HomeMy WebLinkAboutPermit Electrical 1995-2-9
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SPRINGFIELD
The following project as submitted has the followin
zoning, and does not require specific h:md use
225 FIFTH STREET approval. , ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning LV q 4/ . 3
INSPECTION REQUEST: 726-3769. _q Co'< Ci ty Job Number 4/
OFFICE: 726-3759 Dote z..- rl)
Authorized Signature ,~ }"\ 3.
1. LOCATIQN, 2!l I.NSTALLATION
I-/I,,/')'f., U'ij~O',.sr A.
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(/ LEGAL DESCRI ON ~ .
(b ('Joe!- () 5 0 77 0 I \D' .
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;-&-7
Electrical ContractorADT SECURITY
Address703 NE Hancock
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular'Dwelling
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
Phone 284-3265 ext 35
City PDX 97212
Supervisor License Number 893
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date-4-1-95
Owners NameU<;Lfe.. ~ ~
Address t./fo 02 /J ~ 5.fr'
U
Ci ty .vI VJ Phone 112--9...3-05
owd INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------~---- -~--------------
DATE: - V - C(.:J /"/
RECEIPT : (J{//J.L-- '7 (l,. _
IlIU~p.TVRn RY, ) J ' r Y\Gl.. cnO-O--<J
uni t.
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Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
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New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res $ 20.00 20.00
Limited Energy/Comm $ 36.00
D.
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
20.00
/.00
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