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HomeMy WebLinkAboutPermit Electrical 1995-9-28 ~' > . n.__'. -- SPRINGFIELD ~~ ,j appro....a, Zonina LD~ 225 FIFTH STREET Done ot - :;LCf,..q5 SPRINGFIELD, OREGON 97477" /'V>n INSPECTION REQUEST: MI2.':l'7t'11S,gna\ule, (. ~ OFFICE: 726-3759 1. LOCATION OF INSTALLATION jA 0"", c::i. L f'lJJJE.p '-- <mea=:r I d ~AL DESCRIPTION QL-/ if , .,., u/_ tlL 2-3 ,orso ELECTRICAL PERMIT APPLICATION 1..1l'y Job Number q 5 1'54 q 3. COMPLETE FEE SCHEDULE BELOV A, Nev Residential-Single or Multi-Family per dvelling unit. Service Included: JOB DESCRIPTION ALARM SYSTEM Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorADT SECURITY Address 1501 Pearl Suite B Ci ty Eugene Phone 342~1313 Supervisor License Number R-1777 Expiration Date 10-1-96 Constr Contr. Number 59944 Expiration Date 4-1-95 Signature of ,Supervising Electrician d- /,J;e: V J~ . Oyne r NameJ::20, 1 d..hl F...lb A &'1', (' 1=1:- ess l.a..q,..,." (:./ APT ~J? . "'-.'l)?!=.H_ Cit<V.<)f'e"y.:,Fi~1 [) ORPhone,.<=;t);l,.-7.;u" 19S3 , OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ------q-r------. ------------------ DATE: ,2 g' 4":::> RECEIPT #: (' JI r} /'-1b . lH'rl'TWn ny: N.I'\ ' 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular 'Dvelling 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 , Items Cos t 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 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 "B" above .' Ney, Alteration or Extension Per Panel One Circuit Each Additional Circuit or yith Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm ~. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 LO.OO 20.00 /.ou .100 ,;1./, (,.Jl