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HomeMy WebLinkAboutPermit Electrical 1995-1-6 r,; t . , . . . .' The.following project as eubmitted has the followin zoning, end does not require specific land use app<oval. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 72lP-'9'1'~o OFFICE: 726-3759 Zoninp Authorized SIgnature 1. LOCAT~O\'l OF INSTALLATION .-!l./? 0 k'Jr 11 Ll f) . /1 J (UA I I/~ ~~PTIONn6q)2.-- JOB DESCRIPTION ALARM SYSTF.M ~w~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, _?-'f-i 2. CONTRACTOR INSTALLATION ONLY rz. B. Electrical Contractor ADT SECURITY Address 703 NE Hancock City PDX 97212 Phone 284-3265 ext 41 Supervisor License Number _ 518 Expiration Date 10-1-96 Constr Contr. Number 59944 Expiration Date 4-l-q~ Signature of Supervising Electrician r)1A 7~ ~U~ / Owners Na~e~ ,Nh II Address-ii?){ fr3... 1 J~, W lLU '. I Ci ty t1 L/) Phone -.fJ~ -< ~ 1 OVNER ~STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~-7::;.t;~q 5 ~ _ ~ RECEIPT 11: or J/ 'Q '1~ RECEIVED BY: tf-.l. ELECTRICAL PERMIT APPLICATION City Job Number q 50 () I K ... .x.;;::...~ SCHEDULE BELOIl A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .' 1000 sq.ft. or less Each additional 500 sq. ft or portion . thereof Each Manuf'd Home or Modular'Dwelling Service or Feeder 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 ----- 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 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 Limited Energy/Res' $ 20.00 Limited Energy/Comm $ 36.00 36.00 5. SUBTOTAL OF ABOVE .JIs" 0 0 5% State Surcharge /, lrO J 3% Adminis tra ti ve Fee /, 0 lJ \ TOTAL ~ II, )f )f