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HomeMy WebLinkAboutPermit Electrical 1995-2-9 . , .' 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. . { (/ 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. ~ Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .' 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 .' 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 .bO ;l. /, /" t1