HomeMy WebLinkAboutPermit Electrical 1995-4-12
....
"
.
.
The following prole t Anuire specific land use
zoning, and does no r-""1
approval. U
225 FIFTH STREET Zoninr t. /
SPRINGFIELD, OREGON 97477 . h.r
INSPECTION REQUEST:: 726-BJltiQ 4 - I L <1
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
City Job Numbe/~4040.;
Authortzed Signature
tJrv\_
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATIO~, OF INSTALLATIO~
_3o.~1l ,;11A~ H'~
, LEGAL Dj:SCIqRI;Otl!
1/ n 2, ;::) ri-...d1\ 0 2,So 0
JOB DESCRIPTION
ALARM SVS'I'F.M
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 0-;11-'3 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
_ ~JJ :?\LL~
~s Name&nd lAId. tlA, IJ~
Addre,ss3030 .!J.a.:tmrtLl/ ~n'ff:
Ci t~f4tfjhFtC-LD Phone 7Lf P::l/c t1-5
/
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
DATE~Z7~72~q~
RECEIPT 11 :U/ & <?.2"<.
RECEIVED BY: -.-1J . /n/'l12.l'1;'71-JcJ
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion '
thereof
Each Manuf'd Home or
Modular. 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
"
c.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
"
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.J~.oo
/, IrO I
/, 0)5 I
~ \(. X )J
36.00