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HomeMy WebLinkAboutPermit Electrical 1995-11-8 . .. .. . SPRINGFIELD '. . ro}e-...-tsesu mu' d The 1oilowlnQ P ..t requIre specific Ian u~ 1.or.!;1~1, and doe3 n.... appro'JUI. ~'no 225 FIFTH STREET . .UVI"-.....J ELECTRICAL PERIUT APPLICATION SPRINGFIELD, OREGON 97477 ZOnln9 . QS . INSPECTION REQUEST: 726-3o~,~J (- 'h" '15 City Job Number-\: /7 & 7 OFFICE: 726-3759 ., ur8 r. - . Authonzed SIgnet ~: COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION 45"" {. ..;../'Jj J J ,5f7?F=ET A. Nelol Residential-Single or . I Multi-Family per dlolellin& unit. j)f X~. D~P'Yl OCoqCJQ Service Included: Items Cost JOB DESCRIPTION ALARM SYSTEM Permits are non-transferable and expire if 1oI0rk is not started loIithin 180 days of issuance or if 1oI0rk is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorADT SECURITY Address 1501 Pear.l Snitp. B Ci ty Eugene Phone 342-1313 Supervisor License Number R-17 77 Expiration Date 10-1-96 1000 sq.fl. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DloIelling Service or Feeder 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 Sum S 85.00 S 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 59944 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 4-1-95 : Signa~tire O:CSuperv'ising ElectriCiaii ./ ~e1::(tJ~'~/:~'ll~'mt1~ D. ~k;n, -I-IoLLI./ .:3'/J2eff I Ci ~/AJ(..,F'"II="Whone .&:d!, ~t/-(" /.., </.I OIINER INSTALJTI6~ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits S 40.00 $ 55.00 $ 80.00 volts see nBn above ..' Nelol, Alteration or Extension Per Panel One Circuit Each Additional Circuit or loIith 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 LO. 00 Limited Energy/Comm $ 36.00 The installation is being made on property I Ololn IoIhich is not intended for sale, lease or rent. Owners Signature: --------r------------------------------ DATE: I .--- f ~ q c:; RECEIPT ~: VI 9'~ I ~"rr.nTF.nln;: 0 .M 5. SUBTOTAL OF ABOVE 5% State Surcharge I't'.r 3% Administrative Fee TOTAL 20.00 /.. oU ./00 .:l./, ("/1