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
"
~-'
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.----
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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
-
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" ()