HomeMy WebLinkAboutPermit Electrical 1995-5-18
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SPRINGFIELD
~eJfOl1owlng proJect as subrrtlted h~s fha followln
on f'g, and doe'J not r~qulre spec.lflc land uee 9
approval 1 ~
225 FIFTH STREET L~
SPRINGFIELD OREGON 97477 20n,oo
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INSPECTION REQUEST: 726.,.:'Y!69 ~ "-CS -<;S-
OFFICE: 726-3759
1.
/Ltr ,Lrl7ed Slgnatuia
LOCATIONoP.F INSTAL~TIO~ )
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,LEGAL DeSCRIPTION
'/ () 2.., 7_7 I D (l(1 f IT'D
JOB DESCRIPTION
ALARM SYSTEM
PermIts are non-transferable and expIre
If vork IS not started VI thIn 180 days
of Issuance or If vork IS suspended for
180 days
2. CONTRACTOR INSTALLATION ONLY t;; q..qS'
Electnca1 ContractorADT SECURITY
Address 1501 Pearl Su~te B
Cl ty f.ugene
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
~-;L~L:~R\"~'<- 0
Address 55 ~;t1v .
Cl ty_ . <)~ Phone f117lj7-Uk~
OVNER INSTALLATION
The InstallatIon IS beIng made on E.
property I ovn vlnch IS not Intended
[or sale, lease or rent
Ovners SIgnature:
-----------77--~----------------------
DATe:5-1 is :--(.):5
REceIPt t- U17Q3/ .
Dr'rr'l\rrn RY :i )(f--,,-.f.v'\
ELECTRICAL PERMIT APPLICATION
CIty Job Number qSO(, 7/
tJ~ COMPLETe FEE SCHEDULE BELOV
A.
Nev ResIdentIal-SIngle or
MultI-FamIly per dvelllng
SerVIce Included
um t.
Cost
Sum
Items
1000 sq ft or less
each add 1 tlonal 500
sq. [t or portIon
thereof
Each Manuf'd Home or
Modular Ovelhng
SerVIce or Feeder
B.
SerVIces or Feeders
Installatlon, AlteratIons
or RelocatIon
$ 85 00
$ 15 00
$ 40 00
$ 50.00
$ 60.00
$100 00
$130.00
$300.00
$ 40.00
C. Temporary SerVIces or Feeders
InstallatIon, Alteratlon 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see lIB" above
Branch Clrcul ts
Nev, AlteratIon or ExtenSIon Per Panel
One CIrCUIt
Each Addl tIonal
Clrcult or vlth Servlce
or Feeder Permlt
MIscellaneous (SerVIce/feeder
-Each lnstallatlon
Pump or IrrIgatIon
Slgn/Outllne LIghtIng
LImIted Energy/Res
LImIted Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Admlnlstratlve Fee
TOTAL
$ 35.00
$ 2 00
not Included)
$ 40 00
$ 40.00
$ 20.00
$ 36.00
zooo
20 00
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