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HomeMy WebLinkAboutPermit Electrical 2001-01-16C,ITY OF OREGON 5P'II,{GFIELO .tc t't.LOr'iyrEtt I rLrtviCc j uLpffe1Ol/Olrfftfdp roject as submitted has the follzontng and d oes not reguire specific land useappraval tu 22SFIFIHSTHLLI SPRINGFIELD, OR 97477 (541) 726_3753 FAX 641) 726-s689*-Zontng 225 PTYTE SIts.EET SPRINGFIELD, oREGoN 974 INSPECTION REoSBST: 126:yl69zec Srsnatu,e 0FFICE: 726-3759 L. 6l PERI{TT APPLTCATTON Job Nunber (>t^ Ooogo ^ O 3. COI{PLETE FBE SCEEDULE BELOS A Nev Residential-Single or HuIti-Famlly per dvelling unit. Servlce Included:Items Cost Sum 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanuf'd Home or -l.lodular Dvelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 B t- rfu'" I. .LOCATION OF INSTALIATTON/ft:1-> /5n {r" Aue_ I.EGAL DESCRIPTION I -7 o jZ\ j'O/oo o JOB 2. COI{TRACTOR INSTALI,A:TION ONLY Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. Electrical Contractor ADT Security Services Address 4660 Main Srree t, Blde A, //100 Ci ty Sprinsfield Phone 736-4973 Supervisor License Number 853 JLE Exp irat.ion Date t0/Ot /oz Constr Contr. Number 26209CL8 Expiration Date L0l0L/0t Signa of Supervising Electrician 0vners Name /ot'rY ln Or Address { r4rn < Services or Feedersfnstallatioa, Alterationsor Relocalion: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 aurps to 1000 amps- Over 1000 amps/vo1ts -Reconnect 0n1y s s0.00 s 60.00 $100.00 $130.00 s300.00s 40.00 Ci ty OSNER INSTALT.ATION The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: $ 'u/' 'Phone 7q 2*>7 / ) c.Temporary Services or Feedersfnstallation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - S 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 voTTs see "B, affi 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 E DATE: otlQt r RECEI RECETVED'B '--4 Pump or irrigation Sign/0utline Lighting- Limited Energy/Re" -Limi ted Energy/Comm -----:- SUBTOTAL OP ABOVE 7% State Surcharge 3Z Admini.strative Fee TOTAL $ 40.00 $ 40.00 s 20.00 s 36.00 5 ( .49