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Permit Electrical 2002-2-15
/.\:'" i;"3225,F,IFTH:~TREET ~~ "\ r,~'1 ---I '1, I ...,..,.,",\ E9_~ICAcpE~TAPPLIC11!9N ,,' ! "~,. \ ~%PRlNGFIELD OREGON 97.47'7l ,'" 'II f... ,\ lo,.., '. ,,<:,,":', . , <~:;'3";~F~~iil~~_~~lj~1\' :,,/~65~t:r.\ ,~J Iii, liCi1)'~Ob 1eber~~ ~E&~;?t5~2)/ C::) tJ73~1~~~*l~~~~ ~)l:lr!~:n1;-:i::~~~'::~:~'<:_-'-" :~', "; Multi-Family per dwelling unit. 10 Service Included: LEGAL DESCRIPTION J7(J 2 /""j 4,7 /)71 JIJD JOB DESCRIPTION -) 1000 sq,ft, or less <F,~~5 (~~Ilx/~./ Each additional 500 " 7-- sq, ft or portIOn Permits me non-transfe~le and expire thereof if ~vork is n?t'~tarted '~~~jfW'dayS"ofp.cr At:: slIhmi Each Manufd ~ome or ;' . . " of Issuance or If work 19t5/l,,,,,,,{ljl!O'fll~s no, rGQU' ,ftedhas the Mnrlular Dwelhng I. " ! . I'1P'VUl 1ft::. specif ltlIJOw,"& ,,' . " 180 days,' ,I/? Ie land~'1 or Feeder ;,,' _ $ 50.00 ,," , ZOning L , L-:- i .. , . ' 2, CONTRACTOR Ifis1': 0 Y 2.- '_' ,. or Feeders /\ '. ' I~uthorjzec S . 0 -z... Installation, Alterations or \ Electrical'Cont;actor' \ Igna rl;- - ~ Re ocation:;" J ." ~;, ;,.~,\ Address F'\ .~ Y'.\ ~,. 200 amps or lei ~$~~3:6~~ \ /'cc',,- 201 amps 10100 amps,y ,~$,~5,09 _' City , , ne /','" ''-'. 401 amps to,600 amp~>':, ,':$l:25.oo~i supervisbr Licen~e\N mb~r/": ,~, ," ,"~~~lllci;Ji~~~v~;~s '~~;;'~~ {'.. >,.' \J:~rrENT?ION'Or~9ti'i".ql(j" ""~W:>(cl()nly.,.,....'::i', ','$50,00 ' E ' t' ,..\ D' "'1-' -,' :";:'',5/:.,>. ., ,>h:_h;ii'-:'}/'-';>;;!:/'_-!41_':"L:Y~~~~iJH~r~_~~_ -i,,>iP':":"c[: ~d:;/~>~-: ~'.,;;><R:_~i;f;';;,___-_i;_" ; -,' '., ..,+ \, ~. \ L~Plfa 101('la e s;~~;it~;ti~~~i~lJ~~~lfu~~ ~~~i~~~~~iie~.~~;~~~YJ~;;': " :"'(i;,~'~': , ' ': , I Conslr~~ u~ll1iQN;~ g&;2'Q!l.,.1Q(11q!iJ,^""q;"", .. t ;1;~I'ir~t'g~~rR~Iq:a~I~.~.\ ,,~i,~;',: . ,i"): ,: .~\!:~{E~~ir~lion :~O~~~~~;.f!1Dbt~i.t:. f ,'. ,~~~~~~!~i:ari~ps.J"~t;:";~fl~gfc~D i ;:, ,."~~ign:.'t""reof,~upervml.'r~rI89[c\R~, Oregonolllity'NQli1l~qolj9~?0 amps.>! >':,> ,,' ,,, $)00,09 ",.'.. 1':<2''''',:''::'~ .n,i. "~'.:,>'''' enter IS 1-800-332-2344). Over 600alIljls,or 1000 volts seel::",:', \':~;'.:i:>" '> ~ "~:<;~Zi'-'\-::.;'; ,:' ,; r::'~{;;,: '.<"-,:",.",- "B" ,above ---~~:...., .~ _,.'. ',:i:F:i:<: ",'-:<:.3:',;.'_" , fi~ ~t'y ,j,:""",>- " 1\ ---'\,:,~,; 's: " ", \:,;.'.., ,j,..,~"f.f'o,..,.wn,.,,'~rSN:,.,~e,'.,.~,'it2,<,'~e,q, "'l,.,'..~;:",''','''(' k.,,' -, D. Bra~~v72i,~:rdtI,s,'on or/"EXlension pe/Pa~el:;:;I '., , ' , k." ,,,'i-'~ ,..~Cl;'. ;' 1 ",Y0 , . \ 1// \1 i " ;.'>.;?~;"'tddress~.l) r1~~r ;-0 ~ \ OrJP'Cult\ j' J i, ~'$~~,,~? "., ., ':'~it):(DOf:0o,rh'~'.'PtW~rb-D~ 3 D J;/h Addit;~~1(cir~uit or With's~ivice ',' , - '" ", ... or.Feeder Pennit, , ',$ 3,00 1',. . ",OWNERINSTALLAT~d#ISPE8MITSHALLEXPle~'f; , /; I,__~! \ " , The installation is 1iei~g n~lJkT.ooR/ZED UNDER T~Sl~gA,,~~J.V~~i,~e!feede~ not includ~d) . . .. . pr~perty I own winch IS n16.mw~~CED OR I 1llJ!;1dc~S~Jal1?~ . ;... \" I , ",.~o r,salef" lea"s, e orren..,.,t'.. ;:Z' .. .,.,ao ,OA.Y,PEA l~tBANDO~. ~=J~~eg~~~~,1 ing ! ! ; -.l.~~~.~~ ---: Owncr 'nat,ure: .' " 1':'- '. " Ljn~,ite9.EnergylRes'.,: . $2?,OO ,,' ~ ..,' ',' ...' ,...' :~iin~l~dEnergy/C~11lI11 $450?, G1,10 :~3IH8\!8' ~;.. L/ '/ Mini;'niiu E\~ctric Per;"'it In~pcction Fee is $45.00 + Surcharges : 39N\;1H8 .' , ,'! " .' 1 , U'091. $ (;:!183/J lH\1, \ 4. SUBTOTALOFABOVE,;' L:"8 ~ GOO~fiI 83,,:I;31~a " 7% Sta,tc Surcbarge ,: I, - ?,rO BfiOeO.OO::r:o::fl3N(-JlH ' ;, 8% Ad~nistraiiveFce:: Li,w '~ -, '< '.::...;', -. f ' '07.S"b '.:.....,..:--..,: ;,;. , ~ ' . . ". I i. \._,,:.. ,~ ~'~,.:', '.. '. .. t-<" I, \ -., ....t ~~.._. Items Cost Sum , $106,00 $ 19.00 '\,.: ',\ TOTAL