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HomeMy WebLinkAboutPermit Electrical 2004-4-7 ",:;;<_~J'",-'. ,n ~o" "G' EIEED' OREG' ON' ,', ....~"" v. .... ...,~,~~ t ',: ~""' L ~. ---. ,.;; Ii :L ~!!{:>: \ }~ +;~ !.c.:,' y''':'''~'~ ~ ~':'_. ~~$~'{"'_y:_l;_~....,J ,. I ~.. ,';;!.-'". ~ ",~'t T- ,~~' ,,"'.7. .~""..,,,;.~.1-J:f~ 225 FIFIH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION The following projectss submitted has the following < I i ~ L zoning and doas not raqUlre speCIfic land usa CiIy Job Numbera>w1 Z-OD.3 - 0 II -> Date '17 () '-1 appro~a1.. Lv {L , . 1. "LisZ^;:~ALl:~~/--:;' 3, YPM!:~T~IE~~:::~~::t:~LOW. ~.AQ~~~0i; LEGAL DESCRIPTION A. r::~e,,:.it~;i~~:'hal~ SI~gie ,\?iVI~i~,:-~~;;iiI9 ~e/4;~~illng:~~Ifl'i:. <,w_ _ ...;;;..;..-_ ,'"J<-..'._ ",,--,_. '->-"-............ ......... ....j~_.._...........".,.~~.....,..,,- 170:] ZJ(/J J /ZOO Service Included JOB DESCRIPTION Lo LJ Yo NA/ c~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~-.--:'~'-'- - -----:--.._-.-. -._~..- --.......-.- .. 2, qg1frR;1CTOH--INS.'{ALLATIO~ONLY L. ,.",.._J,\; ;"~_"-,,,,,,,,,,,..__-,.,~_ .---." ..-'..-........:.-. ..:..--..., 1000 sq, ft, or less Each additional 500 sq. ft, or portion Ihereof Each Manufact'd Home or Modular Dwelliog Service or Feeder $106,00 $ 19.00 550,00 r --.-'-':-'.-~-: -:;-:--~.~~ - -"7:"'~~'~--' .. " Y' ._._.--:-:..~-:_._u B. l:'Ser"lc~s,or.:Feed_ers -;,'InstallatlOl).,.f\I(eratJons or; Relocation:. ' , ~<':'-,.' '.,___",.._~3-._ .:..:.....~_ _'.ii<.~__~'l""",,"--J~'"";:.L~~~i..'.\~"_f Electrical Contractor 0 i \/<2% C, \ C'''l'~ Gh'fJr_Of\ I' c-s, 200 Amps or less 20 I Amps to 400 Amps Address f n. fi::.x. tfOSc.l<7 401 Amps to 600 Amps 60 I Amps to 1000 Amps City ~, I]~ q 7>(0( Phone _'I~'fLf.- 907'( Over 1000 AmpsNolts Recoonect Only Supervisor License Number . ~ <j(-lo ~ L6 r:\ $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 ~.__. + .------;-- -r. ---.--. ~----- . .-"-'-~---"l C. . Temporary.S,ehic~ or Feeders,.. ~ . ,,-' "':,' ,",'~^,::',_,: _ _', _,! ~.,....,.- - --~ ........ ~.---~..."-.-.. -- ~ --. .....""'-. . --......... Expiration Date t Gill 0 <, Installation, Alteration or Relocation 200 Ampslr 1 "NQ"''' $ 50,00 Constr, Cootr. Number I LI'/(Pf"S . _, ~9.\J~lft~ \~~1 $ 69,00 ' ~01\\I'"~~\1 ,:>\\f>.\.\.~~~ ~ps $100.00 Expiration Date __fL./ Q.b 10'-1 'T\-\~~~~",t:') \It>i~'C.~~''d~~~~R~r_~~o2..Yo1t' ~.:.: ~:!3:' a~~v". __ __: _ , Signature of Supervising Electrician ~G~~'C.t>iC't.~ ~t.~G~~~~ CI"'~ts__~..:. _.:.~ ..' _ ,-- - :,' ~ --,-~, .._":.' r. --....... r>.t>i'{ \~Q Df>' New AlteratIon or ExtensIon Per Panel ~/.~-raQ Iv./ c-\--l..u~ L::? One Circuit $ 43.00 I Each Additional Circuit or with r I nfG ('7 11,___-<', Service or FeederPennit $ 3,00 Owners Name TV\. -hA,..... ~ /ft.._,~ rr,',--~"_'--"~-' ---,'---'-,":""' '"":""'-~."r- ''':'':'.-'''~," "l,,'.-r- Address yO f], 0 X 7'(2 -S- E. ;]\iisceIlaneO!!S (S'e.:vicflfeeder notincludeiIi:;Eac\i I~stalfatiol{~ ~_ ~_ .__. __,.~ .. .__,_____...... _ .....__ ,_.~...... .. _ . _,__~...___ _..._ ._'\0. ._-'-'-,--.<.i Pump 0=' , \iojOl.I.t? $ 50.00 ~ pga.Wtf:P' .loidhli>>l\lt'f $ 50 00 '-' ON.orego I" tie l\Ss=- Ig, ft' ' OWNER INSTALLATION ;..i1'EN11 'dopted 'eilJlte'hR.osrgy&~~ae2tial J $ 25.00 \II rl.lles a. lhOse I .=A Cl-'l5'2.-\)U , The installation is being made on propefuyl\<1;wn.wh;c@eo\er. 'L1mSIi'9!,<"",,,Ylcomm,osqal $ 45.00 , , t'f\Ca.\I\)'~ oM 0 Ulf .! the rl.llill IS not mtended for sale, lease or rent. -.\0 I P. 95'2.-00\ -M1,nJm"-"!lf'lechG'c P~B\Ilild!lspectIon Fee is $45.00 + Surcharges II' Of' ffla.'1 00 - . \9'. ,\'Ie-tEl -'r:.. \100 - -, ,-' ,- Owners Signature: 0090. :Ol.ltne cer4!3r;S~Whf?I~j!l:J,ffiDVE' ' , Lf) ca.lllog lor t\'le ore~~~X~2_2344)"--- - -,' - "? 1)- nl.l<<,oer,... ^~'"-;" < ,13/0 State Surcharge -> u 5''''' 10% Adminislralive Fee -, CiIy tjA.&- Phone Inspection Request: 726-3769 'Zs- TOTAL -s Z6' Shared Otive(T:)/Building FonnslElectrical Pennit Application l-Q3.doc