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Home My WebLink AboutPermit Electrical 2002-1-11 '.,' 1. , i l r~:: 3. COMPL~TE HiE SCHEDULE BELOW L LOCf\.1WN OF:~~S;rALw\TIpN:.1 Ii /. 180 fr'rveY- HI/Is .0 Y'" I ve..~' --~.~. A. New Residential-Single or .. .~ - h - ~,,- Multi-Family per dwelling unit. Service Included: .' . . 225 FIFTH STREET " SPRINGFIELD, OREGON 97477' INSPECTION REQU?ST: 726.3769 OFFICE: 726,3759 .', .! , '- LEGAL DESCRIPTION 1763;'412. /2700 ELE_~fpERMIT APPLICA nON L::=' I Ci~~' Job NumherO 2 - OOO.s: '7 ~ 0 f Items Cost SU111 $106.00 $ 19.00 - $ 50.00 \.. JOB IJESCRIP~ON~' . 1000 sq.ft. or less tePId. c.e.- '00 Cl~ . . roject as sUbmit&ilWUllfNlh9fo\l,\,ji80 attW\LJ..fj< by +. omng, and does not requira Si\b&ti!lqamr\lgij . Permits are non-transferable and e~~weva/. thereof if work is notstarted within 180 days Zoning L'i>(Z.... ""eh Mannfd Home or of issuance Qr'ifwork is suspende~ 1- 11- 0 2- ~odular Dwelling ( 180 days. . ~ ServIce or Feeder' Authorized Signaturp NA..l 2. CONTRACTOR INST ALLA TION ONLY Christenson Electric, Inc. D.B.A. Electrical' Contractor Phil ins Electric /"-, Address 1298 Bethel Drive / ' " ~ City Eugene,' OR Phone (541) 688-6121 , ./ Sup~rvis,br Licen~.e:Number/271 ClS , , I". Expiration Date 101m IOJl.. ,.. ~ lConstr Contr. Number ?/i- ':\4r. "'-.',Expiration Date --ib/OlIO,). ...------ Signature ofSullcrvising Electrician ~'. '. > '-- (" ;;rl!l"tl1an Philips Owners NameO/~ 1< ~f~ Address 7.fo ~ v'e r J./il!sDdJLe. City sp-, Qr/,..j,IPhone 7t/7-..~ OWNER INSTALLATION . The installation is being made on property I o\yn which is not intended for sale, lease or rent.. Owners Signature: '- 190:H3IHStl2 : 39N\:lH:J ~t'G4 $ G~a:J3H lWtl GOOG' 11 N\:lr:31~' ~t4LOOO-tO:#SN\:lHl . ~ .' . ~~fJ\:\)"'b ' \)J~ . B. Services or Feeders Installation, Alterations or Relocation: ! , I ' 200 amps or less ..... #- $ 63.00~ " 201 ampsto~OOamps ~O~$75.00_. 401 amps !5r600-amps ~-<<-~<"<\'O~ $125.00 _' 6QI amps!o 100Q",'ll\lP~ ~<?-.~' diL- $163.00_: O.i'S-T. 1000 ~,,~\'O~ ~<;;.\)'i: _ $375.00 _ O,\\€e~~~"" ~dJ _ $ 50.00_. ~ <(<(,<?-.~ 'O'0~ fO~'?I- . c. '~JOf'P.i.~~t.B~r ~~ders . 1~'rlt'rt~?\q<{lCl?~<6r Relocation r-O'\l'~ \)~ v"tQQ a\h\f;s or less ~1' amps to 400 amps -~ - ---Ov,-r 401 to 600 amps Oyer ~600amps or 1000 volts see "Bll above ~'- -'-"~_.~_..t1 (\ ~ ,IC",\, .', " . \. '<1"" I.. .....' .:~, D. Branch C;:i~cuits .~(t:"""'_ .:':....; .~\.. Ne";'17-ltera~.9n,ofE.\t~nsj~n,Ye(\a~ell, J~' II! ,",' -.,,\v>~ '. .~t. lIo.,,:(\~..- ,,-.:"'1 J '., . . '\,.. t.\V ... 100; t. o "C' . ~ c~ j P ':\~' '.' <$4 00 ".pe: lfCUlJ" .......v. ',...:() '~.~~,. >,3. _ ......\~..~.~rlf. '.- '..-'.~ '1"':,t,- . j ....\,.J.'1' ..I'J:l:\,.;.,.t _.\ "" j; " ~ .' ....'J "', -.... 10,).." . ~...' ~',riEacIi Mditioit~I:Gir2Ui(';r.~ith'SeM~e r.,:' .'or:F~~de~'P~nliit'-.J':' ~~;:J1\.'7'Io:::~...,,:.J,\f . $ 3.00 " ...../'.'\;.."-' "", "';~~.' 'fJ~?"''''_7j'f",'''....,,:#~r,.. \, ......,~t,' ,,0.... .:;..- J.f..F.I'r~~.',,,,..;:,-' \ , E, Miscellancous-(Sen'icc/fecdCr not included) ':t":ea'eii':D;I~il~j6r'" \ . .1 puliiWr i~'ltion ---.i $50.00 , Sign/Outline Lighting _'$50.00 " ,-<imite<;l Energy/Res $25.00 _ . ; Limited Energy/Comm' $45.00 $50.00 $69.00 $100.00 l\linimum Electric Permit Inspection Fee is S45.00 + Surcharges , '[.' \ I 4. SUBTOTAL OF ABOVE, 7% State Surcharge' ~ 8% Admjnistrative Fcc t,,~,~ ~ '1/ 5:0,/ TOTAL 7~ '15