HomeMy WebLinkAboutPermit Electrical 1999-5-3
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225 FIFTH STREET Date e;- - '3>- "7 .., IlLECTRICAL PERKIT APPLICATION~
SPRINGFIELD, OREGON 914'1i1horized Signa, rl./. \ . q\7 I ~
INSPECTION REQUEST: 126-3769 ure 7..:>4..1. ) C_i'ty Job Number. .' X ': ,
OFFICE: 126-3759
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
"7 du / 'tvYra..A/~i:,-- / .~A /.A-_",
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JOB DESCRIPTION
Alarm InR~11Q~4nft
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 Contractor ADT S~~.~
Address~.ll.} Po~~' c..
City EUll:epp. PhoneJ4?-1111
Supervisor License Number .'RD J],."
Expiration Date 10'01199
Constr Contr. Number 'I'lJI,b
Expiration Date / /)G-r'T"T
Signature of Supervising Electrician
,~/P1 C~_ .
Owners 'lame I) <"J :5'_ ') v f' ;{.~. /
Address / ? f 'S tv. J..~,./ ~v ~ )",r!c )(5</
,
City A/Zf11..!.-4 Phone );J'f-).yf-o(;oy
,
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren t. .
Qvners Signa ture: .
.-
~r.,sg1lft{---7ite-r/:P;-rJJ?-rd , 5.
, A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
.. \ $ 85.00
1000 sq.ft. or less
Each addi<ional 500
sq. ft or portion
thereof $ 15.00.
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder $ 40.00
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
'401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 am~s/volts $300.00
Reconnect On y $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relo~ation
. 200 amps' 'OT less $ 40.00
201 amps to 400 amps $55.00
Over 401 to 600'amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
. ,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
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
Limited Energy/Comm $ 36.00 TZ~~
SUBTOTAL OF ABOVE '? ( " "
5% State Surcharge . . ,
"~ . ,_,..,_,.";"'' r;'PP1OttY{ =-'..(l'.y" 'i. .