HomeMy WebLinkAboutPermit Electrical 1995-1-12
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225 FIFTH STREET z' 'D /7 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 onlng,...... _(L,...
INSPECTION REQUEST:, 726-l3'1'69 /...f2-1$ City Job Number---2,c;- ~o3':::;
OFFICE: 726-3759 Auth ' '
, onzad Slgnatura--,JJ h-\. COMPLETE FEE SCHEDULE BELO\1
1. LOCATION OF INSTALLATION C") ,
/ /) (j q /-I'UrZL<J. V I\~ A. New Residential-Single or
I Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/fZ-r:>7~ '2'7" eP L:::- ~ Items Cost Sum
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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 l-q-5
Electrical ContractorADT SECURITY
Address703 NE Hancock
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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 $ 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
Phone 284-3265 ext 35
City PDX 97212
Supervisor License Number 893
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1-95
Signature pi ~erViSing Electrician
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own:rs Na~e L.A-~fi." l' PA W. I ~) A /J; 1/
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Address lot) q /.(f}rt'Z...L~l) k? ;
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Phone 7Y{p...1lJJ IL---
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O\INER INSTALLATION
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
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C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
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
D.
Branch Circuits
"
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 LO, 00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20,00
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