HomeMy WebLinkAboutPermit Electrical 1995-3-17
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SPRINGFIELD
zoning, and does not require specific land use
approval,
225 FIFTH STREET Zoningl-.-0 t ~
SPRINGFIELD, OREGON 9747700to '5-n-q{'"
INSPECTION REQUEST:, 726-17fi9 . h ,
OFFICE: 726-3759 l\ulnorlzed Signature IV Iv'\-.
ELECTRICAL PERMIT APPLICATION
City Job Number Q'Z3J3 Lj 0
3. COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INST4I,.LATION fI )
1,:1 if "7n tfWy --.,. V l..al' "1 . W~( A.
LEGAL DES~PTION
1/ O?:> --:~LI I t.-- 15'6~
JOB DESCRIPTION
ALARM SYSTEM
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
3.(3~5
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ContractorADT SECURITY
Address703 NE Hancock
City PDX 97212
Phone 284-3265 ext 35
Supervisor License Number 893
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4..-1-95
Electrician
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modu1ar'Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 am~s to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
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Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or,FeederS
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see ftB" above
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$
2.00
Si~atu~f
'v/~ .
;-- P' L- n I .t? D" P Branch Circuits
Oyners Namejlbn l/ktJrJhJJLA ~~ .
'7 .1 ~, , -+-'f-. ,I .ll..t;fA-Y Nev, Alteration or Extension Per Panel
Address /~~ ///~ ,V/~ ~ I
One Circuit $ 35.00
City.$p)J.1 Phone 7)jp-/J71J~ Each Additional
U p Circuit or vith Service
OvNER INSTALLATION or Feeder Permit
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000 volts
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res $ 20.00 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
------------ ~--------------------
DATE:,."3-//-Y~
RECEIPT #: nlt"f4.?K '
RECEIVED BY: .(J. 1J1,",- C/1Cu:./ U,
20.00
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