HomeMy WebLinkAboutPermit Electrical 1995-4-12
.
,.
, ,
.
The following project as submitted has the 01 ow ng
zoning, and does not require specIfic land use
approval. " /
225 FIFTH STREET , Q.U
SPRINGFIELD, OREGON 97477 ZOning , ,-
INSPECTION REQUEST: 70ito3769 a-i l-i-p ,
OFFICE: 726-3759 '~l1\A.
Authortzej Signature fJ I If ~
1. LOCATION OF INSTALLATION
3!iI c; Yh ~ }.-r
r7r/J.G~\ D.f1cr:tT70/,i7n () -
JOB DESCRIPTION
ALARM SVS'I'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. ""-
~ ;j~~~
2. CONTRACTOR INSTALLATION ONLY
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 -Q"
Signature of Supervising Electrician
--"'.J 12~ '
~~amellJ~ ~ ($/1. ~ flJLu
Address 3'1/5' rfla.m Jt- '
Ci ty~.fl J Phone 72.{p. 1& '10
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----~--------/7;---
DATE: -/2 - v'rS-
RECEI 11: I Y (/~ 1f/:;>3
RECEIVED BY:' j..J. /YJ ACPIA1,-3n
ELECTRICAL PERKIT APPLICATION
City Job Number q4/ 3 ~ g--
':'"or ....u:. ru; SCHEDULE BELOII
*
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
...,'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular, 'Dwelling
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
-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
,31s,.oo
(. l{O J
;'Oi5)
.~ II, Y ){
36.00