HomeMy WebLinkAboutPermit Electrical 1995-4-12
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The. following project e. submllted has the follow!n
zoning, and does nol requirG specific land use
225 FIFTH STREET approval.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonin~ L-Ot2.- OLJ I~:Z c::
INSPECTION REQUEST: 726D~I~6'j.._iL..-e,.r City Job Number - {~/M ~
OFFICE: 726-3759 ~ -----
Authorized Signature IJ ~.
1. LOCATION OF INSTALLATION/JJ7
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I LEGAL DESCRIPTION h ..--,
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JOB DESCRIPTION
ALARM SYSTEM
Permits are non-transferable and expire
if york is not started within 1BO days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY 3,3(J IS B.
Electrical ContractorADT SECURITY
Address703 NE Hancock
City PDX 97212
Phone 284-3265 ext 35
Supervisor License Number 893
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1-95
Sign:j 7u~!.::Lectrician
(' o:J, N~'~Uftd 6. -;:'1;' ~
Address :J.c,59 '11. J 7 d:J 'fI_
City~d Phone7'1(P-tJ7<15
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~A~~71--7Z:'-C15 - ----------------
RECEIP'f jI: 0/4' t13.J,
RF.I:ElVEO BY: JJ. Ijl{.f-C!./l Cl-~l.V
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
unit.
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Cost
Sum
$ B5.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.06 ...
$130.00
$300.,00'
$ 40.0.0
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
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New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with 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
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
lU.OO
20.00
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