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HomeMy WebLinkAboutPermit Electrical 1995-3-3 . . .' The following project as su m.o as e OIIOW' zoning, and does not require specific land lJ~O approval. 225 FIFTH STREET Zonina i./ /)/-2.--- ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 . . ~ IN. SPEC:ION REQUEST: 726-~ )-)~J, City Job Number ?5'L>:Z*~ OFFICE. 726-3759 Authorized Signature !. I yVl ~. ~V"r~I~ ~~~ SCHEDULE BELOV l/,j;J!~ATIO,)tl, / 9n ~1~~~ ~4<~ ~yPJ IV A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: /l..p7'--:'JY-<~,. <?"9:::t::>= Items Cost Sum " ~-' .~. .---- '. 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 - SPRINGFIELD > 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 S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .' City PDX 97212 Phone 284-3265 ext 35 Supervisor License Number 893 Expiration Date 10-1-96 Constr Contr. Number 59944 Expiration Da~~~5 Signa~~~trician Owners Name ~ ~ A A _ AddressJ.!il c!.J'-- Jd.J'd"" 'oj . 1I(j t' Ci ty ,UP^, Phon~ '7t./</-I5:50 1 o~ INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- ~ '7'- ~-~ /~~ ~_- ."J11 DATE: RECEIPT 11: R Rr.F.TVED B'y: .. 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 liB" 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 -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 :rr:oo 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 20.00 /.00 .100 .:;l./. I" ()