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HomeMy WebLinkAboutPermit Electrical 1996-01-30.:. SPRINGPTELD, OREGoN 97477, INsPEcf,roN REQUESTz 726-37q9 oFFrcE: 726-3759 i-' ELBCTRICAL PERITIT APPLICETION Ci ty Job Nu.uber ?oo /22 BELOV 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 Sertice or Feeder s 8s.00 s 1s.00 s 40.00 B. Services or Feeders fnstallation, Alterations or Relocation: 225 PIFIE STREEf, The following orc{ect as submrtted has th approval. EPRItllGFIELD SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL -70 b Airthonzod JOB DESCRIPTTON H--+e**, 5lz < ZL.n-t Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COTYTRACTOR TNSTAIJ,ATION ONLY Electrical Contractor ADT Securit, Sr.t"r" Address 1501 Pearl Street. Suite B ci Eugene, OR Phone 54bjt+2-1111 Supervisor License Number Rl777JLE Exp iration Date 10/01/96 constr contr. Number 59944 Exp iration Date 04/Zg/96 Signature of Supervising Electrician s nane{rfue- Gtx< ress ci 0e PhoneStll, Zal,ltlVo OSNER INSTALIATTON The installation is being made on property I ovn vhich is not intended I for sale, Iease or rent. 0cners Signature: DATE: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ 0ver 1000 anps/volts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 anps - S 55.00 0ver 401 to 600 amps - S 80.00 Over 600 amps or 1000 voEs see nB" a6ifiiil Sum s s0.00 s 60.00 $100.00 s130.00 s300.00 s 40.00 c D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Serviceor Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/Outline Lighting- SLimited Energy/Res -F $Limited Energy/Comm $ 40.00 40.00 20.00 35.00 20.00 5 20. 00 00I CITY OF SPF'A'.OFEGO'V 0vn RECETVED ?1 -6 n 1. I.OCATION OP INSTALI^ATION 11 / t/; 'oit ri.Es<r -DP , ,,e LEGAL DESCRTPTTON- < .z(lz_ ,tr{ y .60