HomeMy WebLinkAboutPermit Electrical 1997-04-03SPRIilGEIEU,, OREGON 97177, .
IilSPEGII0!| REOIIBSI: 726-3769
OFEICE: 726-3759
DESCRT
JOB DESCRTPTTON
Alarn Installatlon
Pernits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALII\TTON ONLY
Electrical ContractorADT Security Systems
Address l50l pearl Street, Sulte B
Ci ty Eueene. OR Phone 541-342-13t3
Supervisor License Number
Expiration Date LO/OL/96
_ grrg JtE
Constr Contr. Number sgg11
Expi.ration Date 04/Zg /97
Signature of pervising Blectrician
v
0vners Name
Address \?O Hrtl sl-
So",^uFr.l d pnon.-I}b- d!3
PERfirt APPI.IC,ATTON
City Job Nnnbe rQ-J fyl( O
3
A
COI{PI,RIB FEE SCEEDT'I.E BEIOV
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular Dvelling
Service or Feeder
s 8s.00
s 15.00
s 40.00
Services or Feeders
InstaIlation, Alterations
or Relocation:
Sum
B
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 anps to 1000 atrps_
over 1000 amps/volts
-Reconnect OnIy
200 amps or Less
201 amps to 400 amps
-Over 401.to 600 amps
0ver 600 amps or 1000-6fts
One Circuit
Each Additionalcil"iiii -
"
i.;tiit'Se rvi ce
or Feeder Persrit
Ci ty T F
OgNER INSTALTATION
The lnstallation ls belng made on
property I 'ovn vhlch is not intendedfor sale, Iease or rent.
Osfl€FS Signature:
DATE:
50.00
s300
60
100
130
S
s
$
s
40.00
55.00
80.00
00
00
00
00
00
C- Tenporary Services or Feeders
InstaLlation, Alteration or Relocation
ee nBn ab6ve-
Sqo
s 3s.00
s 2.00
s
s
s
s
D. Branch Circuits
Nev, Alteration or Extension Per Panel
E. Hiscellaneous (Service/feeder not included)
35-OO
5. SUBTOTAL OF ABOVE
5f State Surcharge
3Z Adarinistrative Fee
TOTAL
36 oo
1.80
l .08
-8ach installation
Punp or irrigation S
Sign/Outline Lightins_ S
Limited Energy/Res $
Limited Energy/Comm I S
40.00
40.00
20.00
35.00
RECBIVED 38. 88
'.j;"
225
1 OP
)
OREGO'VCITYAF