HomeMy WebLinkAboutPermit Electrical 1992-02-245t,: ilrt;(;, rLLLJ
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225 FTWA STREE:r
SPRTNGFTELD, OREGON 97477
INSPECTION RBOI'EST
oEPICE: 726-3759
. 726tI8
1. LOCATION OF INSTALI.ATION
JOB DESCRIPTION
Low Voltage Smoke Deteclorp
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. COtIrRACf,OR INSTALI.ATION ONLY
Electrical ContractoE ADT Securirv Svsrems
Address 1501 pearl Srre et
Ci ty nqge4.e, 0B Phone 342-13L3
Supe rvisor License Ndmber 852 JLE
Exp iration Date 10-1-93
Constr Contr. Number 59944
Exp iration Date L-tg-g1
Signature of rvising Electrician
ELECTRICAL PERHIT APPLICATION
Ci ty Job Number
FEB SCFEDULE BELOU
A. Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B Serviies 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
s s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
qA,14
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
00
00
00
ee rrBrr aF
Ovners NameMoffitt Elen/Spfld School Dist
Address 525 Mill STreer
City Sprinsfield, OR Phone 726 9SSB
OSNER INSTALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovrers Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
$ 3s.00
200 amps or ]ess
201 amps to 400 amps
-Over 401 to 600 amps _0ver 600 amps or 1000 volt
Onb Ci.rcui t
Each Addi tional
Circuit or vith Service
or Feeder Permit
E. Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/0utIine Lighting_ $
Limited Energy/Res _, $
Limited Energy/Comm x $
STETOTAL OF ABOVE
5Z State Surcharge
TOTAL
40.
55.
s
$
$ss
80
PJ -2r
$ 2.oo
not included)
40.00
40. oo
20.00
5
RECEIVED
CD