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HomeMy WebLinkAboutPermit Electrical 1995-5-4 . . . *' 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. ,J ., 1/.5 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 .' 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 " 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 .:JI.,.OO ,. )fO J I. O}5 \ ..~ II, II )j