HomeMy WebLinkAboutPermit Electrical 1996-11-14
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The 1ollowmg p, 1 'l Q.;.:I to......."".._ ..
loni!10, and does not raqulra specific le.nd ll~::'
approvsl.
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225 r..r~o. STREET Zonina
SPRINGFIELD, OREGON 97417..,
INSPECTION REQUEST: 7261j7.(j~
OFFICE: 726-3759 Authorized Signalur,'
1, LOCATION OF INSTALLATION
j!(.,C\ P....:.epo Pb~1 kl\J A.
I
. LEGAL DESCRIPTION ..
~Slf\€<'-,<; II 03 D20> .;12, 0 19DO
JOB DESCRIPTION
Alarm Installation
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. CONTRACfOR INSTALLATION ONLY
Electrical ContractorADT Security Systems
Address 1501 Pearl Street. Suite B
Ci ty EUl!ene. OR
Phone 541-342-1313
Supervisor License Number ,Q4Q JLE
Expiration Date 10/o1/Q6
Constr Contr. Number 59944
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ELECl'RICAL PERMIT APPLICAITON
City Job Number q 6/ S c....; t
3.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Items Cost
E.
5, SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Sum
$ 85.00
$ 15.00
$ 40.00
C. Temporary Services or"Feeders
Installation, Alteration or Relocation
1000 sQ.ft. or less
Each additional 500
sq. it or portion
th"ereof
Each Manuf'd Home or
Hodular. 'Dvelling
Service or Feeder
$ 40;00
$ 55.00
$ 80.00
see "B" above
L I /l ^,l_ l-lillmHl (;,D:" '-Branch Circuits ,.... ;' "
Ovners Name Uc.b1 Ln.....F~ ~ JLJ:uno~
. ,~ddr~ss l~h9 ~Ol"" Pnolt\.~ r.~~/awi,._O~ ~~~~~r:~~:.~_ 0:.~~~~nsi~n$,P3e5r.OPaonel
:.., - _~ \l ,~q}';).ol One Circuit
.. G.ity ~'",\1 Ie P"hone.J:jgLj-44(..Q.._......_....~~~_J\dditi_o.na,!_..__..___.._....
-- ""\ \.j Circuit or vi th Service
OWER INSTALLATION or Feeder Permi t $ 2.00'
B. Services or Feeders
Installation, Al tera t ions
or Relocation:
200 amps or less $ 50.00
201 amps to 40a amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00 .
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Owners Signatu~e:
DATE:rhJ--14-C{.I( ,
RECEI #: 0~ 1 7 !)
RECEIVED HI: lL.inoi' Jfl NAu
.....
-
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,.,.-
-
Expiration Date 04/29i97
Signature of Supervising Electrician
C~~
The installation is being made on
'-";'~-property I",own:'vhich is not. intended'
,-, for sale,..lease or rent.
Miscellaneous (Servicel feeder not in'Cluded )-..>
'-Each . installat.ion ,. ".' ...~.,.' . -..... ..
Pump or irrigation $ 40.00
Sign/Outline Lighting----- $ 40.00
Limi ted Energy/Res $ 20.00
Limited Energy/Comm 1 $ 36.00 Jh..Jlll
3p.lll.l
1.80
1.08
38.88
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