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HomeMy WebLinkAboutPermit Electrical 2002-4-8 ~\W . ' ~O 0 . _.,.. ~e\OOvCJ ;.....,::, .jr-225,FIFTH13JI1-E.ET Ii, ,~\ r~-...l] [-'/l<f.~~(.\"('r'" ~'. EL. arcALPERMITAPPLICATION I-'.! ,SPRINGFIEUD OREGON 914771 . J.! ' '(.'1 I. \ V ,. '. , . " "; . I .... 1:.._. I I ] . r 'I I " - '\. , ,.... . 1 1-- -I ~, \ --.. I! 0 ,"< --'6 0 ( I, ':>, iINSfECTIO.,NjU'QUfST.: 726:3'(69 Ci ,,,'<' I ) 1'Ci. ~ob mherOZ.- 0.;0", ~ ., . '. I OFFICE'. 726-3759 ,I ;, I I. II 1<,'>', II! \ J' I "'"-.. ; I . '. I' Ii, ' (. . i\01 0' f, I (:' ,) i i r ! n i i ,I ~\: \, I \ '. J : t~~'~II!"'''11 r ,MP TE FEE SCHEDULE BELOW \ .;, / i i L WCATIqN:9(~NSTAL~"f~~); Ii.! I '-../ -, ?'75"E,L':' '- (6-~~~':\C~ - e,v.R{.identiiJl-Singleor--~--'------ /1,o';.,~,o' 1-v. ,,<0 Multi-Family per dwelling unit. ~ ~ . LEGAL DESCRIPTION <t)" Service Included: / g-n._ OL( 1/ 90 o~ ,,'S' JOB D,ESCRIPTION d I ~ /' WffU:! J/J1/-r (~e I' Permits are non-transferable and expire if work is not lstarted within 180 days of issuance br.if work is suspended 'for I ;1- 180 days. : - ~. , ;".".,.;, , ", (- ,~~ \- ;'1 I " f': ~- , ' ~._;~ I , , \', " f~ . .~: I, ' ! ~'.' '., F:" '~' '; ..'1'-; r. { , ' ',', f".; t r k I ,. i I." .,><, 'c. i I , ,. .' 2, CONTRACTOR INST ALLA TION ONLY I . . } \ I Electrical. Contractor. Address i ' : ) f\ 'j .\ j' \"; I' CilV 1 '\ I Phone /:/, {\ ' < Supervisor Licen~e!Numb~rl )(/ II, ,\j ,t:l E~pirationOate' ,(/1 , /". ., -/ ....Constr:c..o~tr. N~ber -[-;. . . ',< ..~----- '. '~'''Expiration Date --- '. -..~ "'-,' '....... /.'... /.. " \ 1000 sq,ft, or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Owelling. Service or Feeder , I ;, B. Services or Feeders / Installation, Alterations or Relocation: / ' !., , . . I 200 amps or le~s """" 20 I amps 10 400 amps '.,.401 amps t'}690 amps . . '6Q 1 amps}o 1000 amps OVerlO~O amps/volts Reco:nhect Only .. ' " , - i. :. Items Cost SUI)1 --'-.$106,00 $ 19,00 , ~ '. .' I' , ! '2 $ 50,00 /6 C> ',\, \ , " , '.\ " '.- ~ ~$ 63,OO~ $ 75.00 $125.00 $]63,00 $375,00 $ 50,00 C. Temporary Services or Feeders Installation, Alteration or Relocation , " 200 amps or less. -""-_ - .'. 201 amps to 400 amps ~- --------Oy"! 40 1 to .600 amps Over 600 amps or 1000 volts see tlB" above . --.--.________ ./\ D. Branch CiT~uj~s J . Ne\<~lteration orlE~tension Per Panel !~ . \ '. . One',Circuit i / .fj' } Ea~h Ad. dition?l. Circuit or with service.. -.:l n rf)' or.Feeder PeIJl1l1 .... ... .:c..L $ 3,00 ~ - (: I ~, ' " '.'" Sign:~turc'of.Supen'ising Electrician '. . -. . .,~" .'r,"-.. OWli~rs Nam~G1 V\l s.....~~d ( Address '$b '/9/ L:rtA-G-.. //w~ Phone -;;;'is -t:JbY7 .' ~ers Signat.ure., . ,',c ...,Vo/V\;iod~~ 190:~3rH3tJ::J ., .- : 39NUHD L6'89Lv$ Z:O::J3M l~' G006 EO lOr: 31\!O G~86000-rO;#SN\jI.H City . . .. ." OWNER INSTALLATION . The iilstaliation is-being made on . . property I.o'iyn which is notintended for sale, lease or rent. . " , $50.00 . , . $69,00 $100,00 \ $43. 00 $50,00 ='$50,00 $25,00 $45,00 Minimum Etectric Permit InsJlection Fee is S45.00 + S~rchargcs , , .. , " _.._._~_" _ __."_-.-'. -'-"____._ ___.1 ". "' 4. SUBTOTAL OF ABOVE 7% State Surch'lrge' 8% Administrative Fee. , .-' , ., TOTAL 'i /o"$..cfJ ;U~ \\B A-C:)