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HomeMy WebLinkAboutPermit Electrical 2002-1-6 .~\00 '" .,,\\c, ~ . ~'Oc.;s~~~'i. fj0C eP, I\~ 225 FIFTH STREET ~,o\ ,,0'..... ''- SPRINGFIELD, OREG\tt.'\O'9~~~e, :::'~. - ~'" INSPECTION REQ~,;~-t~6-37.~~ '. OFFI!=E: 726~3759,1c:~~'0" "::-'o;~:;,, :~~I~ I'V' L\4~-2,'~~I~~ J@.B DESCRIPT~ _. -{1 (j.,"3<\O_ . '>-'A~O "1J':UllilI \i(Q.f)"\-l~ Permits are non-transferable and expire if work is not staned within 180 days of issuance or if work is suspended for 180 days. ELeuCAL PERl\lIT APPLICATION, --: . """, ",'. - .,' ' 'Cit~'JOh l'ju;i;~~~1ty)~ . -:" f~ r:.,~' :,~,;. ," :.- ",,'::'::-";.:..-.~~' ::-.-_'-~; ,,-, 3, .COMPLETE FEE SCHEDULE BELOW',-'. " " .,.. .' .:,:-: . .-- ': ;.~ .>:<.-., .. .. .'.'. " ,- New Residential-Single or' ... " Multi-Family per dwelling unit. SeoTiee Included: 'C., Items Cost SUI)) 1000 sq,fl. or less Each additional 500 sq. ft or portiou thereof Each Manufd Home or Modular Dwelling Service or Feeder l $10600 Jl1o~ "'~ 3- $ 19.00 ff]. ;., $ 50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders r. 1\.",0 I C'~ '. Installa~ion,Altcr~.tio~s.o.E.~:' Electrical'Contractort:..\lervIA"j . "'<.Trieu\ ,.R(ll<-e RelocatIOn:;. . ,- ,..: Address.P.M.E 1J2: (... 5W-l D.V;5.,t~JJV'!.I\'ve. 200 amps or less' >..: -----.:$'6'3~(j0 ~ . '.- '.':','i!~,:',":j", 201 amps to 400 amps ,'- .. . '.' '-'" .-$ 75.0'0- '-: d Cit)' (;VC/r&., '.' c:'l'hone ~0'1"b,29~J:;~;':;,~'~, .... 401 am,R~~&OOa~ip~~~U0;:::),; ,'$125.Q.O ., <: , . "C .'C' .",,. :.'>._'.- . ~n)SJ:I.\\ilqOOBI)lPS"<'ji':':'-' $]63.00 ,...,- Supervisor License N~i!l.bF 4.6.0"1>. c)'::-'~:;~."6~~'Nle~t~o\)M~"~~.',.9Iis.' :t,<'(-' . '. $37.5,00,; .'. '-. ' ' ' 'it; 1;";", . ,," ''- . ON"O~~ '6 ~'1 \'l\e;~'cc2!11!E !\)Xyk'<, ' .,.,': -----'- $ ,50,00 '.. Expiration Date~. O.()lf:2:.q~.' i\;~.:;i$d6'?\~.~' "$et\)e;;I\~9~ . 'S'~.:"~':,!::}'i,:?,~::,.',,':i.,.;,j:{~' . ...- -I ,_. J ~I)\" . ....~Bl'... 'ithur'" ..,,9: . .. - ,- - .... ",' ...e.'," . . ";", ;..., ," -> "!"'f' 7i 1'';:1M>~. ...7 :~~,... .' i~Ti!lrt'ilOnlp~e,"'eeS..l'rreede,.o,,;;,~,' .ic'.,., . .' }',',:; .".... ... Const;'Contr, Nu~'bet i';; b' I}"~;~F~\\O!\~({{LOOY ,',i~illlition,\Aii'cfltVion~or'ROlO~,;ti;ii ~:'~;-~"'-;;^;';;~~"\:;\L'i';;) "'d/' '("~/~~i4V.90f~~{o~~Il-\~~\O\~:~'l\e:~ci~'\ca\\?~ ~~1";::" "';':k~~ ~n<':~'<:1~'~;, ~ .... - '\ , . ". Expiration Date !\L I.J."'Y;_~ 'lO",""~~~~el"\."'n\..'],'06'~~1'.r 1055'7,;::. ,}~/::~$56,bo 'W~ , .'. , , , . \)~~ a.\\il'9\(\e\~eQ~~~OQ(~.'ihnps to400a.'l1p~, ';. .~; .~ $~9.o.0 ~ .. . :-.; Slgna~llre ot SUjlemsmg Eleclne8n~'oe~\O~ e~\S ~;~Q,c..Over 401 (0 600 ~!l.'pS, ":<,;,.' ,:~ ~lO.~.?.o:",..~ " .'. "_ ". ('II) ce('l\ Over 600 ampsor,lOOOvoltssee.'. - , ;..-:,::.j,." .:..' -,f, '.' Lh./,." I .~ ;'RJ-A. -m-I "B" above '. , : . .- .:' ."'" ;. ., ,., ".' ~~ ,,:LfMt~L "," \ . .. riL:~ _ ~,," D. Branch Circuits ,':.',':. o\Vn~l'SName~f)) NcWAI~~f~tionorE'tensionPerP~~e'l ' ." .-....j .", '. Addre:s {) () lhX:~'\.' One Circuit $4300 CitL~l\~ij_]hOne' ~\ '3 .12'2JS EaM~iZPVlIe~it or witl: SeIY;Ce - n:nC~'. ~\.,\., fy,.m ~I~ ~O $ 3.00 OWNER INSTALLATION tlu 1l'C.\\W\\1 S\-\ m 1\-\\S Il rOll. - The installation is beirg made on ,,\\-\\S \-\O\\\l'C.O \l@ \~t/~l)<R\>\~*Bcl'\'iee/feede]' not included) property] own which is not intended\\li W\'C.~C'C.O 0\\ \ 0 -Each il.lstnllation for sale. . lease or rent . COW\ (\ O~'i 1l'C.\\\0 "Pnmp or irrigation _ $50.00 , ~~'i '\ &\J Slgn/OullIne LIghting $50.00 OWllers Sl~naturc: Limited EnergylRes 525.00 Limited Energy/Comm $-15.00 J." , ....; , .' I\linimum Electric Permit InsJlection Fcc is S-I5.00 + Surcharges ~ _A \. ab . AA(\ 4\ 4. SUBTOTAL OF ABOVE 70/0 State Surcharge 10.% Administrative Fee. TOTAL.