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HomeMy WebLinkAboutPermit Electrical 1995-01-06tebb CITY OF SPR OREGON 225 TTYIE STREET SPRTNGFTELD, OREGON 97477 SPlrIltlGF!ELD as submitted has the PBRHIT APPIJCATIONrequire specific land Hulti-Family per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular 'Dve11ing Sertice or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 qmPs - 401 amps to.600 amps - 601 anis to 1000 .rP"- over 1b00 amps/voIts -Reconnect OnlY c.Tenporary Services or Feeders Installation, Alteration or Relocation fhe lollowing project zoning, and does not approval. INspEctroN REQUBSTz T26-3769 Zonins_City Job 5 OFFICE: 726-3759 Date_ 3. COMPLETB FEE SCEEDUIJ BEIOIT 1 Of INSTALl,[f[Q!{orized Siqnature- rcial-Single or I,EGALl? oj ryryYY. ao toc .l Sum JOB DESCRTPTION ALARM Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 134s2. CO}IItsACTOR INSTAIJ,ATTON ONLI Elec trical ContractorADT SECURITY AddressT03 NE Hancock phone 284-3265 ext 35 Superv isor License Number 893 Exp iration Date f0-1-96 Constr Contr. Number s9944 Expiration Signature Date 4-L-95 0vners Name Address 143!) iJ u*a) ci OIINER The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0mers Signature: DATB: Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35'00 Each AdditionalCircuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) 200 amps or less 201 amps to 400 amps - Over 401 to 600 amps - 0ver 600 amps or 1000 volts -Each installation Pump or irrigation $ sign/outline Lighting- q l,iili ted Energy/Res - S $ $ 00 00 00 00 00 00 50. 60 $100 $130 $300 $ 40.00 $ 5s.00 $ 80.00 see rrBrt $ 20. 00 a566 I0. ro 40 Electrician D 40.00 40.00 20.00 36.00 5 SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL -L oo z -"VRECEIVED L SYSTEM city PDX 97212 --:60--7T7;d--