HomeMy WebLinkAboutPermit Electrical 1997-5-2
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: 225 FIFTH :S'i'REET " ", tv ' IlLEC'i:RICAt 'PERKIT APPLICAnON
SPRINGFIELD; OREGON 97477.'. Zoninn' , q/ - 6 OC
INSPECTION REQUEST: 72e-~7695"-l-'i1 City Job Number lP 2 ')
OFFICE: 726-3759 S\ L h
=- ::::..... ";';';.';~p lNSTw.:~ ",-.-<E_""""",,-PEE _5aIIlIl1IIJl .'W" -=~
--2.2~ I mil:'" SI- A. New Residential-Single or
Hulti-Family per dwelling unit.
LEGAL DE~g;rPTl.O~ I _ 3:/[) Service Included: .
\\,.<:"",,<.<. Un < '5:,lfJl{20 _ ') 0 Items Cost Sum
JOB DESCRIPTION
Alarm Installation
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY H. Services or Feeders
Installation, Alterations
Electrical Con:ractorADT Securitv Svsterns o~ Relocation:
Address 1501 Pearl Street. Suite B
Ci ty Eu"ene. OR
Phone 541-342-1113
Supervisor License Number q4q JLE
Expiration Date 10!01!9Q
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
S 50.00
S 60.00
SlOO.OO
$130.00
$300.00
S 40.00
.'
.'
Constr Contr. Number 59944
C. Temporary Services or 'Feeders
Installation, Alteration or Relocation
Expi.ation Date 04/2CJ/9'J
Signature of Sypervising,Electricizn
/.It ,~
)( C-,-, ,7'L.--"
Ovners Name M Fl\l~"'O<::"
Address ';;)';,}';:) I 1'i\C\;" ~.
,_C~ty~~p"~1ipU _ Phone:3Y4~ ';)';)"111
OI/NER..INSTALLATION
The installation is being made on
"proper-ty..-I .,ovn which is not intended'
for sale, lease or ren t.
~_~ers Signature:
DATE;--51). tlfi--
RECEIPT .: D.Lt:::;"" X SP
RECEIVED BY: J... .~ /\..--
-------
200 amps or less
201 amps to 400 amps
Over 401 ,to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
S 55.00
$ 80.00
see "Bft
abO'V'e
"
Nev. Alteration or Extension Per Panel
One Circuit
Each Additional
, CTrc.tii t oriii'til' Se"rvICe
or Feeder Permit
E.
Hiscellaneous (Service/feeder
-Each -ins talla tion '
Pump or irrigation,
Sign/Outline Lightinv
Limited Energy/Res
Limit.ed Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
1
$ 40.00
$ 40.00
S 20.00
$ 36.00
li.Jlll.
3f>.P'O
1.80
1.08
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