HomeMy WebLinkAboutPermit Electrical 1995-11-08SPCIINGFI€I-E'
225 FIFTE STREEf,
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:. 726-376$*
oFPICE: 726-3759
1 LOCATION OF INST
The
apProvat'rL ELECTRICAL PERHTT APPTJCATION,C
-q5 City Jo b Nurnber QS nQ
Arnhodzed COHPT^ETE FEE SCTMDULE BEI,OTJ
ON
zoning , and not roquiro speclfic %
One Circuit
Each Additional
Circuit or vith Servrce
or Feeder Permit
-
SUBTOTAL OF ABOVE
52 State Surcharge
fi aatoitistrativ€ Fee
TOTAL
3
A2oLUofll*rts-l
I^EGAL DESCRII'TION1z
JOB DESCRIPTION
ALAR}4 SYSTEM
Electrical Contract orADT SECURITY
Address I 501 Peari Suite B
Ci ty Etgene phone 342- 1313
Supervisor License Number B.-LI 7 7
Expiration Dat e l_o-l-96
Ne',r Residential-Single or
Hulti-Family per dvelling unit-
Service rncl'uded t
,,u*. cost
1000 sq. f t. or less
Ilach add i t ional 500
sq. ft or Portion
the reo f
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
s 85.00
s 40.00
Stte
L Sum
Permits are non-transferable and expire
if vork is not started vithin 180 days
oi i"tr.nce or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI^ATION ONI,Y
Constr Contr. Numbe
Expiration Date 4-1-95
Signature of Supervising Electrician
Address
DATE:
B- Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or Less
,oi ;;' to 4co amPs ---401 amps to 600 amPs -_-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect OnIY
c
D
TemDorarv Services or Feeders -ill;ir;ilon, ert.ration or Rerocation
2oo amps or ress ! 19'99;;; il; io aoo amPs
- I ::'99o;;'l5i io 600 amPs - S 8o'oo
over 600 .*0" o'oi56o-'oft" it" "n" a566
Nev, Alteration or Extension Per Panel
(snno
s 60.00
$100.00
s 130.00
s300.00
$ 40.00
r5 9944
ci t@Phone-s 4l' 7+l' trLf8
OVNER INSTALT.ATION
The installation is being made-on
DroDerty I ovn "t'itt' is iot intended
?.rt's"Ie, lease or rent'
0vners Signature:
Hiscellaneous (Service/ feeder
-Each installation;ffi;".;"iiiig"tion Ili*Izo".iinu"ilgt'tins- !
t imited EnergY/Res
-
:
Limited EnergY/Comm )
s 3s.00
s 2.00
not included)
E.
t6-.oo
40.00
40.00
20.00
36 .00
CITY OF OREGOfU
rsN
rrrrcFTvtrn B rv\
5
20.
()
s 15.00