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HomeMy WebLinkAboutPermit Electrical 1999-7-20 t SP 'FlliLD ~'I.'liit:);J;lllIL 1={!!1J'1;/~ t@ The, following project es submitted has the following zonmg, and does not require specific land use 225 FIFTH STREET approval. ,(q . ELECTRICAL PERliIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning I C; t!:;' INSPECTION REQUEST: 72IDe'1ilf-o 7- 1...b ,""Ie; Ci tv Job NWllber / 10 If 'f OFFICE: 726-3759 Authorized Signature %.J .... 1. LOCATION OF INSTALLATION 4'?1../) ,l}no-;"" r;r 12<Ifr:~ lES'1t:;iO~ 2- 3/ I) L-foDI, JOB DESCRIPTION Alarm In@tal1~~inn 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 Contractor ADT Se~"v Address 1501 P~Arl s~ Ci ty EUIlene Phone~4?-111~ Supervisor License Number ?3 rTrr,J< Expiration Date ll/OllQQ Constr Contr. Number. 59944 Expiration Da te 4/27/Qfl Signature of Supervising Electrician ;:/l.xf~, ~ ' _ ' D. Oyners Name C"-uzl., {',Il./,.~ r!iJo4C,' 'c /l..fc<< . Address ;)..( 20 117'-<</ fn-.~-< Phone 4flr::-!l(crCj Ci ty !Ji<<4"'--.J / 01lNER INSTALLATION The installation is being made on property I Oyn which is not intended for sale, lease or rent. Ovners Signature: ,- . A. "vl,~t;I!'l'!-FEE SCHEDULE BELOII rf' New Residential-Single or , " Multi-Family per dwelling unit. ~I Service Included: '\ Items Cost Sum $ 85.00 1000 sq.ft. or less Each add it ional 500 . sq. ft or portion ,thereof '" L" ,."",c ., $ 15.00 Each Manuf.I.dol!ol1lllJ or -." ,av, lGyulles yOu ll.. Modular ;'D~eiP'j'M Scadopted by the Oregon Utility . . -.... :tori,!" enter Those<"uh. '00 t 1 Servlce loOmf1!b~JO01-G8'-e " ~ ..v.' ,se ortl1 0090 Y , tltroughOAR95~.UU1. ,B. Services or-J.l!igiNP~y obtain copies 01 the rules by Ins talla t ion;lbff~t:ftlN'OnY'lote: the telephone or Reloca t ion: (J neOregon Utility Notification Center IS 1'800-332.2344). 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 NrlIA~el!lPS to 600 amps $100.00 vdd~~ps to' 1000 amps $130.00 THISl~i:i!lN1l~~_Pi~kl~Ti $300.00 ~D1fN n Fl~ vvuRl$ 40.00 ER THIS PERMIT IS NOT <fO"Wffi~~RSi~MlOR~D}~~4ers ANY]~~~!~. Alteratlo~~r Relocation 200 amps"ot' less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps, $ 80.00 Over 600 amps OLO 1000 vol. ts see "B" above Branch Circuits . .' New, Alteration or Extension Per Panel Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. -----------7--t----------- DATE: '7ll-O/Q1 Rp.rETPT #: "01,-{P"-{ -------i/., . SUBTOTAL OF ABOVE .' '1':1% State Surcharge 11/- J 3X Administrative Fee c;.Jt t. -"I "'...."'_T $ 35.00 $ 2.00 I $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~C(J() ?/..C/O ., ~ ~ ,,,~ ~"r ,~