HomeMy WebLinkAboutPermit Electrical 1999-7-20
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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
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