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HomeMy WebLinkAboutPermit Electrical 1997-05-02225 FIFIE STREET SPRINGFIELD OREGON sPRr. ,EL() ELECTRTCAL PERHTT A"PLICATTON s74tt o*.Q'?1{J- * efi, #&aPProvrrl ? tctp K 1 OF INSTAII..ATION Ffxi LEGAI ION 4Res C JOB DESCRTPTION Instal 'l at Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAILATION ONLY Electrical Contractor ADT Sdcurity : Address 15 I Pearl qr INSPECTION REQUEST: 726-3769 ., 0FFICE: 726-3759 The installation is being made on ;;;p;;,y-i-orn vhich is not intended ior saIe, lease or rent' Ovners Signature: b Nurnber 3. COHPI^ETE FEE SCMDULE BELOV A. Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular'DweIling Service or Feeder $ 85.00 $ 1s.00 s 40.00 B Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 201 arnps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0nIY C $ 3s.00 Sum City Eusene Phone 342-13tq Supervisor License Number 94 g .TT.E Expiration Date Constr Co ntr. Number 5994 Expiration Date 412l /qg Signature of S rvising Electrician Ovners Name Address Ci Phone -9n OVNER INST ALLATION Temporary Services or Feeders -i"rl"ifrii"", Alteration or Relocation 200 amps'"or less $ 19'99;oi ;;; i" +oo amPs - $ !l'99 0;;'151 io 6oo "*ils l- $ 8o'oo over 600 ,rp" o,-i550-at" iee "8" a566 s s0.00 $ 60.00 $ 100. 00 $130.00 s300.00 $ 40.00 D. Branch Circuits Nev, Alteration or Extension Per Panel El MisceflaneouS (Service/feeder not included) One Circuit Each Additional Circuit or vith Service or Feeder Permit --Each installation Pump or irrigation - sisn/Outline Lighting- Liilited EnergY/Res 1 Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee $ 2.00 $20.00 I .00 $20-o0 s 40.00 s 40.00 $ 20.00 s 36.00 ( DATE:O.1 tAr)A.n U-a-- 5 I lo1 I (",M" i [\. d\ a