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Permit Electrical 2002-6-11
2. CONTRACTOR INSTALLATION ONLY B, Sen'ices or Feeders , . \.c~' Installation, Alterations or Electrical Contractor [\Jerll'i'.\.w [J.Q.dr iw ,Jitrpce Relocation: "'~:: " ':'., > ) I ~!:;j" , , ." Address PoMB' IJ2" .(., 5W- 1 1).V;5J?~ fJV€.nl"e. 200 an~*1t\~ ~!:;j'\:' _. . >6'~.00 ~ , !:,' -;':--'. ".. 2,Q,~,i'iJd~S ~ . ,';. ShOO Cit)' Evcyif\9.. - '. Phone bO'V b96g:, ~':', .' '\;.~I,llj ~amps.; , $125.00 ' . ' . ,', :;"c;" "':--:'C::,~~\;~~1J.q~ 'ToooaIW'.~,., _.,---$16~.00~' SupervIsor License,NUI!,'ber 4 ~()"b ,~~~. ~'\_ ,~~!:;j~ ~'i\-Ooo amps!v911.S : '.'.' , ~$375.00.~' . .,' "", I "f "'Z...l\\\l ''9.~~a.~~!:;j'9.i' ~~~e~IO~I)'.,,:.;:: ':". ,.-,---;:-;,$.lO'O?~, ExplratlOnDate /0 01 ,1D()<:.p.{~(\\~~~~<i). o~~-" ";,' - ,.' '.. '.,,_,' - . :'. _ J....: ,:". '. .' -:' _ .-".': I '-',~'''I'':--;'~~\ ~~~~enlliora'n Services or Feeders .' ',_ :',>c.: ", - :. ~Const; Contr. Number /56 j '/-:. . : r:~~ .\'O~' Ansta~I:~t,io~tb--i~~::1l~~ ~r:Relo~ation. ,:,:~.i I:} :"< ' ~. ',: - "j "/' " ..,' .....~"{ .... " < ',". .~y')., c" ,',.' .. ,'",:"".', <. .. , ;!:!f)' '".,., ,..' .;.. 0 {-2 or~~"-<'-':.~ ". ..... ~\-I" ..~'O'I'::' 1:..Jr-.....l'.;' ''''''~-:'~''-''.'''' . (...,&...' ,,'; ;",':,\.'ExpiratlOnDme (\ - cF:'. ~-"<>.':."._.~\iQO&~~~Qr'I.~~S':.'<5'I" : ' "0 .:':' .'$59:00~, " ".... ' ,': ,; .;, . ." ,,'. ;d,.-201'amp' s to~400ramp's " . ' ., <', $69.00 . ,.~~'.;,.., , ....- . ';"",1\" ~-....~ <'....'I.~ ....,..,....v. "----;---:-'.: . .. ',: ':-",;,. Signature of Supen'ising Electrician ..,,~. -:>;:0ver-40J>to 600 amps.~ .' . ';'. "',,:$]00.00 " -,/.' ,,' , '.t.O~ '''''''''-'''1~''~6,t ...~.v ,', ',-,_..~~,..,...;-"..,'.'~.~ , ' ..~..\ UJ,' ~~ " -'. ( :- ,-.. r.~ ....:g>\'H;6~O..:..a~p.$j~f,~~qQO volt:5 see ~:' {':- '/:.; ",:~, ',,~ : "'. ~~... , ,.::,..: ~~ O...~~o<;$,v"~~B.:i)ab6~0":.,6~" . .' ;'L':',"'-." , "." ~,. -rrr- -'1"~' C" c'-l',~' '-ii:\' ' ""': ..(..'... ,-',. ",,;,,:. . (' _, II <-. r;'Ii- ,,~'" ",,\ ",0 ,g:.' ,'~ ,,~ .. ';..; 'c. '" .". I "'... ,e; ...,. ~'V .~ -0 ,"'" ("~J ' ," - ,'. " .- ' . '-C\t ,'",\ .L.1^,^"""k,~"" 0~,!\BI;~nch~irc~lit;\n:" '. ' . . '."OwJlcrsNam~ "\~"J~~O~$~.)(>.""\O &t:i~\\~MierationorExtenslOnPerPaneI. . '. .' '. 'v ,.."~ ':)J ~" -",' O'\:' '"C" . - . , - . : Address~ ~n~~...l',~~~'~8rie"6~cUit . '$43.00 , , --:1.1.. 1-....... . ,> '7:..1 <&~," ",,0 t!F -----:-- > - . (\. U......J. ~'la~' '" (;'Z Cit~\ '''$1 N.t").O OQ. Phone ~E>'2..?~^\>"'9 Each AddItional Circuit or "ith Service . or Feeder Permit $ 3:00 190: 1J3IHS\KI : 39NClH8 L~'L8vS $ 'G:0831J lW~ G002 W lnr: :31\:!G 1v86000-10:#SN~1Jl ,:' :~ <;.', ~. .~ <.). '" 1fl\(\\j \0\\0 . \'{\0 use ""s ,,,,,0 ..225 FIFTH STREET ' , . 41:~ec\\'C '. SPRlNGFIELD, OREGON 97477', -:. ,"ec\"~~' INSPECTION REQUEST: 726-3J~Q~~s_"0\ ',' .' - C OFF]CE: 726-3759 .' :~"e\~\O ""o~, r' ,'-'_ ". . .' ..' \(\Q' '\ r " ~ .:' :'. ~1-0fl~o\J9.\: ~\(\~.. ~ L ~f\tYf,J.N' <\E.ll'lS^Mll~A Tl. 0':; '. ;--Sa--\'t! . H\ \I {\('i\ . ,,~ \0'''''- S'~," 0" .~eo LEr^Q~~ D~ld::o ~ ~~W'fA . Q ~ \10~ ~ WO,~,,, k. . f'l\ I l <bD-\ ~Each additional 500 sq, fi or portIOn Permits are non-transferable and exp thereof if work is not started within ]SO da)'s Each Manufd Home or of issuance or if work is suspended for Modular Dwelling ISO da)'s. Service or Feeder $ 50.00 . {};4/' LaCAL PElUvITT APP~]~~TION 08. '. (' . tier".: ,OO(:O"{b;() '; '::-:- ". 0'-,-",- -.. ',<1.0,' ~ , ': ';' >" :'." A: . New RcsidentiaJ-Sjngi~ or Multi-Family per dwelling unit. Service ]ncluded: ".\,' i. "; Su~' Items Cost --1. $10600 ICXo tD c:!L $ 19.00 ..3B.clJ .... ". '. " OWNER INSTALLATION . The installation is beirg made on , ' property] O\\'n which is not intended , for sa Ie. lease or rent: . E. Miscellaneous (Service/feeder nnt included) -Each i(.1st~llation Pump 'or irrigation' SignlOllt1ine Lighting Limited EnergylRes Limited Energy/ComI1l $50.00 $50.00 $25.00 $~5.00 "Owllcr~ Signature: i\linimum Electric Permit InsJlection Fcc'is S4S.00 + Surcharges ~, SUBTOTAL OF ABOVE 70/0 State Surcharge 80/0 Administrative Fcc, J94q) -~~:~ &Q,'=\./D TOTAL.