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HomeMy WebLinkAboutPermit Electrical 1999-9-1 .. 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTt}LLATION _tr'Z.-2l.f FA-.rl_/C,.-- /?Iv,/ LEGAL DESCRIPTION /70 J '\ L-f W I O'U)~{) 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ADT S~.~.llr}~~ Address 1501 PPAr' ~~ Ci ty Eueene Phone 342-1111 Supervisor License Number _ tjsJtn,F Expiration Date 11/01'99 Constr Contr. Number 59944 Expiration Date 4/27/gR Signature of Supervising Electrician W-~~ -- Ovners Name j)..../~ H'F' k--'t Address / 2-1? lvtlo,,A, I V/1 Ci ty ~"" Phone l.[f{1..; -<7'i.!l.. S Ol/NER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale. lease or rent. OVDers Signature: .,.- -----------t-7------------------------- DATE: Cfll 1'r /! RE~~~~"ll~.. tJ30iO'( ~t.:-';.i/ ' ELECTRICAL PERMIT APPLICATION, City Job Number 77 I)f 6 3. COHPLETE FEE SCHEDULE BELO\l Items \'IlVTICE: JOB DESCRIPTION THIS PERMIT !l\Qll.QLsq:~E l101HWJ9RK Alarm Inst"l)oH~" AtHHORIZED~~~:s~g<NOT Permi ts are non-transferable and exp(i;~MENCEDQl}.j~~<j.ful!l~E~R if york is not started vi thin 180 da~NY180DAy~Qijan~f'd Home, or of issuance or if york is suspended for Hodular Dvelling 180 days. Service or Feeder"le~$J(.40:00 \ \J'c\,lu""" '~o- egon Utillt'1 ,B. Sery,~ces" 9\t~ ftl~!!~fswt~~ .,:s ale set 'Olt! Ins.t.ail:'])a1j!.:r'6n~ IAl\t era\t'l.'ons'O"'" 952.,001' :"_. '''-; I P: l\lJ . n 1"'\11 orNtE!Joca<tioJ1J~,0010thIO\lg 0\ the l\lles b) \1'1 Op.,p. 952.' , obtain copIes loUnone 2000!lIJJB$'i'0't \"Il"~~S'tel. ~Note: the ~$:\i~ea\Q9' ,201 a~l?t\l,ilto'Niq!?,l ~T.~tl'n UtllWJ S; ~u. 00 401 aflB;'j\bto \<60.oe ~mp-;;,("Io, '\3~_23t$ 100 . 00 601 amps to~1000'amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Cost Sum $ 85.00 $ 15.00 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm ~ 5. SUBTOTAL OF ABOVE , 7 SIt State Surcharge 37. Administrative Fee TOTAl. $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00,/ .,;l $ 36.00 'b %,w --, l;7T ,-:2, ..iin )~,v()