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Permit Electrical 2002-9-24
225 FIFTHSTJ:lli;ET "..\. ." SPRlNGFIE~]), OREGON 97177:\'Cv; INSPECTION REQUEST: 726~;3l69", o FFI C::,:2 6-3 7 59\,;,:,:i"~;!i r~,t':i; 1. LOCA..TI9.~,.. QlnNST~.LA.l'...I.....oN \ \5~ ':.)~l"" (" .... ~ PERMIT APPLICATION /~*.t!::.').,>(\"'-"", i:&;:<'ii' ~~ol' . ). ,.{.,,;-., LEGAL DESCRIPTION 170335:/1 or Multi-Family per dwelling unit. Service Included: OI?OO Items Cost Sm:n JOB DESCRIPTION 1000 ~.fJ. or less S tt.L01( t (, WI} it. , \uetl has t@a~Og~3rtional 500 - r \IOwing proiec~ as Sqll~~e specifiC ~u or portion .' ThE \n. not re Pernl1ts are non-transferabI7, m~~e:t>Fa:loes thereof if work is notstarted withinaW~s. L I (L . C 1 anuI'd Home or of issuance orif work is suspended fQ!On\ng _cx1-0"2- welling 180 days".... " DatE' q ~~ S~eder '" R: nature ~ 2. CONTRACTOR TNST A T hA'ltJ~ \~ 'U B. Services or Feeders Installation, Alter~ Relocation: $106,00 $ 19.00 $ 50,00 Burrell Bros. Electric 40159 Booth Kelly Road Springfield, Oregon 97478 ;lO .zn~ ~ ;,' ')~;~r~<JL'.' ': MinimuIll,.#I~ct:;'i~PermiiJnspection Fee is $45.00 + Surcharges ;."".':'\t ~ .; ,-, ,,>,,,, TOTAL 5()""" ))-0 tfoo .- ;0 ':> 7 -- </".- ~:~:>i"', _',' J't::',',; 4. SUBTOJALOF,ABOVE 7% State:Surcharge ," 8% Administrative Fer'