HomeMy WebLinkAboutPermit Electrical 1995-6-12
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The following pro'
Zoning, and doe Ject as submitted has the f .
approval. 9 not require specific land u~~ow"
225 FIFTH STREET z' c. ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 OOlng 1.../ g~
INSPECTION REQUEST: 72fPtiJ1f.69(..-12_!I) City Job Number J~ e:-',"::--'
OFFICE: 726-3759 AL1.- '. .
,or,_od Slgnature_ MM COMPLETE FEE SCHEDULE BELOI/
1., LOCATIOrj OF INSTw.ATION
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LEGAL DESCRIPTION .
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JOB DESCRIPTION
ALARM SV[IFM
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
Electrical ContractorADT SFr.llRTTY
Address 1501 P~~rl Strppt. sujLp R
City EUQene. 97402
Phone (503)342-1313
Supervisor License Number R-1777lTF
Expiration Date 10-1-Qh
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
, Modular, 'D'Jelling
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
S 15.00
$ 40.00
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 59944
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date 4/79
Signature of Supervising Electrician
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Address '
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OVNER INSTALLATION
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
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00 "'>("flh
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners.Signature:
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DATE: . h-/2'~
RECEIPT 11:. I? 7/ <:>
RECEIVED BY: 'i~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
3(,.00
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