HomeMy WebLinkAboutPermit Electrical 1995-5-4
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Zonino e.('/ ELECTRICAL PERKrr APPLICATION
9~i~Ej!f~4. 7~ City Job Number Of 5d-I5~
Authorized Signature iJ ~~
3: -GGIWU""" FF.F. SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.;, LOCATI9fi OF INST~TION
I :) :J. J. A..O 1" fiJ 17
I~A .QESCRIPTION C 7 .
I 0-.:)..::/01[:2.. 06 I/) (Y)
JOB DESCRIPTION
ALARM SVSTFM
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY 7'''' B.
Electrical Contractor ADT SECURITY
Address 703 NE Hancock
City PDX 97212
Phone 284-3265 ext 41
Supervisor License Number 518
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1-9';
Signature of Supervising Electrician
/--rJ? StL~ .
~'ers Name..mO~JudlJ ;~~ D.
Address '71... 2- .J ~ . A
City ~j Phone_-1.2.~/93 7.
O~ INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-------~~~.-~~-----------------
RECEIPT I: I Iv'! I
RECEIVED BY:' ~
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
lOOO sq.ft. or less
Each additional 500
sq. ft or portion .
the reo f
Each Manuf'd Home or
Modular. 'Dwelling
Service or Feeder
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
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 40l 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 EnergylRes $ 20.00
Limi ted Energy /Comm $ 36.00 36. 00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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