HomeMy WebLinkAboutPermit Electrical 1995-2-24
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225 FIFTH STREET approvbl. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino GD 12-- q
INSPECTION REQUEST:. 726-3769 7-rlcA _ cf<" City Job Number / ~ ot:k'2/
OFFICE: 726-3759 Date . hJ>,
--A\l!horlzed Signature N - OHP~ PEE- SCHEDULE BELOII ~
1. LOCATION OF INSTALLATION ~ '7,-//
53.35: '/J1.I7.1d, ~t?-I- rI r-7"1 A. New Residential-Single or
Multi-Family per dwelling unit, .i,,~~r' c
LEGAL DESCRIPTION Service Included: ._~~ ~
/?$ ~?- "D 19/307J Items Cost Sum
JOB DESCRIPTION
ALARM SYSTEM
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
Electrical ContractorADT SECURITY
Address703 NE Hancock
City POX 97212 Phone 284-3265
Supervisor License Numbe~8'3,
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date Ytr95
ising Electrician
ext 35
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular.Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
..
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
C. Temporary Services or Feeders
Installation, Alteration or Relocation
~
V F...........--~- /f/L'/J/!, JJ~'~Branch Circuits
Owners Nam ~/1 C 7/,7~A/
/ - . ew, Alteration
Address
City ufI/J Phone_1t)1--()6!l~
O~ INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------ ~-------------
DATE: ~..2.~ 7'J
RECEIPT 11: //... ,/q /7-.- .
"VrVTVF.n RY, ' ,f;Y /'l~ '
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
"
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
Limi ted Energy/Res $ 20.00 10:00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
/.00
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