HomeMy WebLinkAboutPermit Electrical 1996-2-15
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225 FIFTH STREET ~on'110 ~ Q..., ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 ~/"<<IClI ' ,q/~Od-OS-
INSPEC:ION REQUEST:, 726-3769)el.~ City Job Number lJk ,
OFFICE. 726-3759 . . ''''SI atu ' nf) ~
Aut"O,lZ"" gn re~JM""U' u.>> "...n.,.oULE BELOII
1. LOCATION OF INSTALLATION
;1..:}':/ I /J.1tt.1 AJ "- c:..yv EEl A. Nev Residential-Single or .'
Multi-Family per dvelling unit.
Service Included:
LEGAL DESCRIPTION "
170:' '5(" 41-
n ~ ,'?60
JOB DESCRIPTION
ALARM SV~""M
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorADT SEClJRT'I'V
~ddress_ 1501 P~"rl Strppt. s..'tp R
CitYEu2~n~. Q7402
Phone(5031342-131l
Supervisor License Number R-1777TTP
,
Expiration Date In-l-Q~
Cons t r Con t r. Number _ 59944
~xpiration Date~?Q
rSi~ V'sfng Electf!dan) ,
?vners Name)5""'.... T f51{ Y F='r.:',<.
Addres~ "?'"lc'''/ mA'Jd ,,"')'I-:f'FP-r
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Ci ty.5{Fi /), 10 R.1J./..1.."hone .21J.rhJJ..2;5 7,/-
OI1NER INSTALLATION
The installation 1s being made on
property I ovn vhich is not intended
,for sale, lease or rent.
Ovners Signature:
D~TE~~~I~~C1fG;--------------------
RECEIPT ,: UL-O 40 '1
RECEIVED BY: (), mo.. i'..ha. tLV
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Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
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
Cost
Sum
$ 85.00
$ 15.00
t
$ 40.00
$ 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
D. 'Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith 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
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00 fU..O{)
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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