HomeMy WebLinkAboutPermit Electrical 1995-2-14
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:.
OFFICE: 726-3759
The following project as submitted has the followi
zoning, and does not require specific land use
epprovel. . I ELECTRICAL PERMIT APPLICATION
97477 Zonina LA) Y ~('2 fV~ c{ 0
726-3769/7 ) 4 ,,; 7/ Ci ty Job NumberJUW
Date /r /"'1
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1. LOCATIOIti>F INSTAL14Ti~~orized Signatura
,C::<.f t1 tj' "Ah I ' .,n-- .
LEGAL DESCRIPTION
i ~010t..il'JtJOO.?'(JO
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
Electrical ContractorADT SECURITY
Address703 NE Hancock
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included: ~
Items Cost Sum
1000 sQ.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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
Phone 284-3265 ext 35
City PDX 97212
Supervisor License Number 893
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration
95
Owners Na~ Jr)r1fJUf ~ D.
,
Address 5'-10 tj ~/.:9r'
City ~ Ph6ne.:2c.j~-/YG(
oVNBl INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
---------------------------------------
DATE:.2,-ltf-1 ~
RECEIPT #: It.z.q 7
IU'.~F.TVF.n RY: /.1-;_
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C.
Temporary Services or.Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see "B1t above
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New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00 LU.OO
Limited Energy/Comm $ 36.00
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000 volts
Branch Circuits
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
20.00
/.00
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