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HomeMy WebLinkAboutPermit Electrical 2002-10-14 (2) \ " ~~ , ,+; !', " , l "-. ,- 225,FIFTH;3TREET :', -' \ ,':': i i!': "'\ ELE.~ALPERMlTAPPLlCATiQN" \', . SPRlNGFTELD, OREGON 97477: . :, INS~ECTIONREQufST: 726=37,6f'i-I:! ":-: ~ i : ;Ci\YJOh~Umhel' c::.L..~:u>oz.-OO\\D <?J.F\CE: 7?9-37,?9: . :; . '. ii' i I I "I' .! " ,(' ',' ' . ! \ J'" ': I . '3. .COMPl.:ETE FEE SCHEDULE BELOW ) . " t'. I ' ' i.:1. 1 r.o~'T,~9~..QFmST&"'~TIONI1'_~; ,:.': ,:. ' , y t50 ~(LLtN fSLI/~ b-utb- New ReSldeutoal-Smgle or' ,.'. . cJ Multi.Family per dwelliug uuit. LEGAL DESCRIPTION Sel'viee Included: l70334'-iZ- OOL(O 0 Items Cost Sum ~.: fYt,~R[PTIOry I.' '. 1000 sq.ft. or less 0. J e.. / e (1 1Jj,j r!.. ::5? ((() I (!e . Each additional 500 , The following projec! 8S submitted tll\sl!h~~JlI5\'<<lOO Permits arc non-transferable and"'~pireand does not req,uire ~~"fI~~~ilI' us~e oniaWreqUlre~t($ 19.00 _ rfwork is not started within18~~vai Lu \ Al1li\~"T~fltt rWtl'8bo/theOregon Utility of Issmmce or if work is suspended for Zonmg_ :J,IM0dl1i~ m,~h rules are set forth 180 days. , 'J, Date ~O-IV-d~U1Ji)~ ohse hOAR952-QC)'jiO.00- :. ' , 952-o01-0010t roug b ,. za<LSio I , ' I the rules 'J 2. CONTRACTOR INST ALLAI!'l\lJjI.j'UNlXnatu,e H, l!!u\!l{}pVal:l~l'ltllam 9op'es 0 , I' cdlM1gItlu:tIJl)~""~ardUolhetele,~hO~\, Electrical Contractor I ~ nu~tJl!~~tiplt1e Oregon Utility Nottflcatlo - / Center is ;1-800,:P2-2344)/'l Address; , ~ / '. 200 amps or less '_ $ 63.00 . " 1\./ / 20 I amps to 400 amps $ 75.00 City' ! PhO~fr' \/,/ . 401 amps to.600 amps $125.00 " . I \ v / 'GQl amps \01000 "'[IPS $163.00 Supervisor Lieen~lc Numb~ / Ove'-.1000 amps/vallS $375.00 7"\V,:' Reconnci:tOnly ~$ 50.00 ~ Expir;llion Date ( J $106.00 \" C, TcmporaQ' ,Services or Fccllcn: Installation, Alteration or Relocation ~-, ~~ --_.~ 200 amps' or.les,s ' ~ $50,00 ,~ 201 amps to 400 amps $69.00 ""'NOTrofr.40l to 600 an1j?s e itJH~OO.OO = ISI,<r~M\q-~It\~b.l1blWm]ts':lee OT 111 Ht)~~t) UNDER 1HlS-PERMIT IS N AU~ OR IS ABANDONED fOR D, fiQJ~~~G:~llt~~sPI=RI()O ' AN'NaiQ,J~J\.~tibtrb'r,Ext'ension Per Panel Signahirc of.SuJlcrvising Electrician ". '---. -----~. ,...... .- OWllersName~\() '^"~--S L,' C9/ATAfZie. . Address i t.f7~- . 5. ~co\\\~lI\ve Cit)'~' ()l( ,PEo~e2lt,of.-,~7 OWNER INSTALLATION The installation is'being made on property I 0\\'11 which is not intended for sale, lease or rent. . :, . On'c' Circuit $43.00 " " Each Additional Circuit or with Service . or Feeder Permit, ' $ 3,00 E. i\'1isccllancous (Scl""icc/fccdcr not included) -Each installation . Pump 'or.irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Col11111 $50.00 $50,00 $25,00 $45,00 g';;:;"a;~ i\linimum Electric Permit Inspccrill.11 Fcc is S45.00 + S~lrchargcs sO ~ro lfOO 57~ 4. SUBTOTAL OF ABOVE 70/0 State Surcharge SOft, Administrative,Fce TOTAL