HomeMy WebLinkAboutPermit Electrical 1995-03-03zkzaZt
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t aCITY OF SPR ,NG
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The lollowing
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6nd does not requiro epecllic land use afr
at)trliOV ^t U225 PTETH STREEf,
SPRINGFTEIJ), OREGON 9
INSPECTTON REQUEST:
OFPICE: 726-3759
1.OP
I,EGAL DESCRTPTION
JOB DESCRTPTION
ALARM SYS
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAIJ^ATION ONLT
ci
U
OVNER INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
EI,ECTRTCAT PERI{IT APPIJCATION
City Job Number
SCEEDTIIJ BELOII
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:Items Cost
Zonin
Autlic;ttotl
Sum
Electrical Contractor ADT SECURITY
Address 703 NE Hancock
ci PDX 972L2 Phone 284-3265 ext 4L
Supervisor License Number 518
ExP iration Date 10-1-96
Constr Cont r. Number 59944
Expiration Date 4-1-95
Signa ing Blectrician
Ovners
Address l)i {t )ryr r lror>b
LMa Phon" -'J_!_-b,- 4./ -73
C. TemporarY Services or Feeders
Installation, Alteration or Relocation
1000 sq.ft. or less
Each additional 500
sq. ft or portion
.. thereo t
-
Each Hanuf'd Home or
ModuIar.'Dve1ling
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amis to 1000 amPs-
over 1b00 arnps/vo1t;
-Reconnect OnIY
200 amps or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
-
Over 600 amps or 1000 volts
B.
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$
$
$
s
40.00
5s. oo
80.00
ee uBu a56F
ttO
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lightirg-
Limited EnergY/Res
Limited fnergY/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
o
RECEIVED B
5
36--oo
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