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Permit Electrical 2002-8-21
ut:!\";-.J.:::r-u.J. .........-.ot"" 225 FIFTH STREET . '. SPRINGFIELD. OREGON 97477 . INSPECTION REQUEST: 726.3769 . .OfFICE: 726-3759 . ......u, . . .. ELEclt:ALPERMITAPPLJCAT~ ,:; aty Job Nnm"~r (') 2. -0 C 9 6t -0 J 3: COMPLETE FEE SCHEDULE BELOW J. LOCATlONO.xINST~TIOl'll";;P'lD '.~' ..' . . I J S"3 / f-(z.IM u",- 6 / V'do. A. New JWidcnli.~l-SingIc or Multi-FnmIl)' per d1relling unit. LEGAL DESCRIPTION Service Intluded: J703;541f1l llflllcl9tiiO~ project as submitted has the tollowing zonmg, ana aoe::. lIut reqlJm~ speciflc land use JOB DESCRIPTION approval. jI\ ~ t 1000 sq.ft. or Icss /'/7 !CIA h€~f~ :...;....;..;;.;v...;SOO Date _ I ll..:12 -0 2.. "'I ft n. pn"inn Permits arc non-transfcrable and expire . ." j thereof if work is not staned within f80'l:ft{~o SlgnalUrt. ----4' :.....:. ~...~..UUl u -?lame Or of issuance or if work Is suspended for Modular Dwelling J 80 days. Servia: or Feeder ....... Itcms Cost Sum S106.00 S 19.00 S 50.00 190:H3IH8\:1::J : 39N\:IH::J ~L'1~ $ 6:0::J3~ 1W\:I 6006 61 :In\:l: 31\:10 0960100-10:#8N\:I~1 2. CONTRACTOR INST ALLA nON ONl.. Y B, Services or Feeders . ~\ ^ ~ I ..' IDstaIlation, Allerallons or EJectrlcatContrnctor r l2oo) \I L ~V1LRelocation: ~A-\\QNJ_ Ln c..-- 200mnpsorle:ss.. S63.00 city~Phon.61I!~f~;&1{.. ::;:;;E;;" _~~~r:~ s;;"~~~:;':~~':-':/..f!I//-:J::';";':::':' . ,-9-IOOO~ S375.OO . . .. . '.J " ,'" "R____.__....ij; S SO.oo Exp~n.de.:..2" .fnj~;O:7)/ :'.'/: ..... .' ".: . . : . .: ,..' .,io.~i;:?';u .<.....-< . <;:',y ,:' <:" -' Senlees....Feedc:rs ~'f. ConstrContr.Number /"LI.-;Jf.:?:.-'2,.,.....:" . .:~ti,!".AlI_":' nr~~ i\ . . .' .... ." , .'.' .' ~\'f'\ \~~~ . __ E.<piratiODDil1c..J..2~ /3 -:./;:i5".;.';~> :'. ': ~ "::':zOOanipsii~\. ~~\\ 1:\ SSO.OO - . :,,~. '.'.' ';. ,: ...,~2QI' .'In.. ~~:to\l ~\J, _ $69.110 _ '. :.-..:Signa~ofS,". '-,iaCEla:tridllll ~:\\~~',<. . ~~ --:-,SIOO.oo-:- :."~-:''' . ,- id:J' \\'\1 \l'"-~ 1I01Issec ." -.. . .. -,'<"';../iAA", .....,.A(;;; \'I\\~ ~~ ~ ~\l ." .:~' '; . ,'<i-:'1.ni: ". ",\)\~~~~\l-'I . ~ '. . .:.;;::':~'~~~~: 'n4i:fL".', ~dr~5 ~~:{'~lJ':onor],',..-. PerPaael- : . : :..,.7.:~~~ !:dS:::1.J J;;,i./i?J4A fjvd4ifo om;~~. . ,0 ..:..L-$4~.00..l{J .... .J :,::.~~ ':. .' ~J&Wp;Pr.o;..' >347 ~ 5'~ F~~~'~~~~if'Service . . - ... .' ......v. U' 0.... ~. or.~",~,0Q) ~,</:j 'J:I:S 'C.:L-~.J.OO ~ .... ":'$!~;"'00 ",'l> C!J~ ~0'" . E. MiKeila~'~e~ li'6tInCiuded) . . ')(~ji.i: i~Bti6ii:V 01$:''.0 ~v'. 0'" . ".. ,~-. v ,,- ,,\ ,(>~ ~~ 01':"' ~'''' "V', . - " .'J 0'~ ,<,r;,v SSO 00 .<" , or, 'l',I',ow l'O,.,,~ 1'.\:'~ . ~,,' 'l)"' ". ,..,- 'to' 0'-' - - /~ ~'" ~!linel." ...~ ~ ". _SSO.OO_ ,-V ,s.'" Cl:.i~~/R~" .&~~, $25.00 r' ~~ /;' 'C'<' ...w ,,~- ,\~!/,,'?J - - ~O ~O' LiIi1ited'~/CoiDiD'J: $4S.oo ",0 .<,v'l> n.~f "'/).'\ ","'. .n.V' ;00 - - 'IS" 0.-" "'~ 00" a\0,,?,,<::J ~ ~o rfl.tlnimum EleCtrl~PC:rmlt Inspection Fcc i,~ Surcbarges v ~ ~ .'""," ~, 'c;. '\ \~ Rlv' ",(\Q, '0\', ,;.~- I J r I:.~ SUBTQTAL',OF ABOVE ..... ) 1%~S~~ Surcharge .~./~ 8% Administrath.c Fee 56" f 5/~ ..'} .;,i,~I,".RDisT~TION.'>. . .,....The .,.".."..". ISbeiugmadt:..." '-:.":>..". v I crimwhidlisDtll;"';"W. ., ~ for sa1e," .....,or n:nL .. . ". '.':.Owners S~; TOTAL