HomeMy WebLinkAboutPermit Electrical 1995-03-17CITY OF SPF,,VG OFFGOru
zcn not requ lo
approval
225 PTFT,E SI?.EET
SPRINGFIELD ,OREGON 97477aaw:3-lt1 {
INSPECTION REOUEST:726-3769AUiil'JiizOOOFFICE: 726-
1. LOCATION
3759
PTION
JOB DESCRIPIION
ALARM SYSTEM
BI,ECTRICAL PERHIT APPLICATION
City Job Number 9m 3q o
3. COHPI,RTE FEE SCMDUI,E BEIOS
A- Nev Residential-Single or
Mu1ti-FamilY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
ee uBu aE66
E
180 days.
2. COIITRACTOR INSTALI,ATION ONLY
Expiration Date -1-9
sing Eleetrician
0vners Name
Address /,*,.a
Ci ty ehone 1J-b-t7tt{o
INSTALLATION
DATE:
SPFlIiIGFIELf,'
use
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAI
s 40.00
200 amps or less
201 amps to 400 amPS
-
Over 401 to 600 amPs
Over 600 amPs or fOOO-voFs
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
r""n-aaJi tional
Circui.t or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
ON
Sum
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
s 1s.00
3 tv-5 B.
Electrical Contract OTADT SECURITY
Services or Feeders
Installation, Alterations
or Relocation:
Add ress703 NE Hancock 200 amps or less
201 amps to 400 amPs
-
401- amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/vo1ts
-
Reeonnect OnIY
Ci ty PDX 91212 phone 284-3265 ext 35
Supervi sor Licen"" 11um5ss 893
Expiration P31s 10-1-96
c-
Constr Contr. Number 59944
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
s s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
40.00
55.00
80.00
$
$
$
s
The instaLlation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
Osners Signature:
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited EnergY/Res ry$ 40.00
s 40.00
$ 20.00
s 36.00
.()
RECEIVED
5.20
zrrinsL/D[-.-
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