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HomeMy WebLinkAboutPermit Electrical 1994-12-9 '_.. ....f ;~~ j .of --~. . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-375 ~,LOCA ON OF ,L'-I3 - ) ~ESCRIPTION / 76'! 7'" z. d , /')/</~2- JOB DESCRIPTION ALARM SYSTEM 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 rZ-I-i Electrical ContractorADT SECURITY Address703 NE Hancock ~ ELECTRICAL PERMIT APPLICATION City Job Number i1/7P '76 3. COMPLETE FEE SCHEDULE BELOII 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 B. 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 .. Phone 284-3265 ext 35 Ci ty PDX 97212 Supervisor License Number 893 Expiration Date 10-1-96 Constr Contr. Number 59944 Expiration Date ~1-95 ,..", N",(}~~~ Address 2/3 ~ . ) ('7 Ci ty SJfJ. {/ Phone 1'17-0 r; 0 i O~INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----------------- DATE: RECEIPT #: RECEIVED BY: /)..-r-J4 J r]/-f>~ .I~ C. Temporary Services or'Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 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 Limi ted Energy/Res $ 20.00 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 20.00 /.00 ./00 r21. t,,~