HomeMy WebLinkAboutPermit Electrical 1995-2-27 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALL4TION
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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 ).)..3~5 B.
Electrical ContractorADT SECURITY
Address703 NE Haneock
ELECTRICAL PERMIT APPUGA-~mN
Ci~ Job N~.r~Z~
COMPLETE FEE Sl.i~ BELO\1 ~
3.
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
j1,
Items Cost
Sum
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
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
Ci ty PDX 97212
Phone 284-3265 ext 35
Supervisor License Number 893
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1-95
Signature of su~.sing Electrician
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Owners NameJo~{) h ,m 4+ h "(J_ LL
Address 34 / )) lU If I'y)/j /) /}
City VjL~ Phone 1L{I-tJ.5S1
I
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 2-7? 9~-
RECEIPT #: /6 q7 /'"
RP.r.P.TVF.O RY~ ~~.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
20.00
20.00
/.ou
.100
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