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HomeMy WebLinkAboutPermit Electrical 2002-8-27 / ~" i, '~"""\, .- . C -"'r' , 225. FIFTH STREET,. "'\'. '1 .,1 .' SPRlNGFIELo', OREGON 97477 I .......J' I i' INSPECTION REQuEsT: 72G-3i69~ ' ! it.. OFFICE: 726-3759," : i. i Ii;;) ; ~^'.'!~-' ::,:__".,( L I ~(: \-:.j ~:""" ri:^~^ J , I 'I ,~" I I' , I; I. LOCATION.OF INSTML,ATION ~ . t.f Q ii'/? l~ ~ llAJJ" 8LJ pJ <tJ/J . " i i EI,.E.CAL PERMlT APPLICA nON :: l:\ !, t';., ',,' ", i 1 : City Joh NumhelO~ 00 q ~~s*,4.'.' ;v.001044~ Ii" .., I. , , IIH I E:A1JlS 27 200.: ~ ,-3.'.co~LkTEFEE'SCHEDULEBELOW 'AMT'.RECD:2 $72.45 '.' Ii .., it, j i . C' CHA~GE. ..............l ~.... New'Residential-Single or ..-.'.,_ .ca...HIER . 001 Multi-Family per dwelling unit. !.. Sen'ice Included: \ ....... r::'" i 1".".- \' " '-..:. LEGAL DESCRIPTION ;"'1n3' 3<--/ C;), o !i/l no Items Cost Sum ,.. " JOB DESCRIPTION . 1000 sq.fl. or less _I,J STn1A.- 3 17~Th'~t.t: Each additional 500 , Z"'"ng ana d~~oSJencot laSre'Subml~.dJlJlllff/l@ifljll\lWlng L .' qUire ..IDeeif;,- , " Permits are non-transferable and ex~ovaL LIIeI'CUt" 'and Use , if work is not 'started within 180 days Zoning c.c.. Each Manufd Home or / :, ,:. of issuance or if work is suspendedB~fe . 9) _0l7,,,?VIU';'~;"' t::::lIillg... .I ' , ,. 180 days. '... . ~~tnrFeeder I.. Ai.JtI,u/lL.tjQ Signature /.. . 2. CONTRACTOR INSTALLATION ONLY B, SUl'i s or eeue., - I 1<,' --:: j"'~, ;~""""t)""''''I'h! J Installation, Alterations or EIectrical'Contiact6f..,/~\\Y\y'eer(?t.':' :~Z1 c..... Relocation: /. ./', "'.\ 11:.\'" IVI"';'~b\l:l-h{3,UregulI v~.'nl,_> ( Fe ",.lO\\OWA'~'Lo.S a!pl~~~ '11:.";""/0 a"'''''''' fort\.6zr~.',_ 200 I J. _' ';$"6' 3'.00\b~,01>, I \ .udless.:...".......", .n('.~...,-,v 7'1 , __.(i'""-,,,;,;, ",~ amps or e~s c Notification V")T'-" nl.~"nb OAK \lO"'~V '';';:;;''.','.",,;. ",- 20 I amps to 4.0.0 amps ~ $ 75.00 Fi _c:rdoVf,\\,rmOWt.ITVU;o. ,LO' ",t,), <7..." , ,tn OA Gity~' ~,l3;1?~t.~~hohe';:rc)", ,:".'.q'PrY.... "', 401 amps to.600 amps $125.00_ . <l090. YOU miiY'J~~~'t'~ote: t\1eIA\ep)'\fllJ"i:;lii:,~,:,~'; ',.. ~ "601 amps to' 1000 amps '$163.00 , ca\ISupeR:isSf\i!it'eilS~WeliR!'!f M,'M.~9n. ,'J; " .,. " . O;;el[ O~o amps/v9Its. $375.00 numberlortbe.~r~_"~~~34~f,'" s,.' ..}~;: Reconne~t.only,..,. . _ $50.?0 Expifatio~~I)a~".~ 7,.~, __ lJl ',' ,"0 .~' ",' l,r:':T:.-~qr:~l9[lg~t;::,L;;L,:::;;;./:,:{,;;::,~(t/tj.~ _ ,_\.:'-:._/:~, ",ik:~fZ:j' ,~"" ('/', ....,.. ../:.~~,:"\ <~":C:t~>":::icC..Ten5iiQ)'~liRMJili<%~9'!1.te[lJ[',aE IFTHE;Wtf~K:': r . '-constr.co~~lI~;~~(..I.fI. '"~'I""; \.~;"";~':\;.f'I~~l'HP~l?Y:~{~H~~tI.~'rk'Y{M'1II~~i?Ol"~" " .' ", .. -,.~~ 'v{,:\:,:~::.i>n.iri;.<."',.",,' ..'?:.E",,~.,,;,".':.,.,.()'.$~'~'.ENG.'E(;j:OR'.IS!~.~B,..'ft..,'N.'bbNE'h.:',\'b.:HR,.i."!ii"'!I;:' . '. .. ')-Explratlon Dale 'l- ()'?' 'e>~-r .. ""c; .cY':: '"r''f'A,''''' ',ffl!Pf,,~~tbi"~J:::". ~<$50.00 _ , '--....<.::::..~;~ I~ 0 'i1~llfflo.rOO'1t\QSl.. '. "$:*69.00 _ :'" ,. .Slgn'.lture of ~lIpen'ising Electrician '''--~0.v~401 to 600 amps '. . ~ $}OO.OO " '.' '.' % ~~" ~ Over600'ampsor..!~00voltssee~' '.: '. ,;I...... (f)..". . ~ ...... ~ uB" abol'e .......--- "',' I -. ~.-,....--- 1\ -._~\~" '" 1"'- '\ \ . :'to~vncrs N~m~~-+i "fJ""~-t.4..1!..(,G D, Bra~~:5Z~;~~:ion or Extension Per';~nel . . ,.,. \ I' ." '-, _.:. ,', . -\. . _ /1/. . \ , Address Lfo6,(a'172anJ(J 1M RIi/cJ.- O?rFlfcUlt. i , , Cit. :Phone '74/ - Cf'/(;)'::1 Each Additional Circuit or with Service ( or Feeder Pe~mit . $ 3.00 OWNER iN . ALLATION The installation is being made on property I o\vn ,vhich is nol intended' for sale,' lease or rent.. . $106.00 '. , , $ 19.00 ." $ 50.00 " , $43.00 O'Yllcrs Signature: E. Miseellaneous (Serviee/feeder not ineluded) : -Each insiallatio~ . ::' Punip 'or' {rrigatio.ri '. Sign/OulIiile Lighting Limited EnergylRes Liiliited Energy/Comn]' $50.00 '$50.00 $25.00 $45.00 I\Hnimum Electric Permit Inspection Fcc is $45.00 + Surcharges (, 3. rP -~~I . D'-I /1 LIe:;-, ! 4. SUBTOTAL OF ABOVE 70/0 Stat~ Surcharge 8% Administrative Fee TOTAL