HomeMy WebLinkAboutPermit Electrical 1999-1-25
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~~:i~~:O~~gd~:!e~~~~:qUbmllted hes the following
approval. ulre specific land use
Zoning (!j2.
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974 nDat.
726-13i7l69-lZed Signature
1. LOC~ION OF INSTALLATION
ILr <;""' P,'OA/~ u'l.. ,;::'[C'--44 A.
LEGAL DES~. PTION /1DS3~3 /O&SOJ
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JOB DESCRIPTION
Alarm Ins~~11Q~~~~
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT Se"udtv
Address 1501 Pp~rl ".
Ci ty Eueene Phone 342-1 ~ 11
Supervisor License Number J}.R
Expiration Date i()IO!.'qq
Constr Contr. NumbeL' 59944
Expiration Date_!if21'/'l'tJ
. '
Signature of Supervising Electrician
~4". ~..
", D.
Owners Name fl,..!LJ), d ~V1y' /../ ~~./
Address / 7/' Lv C 57
Cit~;:""'1y;""1"V Phone. 7l/h-)Zcr '5
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
..-
D~~E~---,-t2~Jft72f-~----------------~
RECEIPT . f tiJff~'<"" '. .
-...... -., '2..15/'14
'?' "CTRICAL PERMIT .,APPLICATI~
City' Job Number VI 'I./3L/,:)
3. COMPLETE FEE SCHEDULE BELOI/
Nev Residential-Single or
MJ~fi~Eamily per dwelling unit.
'! ~!~
Service~Included:
.'''8P~f:! Items Cost
IiUTI. " 11l ~
r 0,9,- c'f./~I I
v(lOOO_ Sql;f.h,.?r~ J;~M S 85.00
Each. add i t'ion:,,"1.,.50o'i'c If: fj
sq. ft 'orvpot:'do'i1fp Hcw,
thereof."".~A; 'fRlvtr1'._ L$f/r15.00
Each Hanuf'd )HOmeD()~'E:D 'uNO.,.
Modular'Dwelling f:OR
Service or Feeder S 40.00
Sum
.B.
Services or Feeders
Instal1~.tion. Alterations
or Rel~[fro.no' N
ro'IIowr ' :0
NOlit.' IJ/~ re90
200iri!t!!JlSa61lin fl!f1npted nlaWrQ ? 50.00
20lJam;Pf~. ' t<il;~~ by th", nQlJo$e~69.. 00
401 e.mp,so~9n~(j\:)Oi?\ll~~ose rro' -le~tf.I~t;,
60lnttrYrllY9G!if& r~OOO/~p'!!OUg~ ~~ aSJ.N/'!'~
Over 11J.%Q'ol~t.I!p.t~SO~ 'A~/o.fJh
Reconnec:;J.'nW1,~reg Ot~~th@rlJ'f1.!Ofl
~ er;S7'8nonUtil'" eleph eSby
Temporary Service~';QJ."2_~e~~h',$~~?e
Installation, Alterati~h1'~~ ~~~ation
C.
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
S 40.00
S 55.00
S 80.00
volts see "B" above
Branch Ci rcui ts
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
S 2.00
E.
MiscellaneouS (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
1
S 40.00
S 40.00
S 20.00
S 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
~f.t750
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