HomeMy WebLinkAboutPermit Electrical 1995-2-27 (3)
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1." 7' ~ 'C. ELECTRICAL PERMIT APPLICATION
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726-3769 dSigna\Ur.~ City Job Number C9,~~2~b
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:,
OFFICE: 726-3759
1. LOCATI~ OF INSTALL4TION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
ALARM SYSTEM
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY )).3-5 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
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Owners Name o<:,erh J'rJ ~+A I'~ 1,L
Address 7Y-I/ )) I fI I'nllll ,--1
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City V.P". Phone 7L//-tJ551
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O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------------
DATE: 2-77.~-
RECEIPT 11: /I!:~r
Ill1.rp.TVRn RY.: ~ 2.....__ '
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder
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
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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
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C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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20.00
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