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HomeMy WebLinkAboutPermit Electrical 1995-8-10 ., , . . . The. fo!I(',wi~9 prolect os submttted has the followin 225 FIFTH STREET zonlO,;, :" '.l '::,,~s not raquire spociiio !c"uEhE~CAL PBRHIT APPLICATION SPRINGFIELD, OREGON 97477 epP/OV"', \ (\c-' C1 INSPECTION REQUEST: 726-3769 Zenina ~ City Job Number 1,1n C;; & / OFFICE: 726-3759 D"!o~~A5 1. LOCATION OF INSTALLAWlitorized Signature .3...q q~ m f1f2~_t) L ft- 1S.D.A.n LEGAL DE..s..CRIPTION 17(17_ d-D(J(J Oc')/(J() JOB DESCRIPTION ALARM SVSTF:M Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorADT SECURT'I'V Address 1501 Pearl Strppt_ S"....tp R CitY~2ene. 97402 Phone(503)34~-~11~ Supervisor License Number R-1777 TT,!' Expiration Date 10-1-9h Constr Contr. Number 59944 Expiration Date 4/79 Signature of Supervising Electrician! \...../ ~~- 8 Nam~ &/tLD (!F/J'-h:=P Address~_"" /h171;J(I[lIA'f?" f}n CitY-.Sn>1l :It;.,.tIR./), 11.e!,hone .~~. 7'J~&S- OWNER INSTALLATION The installation is being made on property I oyn yhich is not intended for sale, lease or rent. Ovners Signature: DATE~---~-rl5~l1~---------------- RECEIPT II: UI)((P-/Y RECEIVED BY:, ,,}0~ tJ M COMPLETE FEE SCHEDULE BELO\I 11 A. NeW l\t:::::i.l\Jt:Hl~al-Single or . . . (YO _0_".. Multi-Family per dyelling unit. . . Service Included: . , Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or HodularDyelling Service or Feeder $ 85.00 $ 15.00 $ 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 ~/,.06 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL dt..DO l,fD /.1)1 ;?;.L;g