HomeMy WebLinkAboutPermit Electrical 1996-05-10ct TY OF OREGON
225 FIPTE STREET
SPRINGFIELD OREGON 97
INSPECTI0N REQIIEST: 7
OPPICE: 726-3759
1 LOCATION OF
JOB DESCRIPTION
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. CONTRACf,OR INSTALI,A:ITON ONLI
Electrical Contractor ADT Secu ri tv Svst
Address 1501 Pearl Street. SuiEe B
Ci Eusene.OR Phone S4t-:42-t:t3
Supervisor License Number L777JLE
Expiratio n Date l0l 01 196
Constr Contr. Numbe r59 9Ll+
Expiration Date 04/29 /97
Signature of Supervising Electrician
Address
DATE:
a
ELECTRTCAL PERHTT
City Job Nuruber
SCMDUI,B BEIOII
A- Nev Residential-Single or
MuIti-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
$ 8s.00
s 1s.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or
201 amps to
401 amps to
less
400 amps
600 amps
1000 amps
Tns i:l a^,ing prqer.t ao rubrnrltld ic t-it?
l";.i*, ,,.i'ol>a,r r,or r'q*i
'Prenc
If{
601 amps
0ver 1000
Reconnect
SFFI,\IGFIELO
/voI ts
Sum
ems
to
$ s0.00
s 60.00
$100. o0
s130.00
$300.00
s 40.00amps
0nIy
c Temporary Services or Feeders
i;;tJi"iion, Alteration or Relocation
200 amps or less
toi ffi; io aoo amPs
-Over 401 to 600 amPs
-
Over 600 amPs or 1000 volt
Branch Circuits
$ 40.00
s ss.oo
$ 80.00
s see rrBrr aE6G-
ci r@pnone .szlt. /4t' f / bo
OVNER INSTALI',ATION
The installation is being made on
piop"tty I ovn vhich is not intended
ior-sa1e, Iease or rent'
0vners Signature:
D.
Nev, Alteration or Extension Per Panel
One Circuit
Bach Additional
Circuit or vith Service
or Feeder Permit
-Er Miscellaneous (Service/feeder not included)
d,s 3s.00
s 2.00
-Each installation
Pumo or irrigation
-
Sign/OutIine Lighting_-
Limited EnergY/Res 1
L,imi ted EnergY/Comm
?0-00
s 40.00
s 40.00
$ 20.00
s 36.00
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
20.0
I
)1 -
0vne
RECEIVED
5
o
-(
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