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HomeMy WebLinkAboutPermit Electrical 1994-12-9 r; . e SPRINGFIELD . . .' The following project as submittsd has ths folio zoning, and does not require specific land use approval, 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3>> OFFICE: 726-3759 Zoning Authori,::od Signature 1. LOCATION OF INSJ;,ALLA~~ / q 3 tj Yy1 A hi' -A-Jl/1 ,~N LEGAL DESCRIPTION 1767~r~' ~/on JOB DESCRIPTION AJ..ARM C:;VC::'T'FM Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY J',);- 1-Y Electrical Contractor ADT SECURITY Address 703 NE Hancock City_ PDX 97212 Phone 284-3265 ext 41 Supervisor License Number 518 Expiration Date 10-1-96 Constr Contr. Number 59944 Expiration Date .4-1-9'; Si~~rvisi~lectrician Owners Name ~ Address / f 3 if YlJ,(;' LAflA . jJ f City~J Phone 7f..jJ-t/1 tJ i ~~ dNSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------------------------- /2 -9 -rd / S '7 L( .4'/~ DATE: RECEIPT 11: RECEIVED BY: ELECTRICAL PERHIT APPLICATION Ci ty Job Number q II €57 7 ... .:;JbrLc.... FEE SCHEDULE BELOV ~ New Residential-Single or Multi-Family per dwelling unit. '. , Service Included: .'. Items Cost' Sum A. 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular, 'Dwelling Service or Feeder $ 40.00 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 Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 " C. Temporary Services or'Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL .OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 .3&" 0 0 /. IrO J /,025) '~If, g '}{ 36,00