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HomeMy WebLinkAboutPermit Electrical 1995-4-12 , zoning. and does not require specific land use approval. 225 FIITH STREET . Zoning L p e- SPRINGFIELD, OREGON 97 4 h~te. /....,j-) 2- .../q 1" INSPECTION REQUEST: 72b-3iti'1 , '\'\ I v\. OFFICE: 726-3759 Authorlzf.)d Signature Jv J V\.. 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION &, 1;; 0 c...&1IVrtt l\ 0 Q.w ~ C. 7' r70~AL btiCRIn~ , I" Dtf61 '-' : JOB DESCRIPTION 'ALARM SYSTEM 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. CONTRACTOR INSTALLATION ONLY tI..(p- 5 B. Electrical ContractoiADT SECURITY Address]'f5.;O l',;.P?~<2:Ji.t_~..-::::?ui te B " C't Eu"gene') i; Ph '~342~f3~3 vur- -', 1 Y _..' <,...,~,"" one.. ,',,,~' ---.';:;) -Supervisor License Number R~]777 Expiration Date 10-1-96 Constr Contr. Number 59944 Expiration Date 4-1-95 . . ..- \ /: Signature of Supervisi~g Ei~~~rician ~ ~~ R)( L~J-"':" . ~9s NameaJU-d~// / r;NL~ ~D;c-k' Address .(P7 ').. ~ C!AI}/11 e II 111 ..- ~/ '7 'I/~o 19 ~ City i~ Phone O~ INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----/7,---------~----------~------------ DATE":{ --/2--'-15 , ' RECEIPT #: ul.1...t' i~C'') . . RECEIVED BY: tj-J ~cv;r- ELECTRICAL' PERMIT APPLICATION Ci ty Job Number g 50473 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof ' Each Manuf'd Home or 'Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: )0 Items Cost Sum $ 85.00 $ 15.00' $ 40.00 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 . 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C, Temporary Service~'or Feeders Installation, Alteration or Relocation ,:'200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above ... New; Alteration or Extehsion Per Panel One Circuit Each Additional Cjrcuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge, 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 20.00 20:00 1.00 ~hO ,.;n, (" r1