HomeMy WebLinkAboutPermit Electrical 1995-9-28
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SPRINGFIELD
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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
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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
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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
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