HomeMy WebLinkAboutPermit Electrical 1992-02-24sr'tilNc:FrcLo
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225 FITTE STREET
SPRTNGFTELD, OREGON 97 477
INSPECTION RBQTIEST
oFFICE: 726'3759
t 726-3769
1 LOCATION OT INST
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The installation is being made on
property I own vhich is not intended
for sa1e, lease or rent.
0vners Signature:
JOB DESCRIPTION
Low Voltage Smoke Detectors
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRA TOR INSTALI.ATION OM,Y
Electrical Contractor ADT Security Sysrems
Address 1501 Pearl Street
ci Eug,ene. 0R Phone 342-L3t3
Supervisor License Ndmber 852JLE
Exp iration Date 10-1-93
Constr Contr. Number 59944
Exp iration Dale4-29-92
Signature of ising Electriciancl
0vners Nall€ttt- Vernon Elem/Spf1d School Dist
Address 525 Mill Srreer
Ci ty Sorinefi eld. OR Phone 7 26-9558
OVNER INSTALI,ATION
ber
SCTIEDULE BELOV
Residential-Single or
HuIti-Family per dvelling unit.
Serviee Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
$ 8s.00
s 15.00
s 40.00
APPLICATIONqA13
J
Sum
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
Onb Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
E Hiscellaneous ( Service/feeder
-Each installation
Pnmp or irrigation S
Sign/OutIine Lighting_ $
Limi ted Energy/Res S
Limited Energy/Comm * S
SI.,BTOTAL OP ABOVE
5X State Surcharge
TOTAL
200 amps or less S 40.00
201 amps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see "B'r above
s s0.00
$ 60.00
$100.00
$130.00
s300.00
s 40.00
not included)
40.00
40.00
20.00
5
DATE:
RECEI PT
RECEIVED BY:
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ELECTRICAL
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