HomeMy WebLinkAboutPermit Electrical 1996-2-9
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225 FIPTH STREET ZOM'D_~
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SPRINGFIELD, OREGON 974770.,\, 0< - rp.
INSPECTION REQUEST:. 726-37~~ Slgnatu~_
OFFICE: 726-3759 ~m~'
1. WCATION OF INSTALLATION
5.11~'" ~ "'5n ,,-rH "f/- ':", 'STK'I:eF{Z
LEGAL DESCRIPTION
/7.(5 ~ ..:?$ d-(J
JOB DESCRIPTION
ALARM SVS'1'l'M
00 2.e:rD.
Permits are non-transferahle and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec t ri cal Con t rac tor ADT SEC1IRT'1'V
Address 1501 Pearl ~.trpp', Sui'o R
City EUQene. 97407 Phone (503)342-I313
Supervisor License Numher R-1777TTl'
Expiration Date 10-1-9h
ELECTRICAL pER!fIT APPLICATION
City Job Number 9&n/ $c:;
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 59944
C. Temporary Services or Feeders
Installation, Alteration or Relocation
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Expiration Date 4/?Q
'Si~:Z;USing Electrician~.
D.
Owners NameEWlF=J?i'lLl) LI-t=<..;i/, t= +bmes
Address2/.<::' ,<:',,/I--H1 "f/-".,"')Tl'Ff5T
Ci ty-~PFL/) ~ f2.C} 7d.22.. Phone. "fJ-I-J-7.f1. ./0#'
OIINER INSTALLATION
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00 ~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~~----------~~~~~-~-----
RECEIPT I: ~3.,.;L
RECEIVED BY: ~.?'J---1
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5. SUBTOTAL OF ABOVE
57. State Surcharge
3% Administrative Fee
TOTAL
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