Date~/il/ 0' f:': "':' -,": '. '\~~,~r.~~~~\~s' ", ' ~ ~~O,OO '".. , .. -, ~ . ,<:,CS ~!\~'\!mps to 400 amps $69,00 , ,; Signature of Supenising Electrician ' . ",~Over 401 to 600 ainps S100.'00 0\'or600 amps orJOOO volts see, .",~:' " ,'~,~..-f1r "B" above ~,,,, _ ~ ,0' ,.,1 ". ,- _ :' . iAi I." " /". ,,' /' D., Branch Circuits _r\0-\,.....r, ;" \;\ \\'.~- ~\-, , ,Owners Name IVII (Ce' . ~~ l. ~~ Hl. New Alte!at~~!l~?r.Ext~n.simi}~-if'Pa~.sI~.. . ", ; ,', .",r-..V _,~\'-I .1).,) . N ' " Address 3b Z: 'HW y', ') '7 II On~C-it~~';l(I'()" "; ;,r~O:'~:~ ':,\'f.J J S4300 ~ I ., ,..J j\~\'.)'- ,,\\\oS \'>t.....\ ,\"'\~ V\t)\\' 'e:"r'_//r .1'/7 / 00 ;;" ..c,'r ,-', ,..::C ',,0' ,,() ..o~ City ~V\.JI';l'C7V~' Phone Tb ~ - 0 ~~:\ \ ~ ~E()~h:t\d~i_t,~~nu.I'C~(~~li~9,\\~ itlv ~~~ice '\O\,~, .29r)Fe~ge:r..PerI!.llt0 \o(:o"~:""\~O,"--- $ 3.00 _ :;,,\,c, (''j?~ ,\ 0'<) ~~' (;,1,,1, :,~ ,:,'" ~I;:) ;-..<:.\.. (\\'0:). :K\.9' ~" ,.,.....-. E..,I\lis'cc[!a'neous:(Si:r~'icC/fccdel' not included) ''\"_ C' _ "'u _ \1" r"\)-' \)\f.l '~~.a~.li~!g~~1IraU0I1";"" Crpump~or irrigation ",\"" r".I' <,Sign/Outline Lighting Limited EnergyfRes Limited Energy/ComlI1 .!L $19,00 76 JOB DESCRll'TION 1A!112..e;- S 50,00 ,'c. ;,... ..'" ,',..,' .... OWNER INSTALLATION The installation is being made on property I O\\'ll which is not intended for sale, lease or reni, Owners Signature: S50,OO $50,00 525,00 S45,OO l:90:Cl3IHSlj:J : 39NljH:J Or'60G $ G:a:J3C1 lWlj <::OOG ~<:: d3S:31lj(j , 80L0100-10:#SN\:lCll I\IinimuIl1 Electric Permit Inspection Fcc is S..t5.HO + Surcharges TOTAL In J Z 7'1 -.lll 5b ,$u>,'1~ 4, SUBTOTAL OF ABOVE , 70/0 State SUI'charge 8% Administrati"c Fce