HomeMy WebLinkAboutPermit Electrical 1995-6-12
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The foflowing pro'e .
Zoning, and doesJ n ct as ~u.bmttted h~s the fo,
225 FIFTH STREET approval. ~r~ul:o spocific ;eEU!~CAL
SPRINGFIELD, OREGON 97477 Zoninp \:.1./
INSPECTION REQUEST: 726-37gj~e (;-/1.~c,)
OFFICE: 726-3759 ~ --
Authorized Signature
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION .
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JOB DESCRIPTION
ALARM SY~1'''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
Electrical ContractorADT SECURT1'Y
Address 1501 Pear] Strppt. ~,itp R
CitYEu~ene. 97407 Phone(503)342-1313
Supervisor License Number R-1777 TT"
Expiration Date 10-1-Qh
Constr Contr. Number 59944
Expiration Date 4/?0
Signature of Supervising Electrician
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A~e- ELa:2--rIL,G f:.ML:
o ers Name''f1,(-: ~ sthltt,,-I("- G""",-s'
Address
Ci ty Phone(~~.,,) 1dl-Ill).qq-
OWER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT #:
RECEIVED BY:
k,'/2!'35
i?7/3
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PERMIT APPLICATION
Ci ty Job Number "95'o~ ~
:v\ l/fOHPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Hulti-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 Hanuf'd Home or
HodularDvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00 ,
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D. . Branch Circuits
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Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limi ted Energy/Res $ 20.00
Limi ted Energy /Comm $ 36.00 . ::{/~ .rrfJ
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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