HomeMy WebLinkAboutPermit Electrical 1996-03-22SPftTNGFI€LO
225 PIFTII SIREET
SPRTNGFIELD' oREGoN
INSPECTION REQIIEST:TWr97 471
726-3769 Dut"
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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
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5
6-6
6D
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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:
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13. Date of installation:2L a
ELECTRICAL PERMIT REQUIRED
7 7