HomeMy WebLinkAboutPermit Electrical 1999-1-8
2t5~O. ('1 -(PI.
"'1,""
~o'!!'t,~
225 FIFTH STREET ",o,oro..';'~P,r; . ELECl'RICAL PERMIT APPLICATION.
SPRINGFIELD, OREGON 97477 {) . '-'-.... G\ .
INSPECTION REQUEST: 726-~7~~ ~~ ""',~, City Job Number ~ \XtJS ~ ~
OFFICE: 726-3759 lJtl,Ori' /_ Cdlq;;"~ .
"'i'u ~:'>t. ~EE SCHEDULE BELOII
1. LOCATION OF INSTALLATION 8~".,,,, ''1 .
fl.rl~./J C-A-'TiEu,..Ly ofl/.J 'lI... Res~n ial-Single or
~ 0It'lD ul . Family per dwelling uni t.
~AL DESCRIPTION Se ice cluded:
(' (f "'^ ~ . 11.1'; I .- T c.--_/lL -(
JOB DESCRIPTION )703?,). (JOD:d").CSV
Alarm InRt~llo~<^-
NOT/r.e' .
Permits' are non-transferable and expire
Tti'i' %'rk1I1Sf-:not [s^~a!;ted wi thin 180 days
A{Of..,t!'ssuance~Jr i ['iJbrR TiJ:f 'sus-pended for
C(j180"ilayS~ u, ER THIS PERMIT I~ NOT
1VI11'''-N' ,'0 OR I ~
- '. S ABANnn^'t:" ".--
A~2~ CONTRACTOR INSTALLATION, ONLY
. M/lll.l,
Electrical Contractor ADT Ser~~~
Address 1501 1>pprl c:~
Ci ty EUllen.. Phone 342-1111
Supervisor License Number ~~~.ry.R
Expiration Date 11/01199
.
Constr Contr. Number 59944
Expiration Date -t; /7/99
Signature of Supervising Electrician
/~r/~.~~+\~
Owners NameC ';"L~:.:.~ CJ:.J, 'r -..
--u;-:- "':-- ." . \'-..
Address ~ L..>'~vu:.. : ....w """";~~'
City~.. ~ 1- _ ~~one
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
".,-
------------~-------------------------
DATE:\-<{....-\'\ --tJ,;--7(j;Q/d-.0
ot:'rr.TP"T' ft-
".m,
It ems
Cost
Sum
lO00ns m'h9~!.l&~~ . __ . $ 85.00
Etr.clhJ~I\.!I~!~aB!\~.dltJ w. -,-.. _s you to
NSll~c<ftto 91:; PiJt~n the Oregon Utility
. ......~.J. e. . Tnose rules are s"t W]OO
1O"'^,I'l'<Y.Ji!-Q01-~0 thr I -... ..
6;1.!lb .~Itf.' me. oOf!,l , ",,,n 952-001-
HgSj!l~ll\'h.P~cr 11:k~opl.es of the rules by
~@liiWrlfoffiiFoJa'e1?te..the telep~&nliO. 00
e regon Utl,,,y ..udfication
, Center ;~ 1-Rnn,332-2344)
Servlces or Feeaers .
Installation, Alterations
or Relocation:
.B.
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
$ 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
Branch Circuits
$ 40.00
$.55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with 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
Limi ted Energy/Comm $ 36.00 ?L
5. SUBTOTAL OF ABOVE 3lo "'~
5% S ta te Surcharge ~. : X V
3% Administrative Fee ,~K'-?:5't;