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HomeMy WebLinkAboutPermit Electrical 2002-6-7 225 FIFTH STREET . SPRINGFIEW, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ~ ELECTRICAL PERMI.LICATION City Job Number DZ -0 056f -0 I 3, COMPLETE FEE SCHEDULE BELOW I. LOCATION OF INSTALLATION '\ fL Z'tl.fll a~c.rt- IJ 2444 Ranch Dr, LEGAL DESCRIPTION I 70 3,. 2.H l{ 3, (')C-( '3. 0 C::> A, New Residential-Single or Multi-Family per dwelling unit. Service Included: Items , 'It d ~'l.'i,t.l1e !ollowing The !ollowing prOlect as subml e c!i1/!!1/a'iQ! &eoI' less zoning, and does not reqUire spe Each additional 500 Q"'''''''''-~. LU{2- r..q ftnrJY'PhI'loA , c-~l d ,ZOlllng th f Penmts are non-transl~"W e an exprre ,,_ 1 _ c.> 2- ,ereo _ if work is not started within 180 ~te ~ Each Manufd Home or of issuance or if work is suspend~onzet Signature r,;",;u;'" uwellrilg 180 days. Service or Feeder , , D, Branch Circuits ,,)': ", ,\ ....\'., New, Alteration or, EXtension Per Panel ., ".' ~ ," t.,; 1 . "':,\''.';~\\," \.':"'~ c.U" ~C '"' ,.,..' i'l same " 0lte Ciicuit~0 ~ ~(...1;- "'-J'\) ~ . \\ - - :.l'\ . ..~\~~ ,...,?'f?~ :;". A' . Sonnafield. OR 97477 Phone 747-5223_. '.:; ~'''~, ,.\~~~i1d~t\~,~t':cult ~\Wlth Sel'Vlce -,'..' _'.") .',orFeecter'Permit' \P~'" ,~\c'<> /." ,'e;. _ ~\.t; ~(j"'" ~,v..,- n'lfjl ".i'C';'\; :' ""I:'"C,:' GO '!0cQ, .~. ...'0"" "J" '_r >OE..M~CeIl""'1ouS ~S~iCl!tfeede,. not included) ',r'\.\\\".-\ 0'~IV A'\n.~} ... r:.!':Ii. .......~I\lan-'...~ r')~.:J' .,,) ......, J '.\,' -c.cu.; tOS\GJ on , Or' ...'''''u\. ....cl: .("\'('.-.'.j ~_LJ \':> ('C!. 'P'!!'"P or,lmglltiOll\' "v" \\\-:'\'';' U)~ S':griI" -O'~ I' L'gh' \.J ,.~\. ....'t' 1 . ut me I tIng v~.., ,,!,\1. - (\Q.<$' C~Limited EnergylRes . Limited Energy/Comm JOB DESCRIPTION Service change/addition 2. CONTRACTOR INST AlJ.A TION ONLY Electrical Contractor JB ELECTRIC, INC, Address 4685 Isabelle Street City Euaene, OR 97402 Phone 541,687,5770 Supervisor License Number 3872S Expiration Date 10/1/04 Constr Contr, Number 37587C Expiration Date 10/1/02 Sign Owners ame CD Miller Address City The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 190:~3IHSI;l8 : 39NIJH8 OL'68 $ G:Q83~ 1WI;I G006 La I~nr: 311;1Q Gi?i?6Ci~J~ ~g~~'p B. Services or Feeders Installation, Alterations or Relocation: cca 104929 3/14/04 5, SUBTOTAL OF ABOVE MINIMUM 7% Slate Surcharge 8% Administrative Fee TOTAL Cost Sum $106,00 $ $19,00 $ $50,00 $ $63,00 $ 63,00 $75,00 $ $125,00 $ $163,00 $ $375,00 $ $50.00 $ $50,00 $ $69,00 $ $100,00 $ $ $43,00 $ 5 $3,00 $ 15,00 $50,00 $ $50,00 $ $25,00 $ $45.00 $ 045,00 $ $ $ 78.00 5.46 6,24 $ 89,70