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HomeMy WebLinkAboutPermit Electrical 2002-10-18 10/17/02 TUD 09:19 FAX 5417263689 CITY OF SPRINGFIELD @002 g project as submitted has the fOllowing do~s "?I .re!-)U!re sp.ecific. land use ~ :':,'i:?i>:rl:.',':::',..' :,', Zoning" ":.:",.."", _ -... 10 -f1:-o L US ~'lFTH STREET. SPRINGFIELD, OR 97477 . l'H:(54i)72r..37S3 . FAX: (541) ELECTRICAL PERMIT APPLICATION City Job Number 0 Z. -0 0 7' z. 9 - 0 I Date 'I.~~,!~.~r:}~ ~ I ~~f.;.'..''''tllW;W~~f'~F;.'i;itJ~'i.f.f~!F,.eO'JilF.lf,:ti~ LEGAL DESCRlPllON A. ~'!l,".' ~-E",,'o' .l.,,.~, .._. ~~,?.., /70::> 2 J 't~ (ZCSo <:) Servicelocludcd JOB DESClUPT~ON / \ f 1000 'q, ft. or less ~ec.<A/\-\:L..., ~...)'\ Ne\-~tkD(vf EachadditioD31500sq.ft.ol' J portion thereof Permit, arc non-transferable and expire ifwod< is nOl Each Manufuct'd Home or &tatted wilhiD 180 days of issuance or if work is Modular Dwelling Service or 50s?&" 9!='!. rl~~..s".;,1.'il_'~''':, ,,;elM '.''''.'1' F~~er _ I~'--'~'''~'=''._ $50,OO"::i:ilil,o,.", '. J\!~ ,.~ .'J.'y;;.aMt. .~~ ,.,'~' ~Q~~' " .:<.:!i! '."',.:1 . l-. ~I ~ 5:: _ ...-... ~-~ -,~;- ..~:IlJ~~d!'~~~ "-'.''.'''1 ~l~_ "'. ,_ 2:~;;.'~~'ft~ '1& ~~):: en p~ ' z, ,~ '<.w':""",~l,i\!i~,..,~ ....", B. ~ 0 'If"'" ~".Y,'riI' ~,""" --',,,, ~~..', Elec':ca1 ConlnetOr ~~:,+~ ~\u, ~\ ~~ l'?r~\.200 A.mps Orle~ ,.,,= ~~,,;~O~~~4f63.00 I 201 Amp, to 400 Amps o.\f' ..O~ _".... ~.QO Address 'J.'l?.iJ S~l:\d'l \/r 401Amp"0600AmP'~~\~O\0~~0~~j;W'Sl00 , 60IAmPStOIOOO~~~0~0~"''<'-p.\~~R- Phone ~ (..'l1-(.,LnLj Over 1000A&1ii)~~~ 0",0 ~~-f'\~\o,~1iiiO 3 \ '). OS ~ Rt<onn <OhI' o~, "'~ .",,\0 . 0'" ...."': :Stl.oo Superv~orLicen,"Number ~~li\-' ~.L\; c,~;::. ~n"~~;''':~ .. .;I..~i Expiration Date I 0- I~ ~ 0"1 \0 ~\(j'b' C!J~7; ~'lJ.~c:i'~~ ~01:$ r:JY"5 2~~\) ~0 ~0? ,:8 $ 5000 Signature ofSupervi.ing Eleclrician 201 A~.:i'~~~\ ~0\\'" $ 69.00 ~ t1.., / ~~~~~~~:I"&~"B".bove, $100.00 0'" /1 ~ 'lO!~~""~;~lr'"l[1!~~~.",.~... '~"'""'i'!"~i"""';~l~~'" / D ~~~(2~Jt--~':.. ~1#.c~j~", '~":;,l;" ~~~l -,-' "1l-;ri!51~f~~fli;~~~~iij:j~1iji~ ~~ . I.~~ ,-"' =-~~i: ' . - ._,. ';"'ih\Hl'Jld:l~~-' ~\I;i.'~... ~ Owners Name ' c.\-\. L\(Il,r(V \.\"''''''1 \ New A1lel\\tion or Exll:nslon P~~1Del Adrlms q,'2.,c::.. 'S1l.~d\ 1\\1 L One Circuit ~~ ~~l''\ City t\>.) "". Phone '\'i'i). ~1>'i<:; EaChAddition!lh~1i~~~.fil\o. Service or~e)le?~~~~\> $ 3.00 OWNERINSTALLAllON ~~. E,~~_i;_~~i'- The in,tallation is being made on property J own ...,~,\'\ ~~~~~ ~~~ l>I which i. not intended for sale, lease or rent. ~ ~{:> ~ R-' n $ 50.00 '\ ~'\~\S &.~ i~hting $ 50.00 Owner.. Siguature: l>I ~~ ~m. EnergylResidcntial I $ 25.00 e. r c.~~-{ \ ~imitcd Energy/Commercial S 45.00 Pate $106.00 S 19,00 City ~U.....-tNC S 43.00 4. C:;t 7> S1Ia<cd Drlvo(T:)>BuildiD& FonnaIEI_eoI remit AWw..boo l[UJ2.doc Inspection Reque<t: 726.3769 ~\1~l~ . ~y \\). \~.~