HomeMy WebLinkAboutPermit Electrical 1994-11-17
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225 FIFTH ,,~AU.' Zonlno L-D ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974U.. II 'n--c,~
INSPECTION REQUEST: n(;::'j/fJ':f rJ ;v... Ci ty Job Number ~ r /:J ./.2C..
OFFICE: 726-3759 Aulhonzed Signature,,' ,
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLAT+O.li
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LEGAL DESCRIPTION
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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
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
..
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder
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
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
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$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Expiration Date 4-1-95 /
superviSing~trician
V~
~ ~ D. Branch Circuits
ame 'I P 1.JL.L W 0..1'11 0 h
/3 U <:rr- New, Alteration or Extension Per Panel
Address L \(0 1<1J.~tl/YYU4..y .,/:,
? 4:1- 32-:> J. tv J One Circuit
Ci ty <;,p J 0.10 Phone..!lfl1-l/.1.1..!) Ea,:h A~dition~l .
U ~ CIrcuIt or WIth SerVIce
OIINER mSTALLATION or Feeder Permi t
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
"
$ 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.OU
Limited Energy/Comm $ 36.00
20.00
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