HomeMy WebLinkAboutPermit Electrical 1996-06-19SPRItt.GFIELD
225 ETrtS, STREET
SPRINGFTELD OREGON 97
/:Jrting, and doegnol require spocitictanO ueo
anproval.
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A
ELECTRTCAL PERHTT APPLICA
Ci ty Job Nunber
COHPI,RTE FEE SCffiDtII,E BELOV
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
TTON
q
,
INSPBCTT0N REQUEST: 7
OFFICE: 726-3759
LEGAL DESCRIPTIONe
JOB DESCRIPTION
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Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR TNSTALI,A:TTON ONLY
Electrical ContractorADT Security Systems
Address l50l pearl Street. Suire B
Ci ty gussne. OR Phone 542-342-t3t3
Supe rvisor License Number 1777.TLF.
Expiration Date r O/Or /q5
Constr Contr. Number 59944
Expiration Date 04/29/97
Signature of Supervising Electrician
Name L
Address
citvs#:g, fiW Phone 5:rll,g4>b
OgNER TNSTALI,ATION
The installation is being made onproperty f ovn vhich is not intendedfor saIe, lease or rent.
Omers Signature:
oArtr:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
E
5. SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect OnIy
Pump or irrigation
Sign/0ut1ine Lighting-
Limited Energy/Res rLimited Energy/Comm
ftems Cost
$ 8s.00
s 1s.00
$ 40.00
$ s0.00
s 60.00
s 100. 00
s130.00
$300.00
$ 40.00
?o -oo'l oo
.502t.60
Sum
B
C. Temporary Services or Feeders
InstalIation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00
0ver 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 vorfs see ttgtt
"[ffi-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit g 2.00
Miscellaneous (Service/feeder not included)
-Each installation
s 40.00
$ 40.00
$ 20.00
s 36.00
?o-00
CITY OF OPFGO'V
RECETYED
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1. LOCATTON OF INSTALI,ATION
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