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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