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HomeMy WebLinkAboutPermit Electrical 1996-03-22SPftTNGFI€LO 225 PIFTII SIREET SPRTNGFIELD' oREGoN INSPECTION REQIIEST:TWr97 471 726-3769 Dut" rornne$, afld CC @ CAL PERHIT APPLICATION City Job Nuruber Qu fi13 OFFICE 726-3159 Arrtholtaed BELOV Items Cos t $ 8s.00 $ 1s.00 $ 40.00 OF1q INSTAL*/.1 INTION Nev Residentlal-Sing1e or MuIti-FamilY Per dvelling unrt' Service Included: 1 A. LEGAL DBSCRIPTION -DESCRIPTION permits are non-transferable and expire ii-".tf. is not started vithin 180 days ;; i;;;Iu o' li vork is susPended for 180 daYs. 2. C'T{ITRACTOR INSTALINTION ONLY Electrical Contrac tor DSS.I - ' ,to' 39 Address r',a 2 z/13 2.-€-oe Phone ;!r'v -?/3 vCi tY supervisor Licen-se Number '{e7 l/o7 Expiration Date ,/D' ?C Constr Contr. Number Z23o Expiration Darc 3-/S'1? Slgna ture of SuPervlsing Electrician so . f t. or fess "dditiot"I 500 sq. ft or Portion thereof Each Hanuf'd Bome or Hodular Dvelling Servlc-e or Feeder B. Services or Feeders installation, Alterations Z czLor Relocation: 200 amPs or Iess 201 amPs to 400 amps - 401 amPs to 600 amps 601 amPs to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0nlY Sum 1000 Each s s0.00 s 60.00 $100.00 $130.00 $300.00 s 40.00 Temporary Services or' Feeders irt["ii"ii"., Alteration or Relocation 200 amps or less ioi ;;;; to 4oo amps -0ver 401 to 600 amps - Over 600 amps or 1000 volt Branch Circuits /{c--L Nev, Alteration or Extension Per Panel One Circui t i".n"eaJi t ionut Circuit or vith Service or Feeder Permi t --_- Hiscelfaneous (Service/feeder not included) 40.$ $ $ $4 $4 55 BO 00 00 00 OVNER INSTAL LATION Otrners gna DATE: RECEI -Each installation Pump or irri.gation --Sign/0utIine Lighting._- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OP ATOVE 5Z Statersurcharge TOTALJZ ,n,smlt s see ..B(r affi s 3s.00 s 2"00 0.00 0.00 $ JO-aq:L l6r0-q) D ! 0rrners N Add ress cir Scrvt& e s rI Phone The installation is being made on pioperty I ovn vhich is not intended ior'saIe, lease or rent' E -) 5 6-6 6D T C. tu )17 -et/I/ \--/ AL RI{'SYsr:rx PERHTT - $40 FEE CITY OF SPRINGFIELD DEVELOPMENT SERVICES 225 FIFTI] STREET SPRINGFIELD OR 91417 a ISTHEALARMSYSTEMBEINGINSTALLEDATARESIDENTIAL0RBUSINESS LOCATION? RESIDENTIAL BUSINESS 2 rf a residentially installed systen, prease_comprete questions 1 through 6. lr-tr,."lyli"r-i"'6"i"s installed at a business location, please ;;;pi'";;-qut"tion" 7 through 13' City: State:Zipz 3. Phone Number: 4' Date of Birth: 5. rs the system being instarred by the homeovner? Yes- No- Ifno,thenindicatethecompanythatvillbeinstallingthealarm sys tem: 6. Date of installation:- 1. Name: Address: 7. Business name (only if system vas installed in business): e B. 0vner Name:(_ 9. Ovner date of blrth:74 -f/10. Business address:,{5 // Ci ty S tate:L zipz 11, . Phone Number :7 /v f{7 t/ L?. Company that installed alarm system: e t o;Dr -t c) c) rrl5r1mHZFrc(r)rq-m c-) ==HLL rn@@ornm N OC2. -{ varl c-)rn rn(J q, ; -p'u- F F rrlrmc) ---{p c)>r .U m -{ 2.o oa t? 13. Date of installation:2L a ELECTRICAL PERMIT REQUIRED 7 7