HomeMy WebLinkAboutPermit Electrical 1995-1-12
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225 FIFTH STREET. Zoninp ,[,,-D
SPRINGFIELD, OREGON 97477Date~~
INSPECTION REQUEST: 726-3769 if
OFFICE: 726-3759' Authorized Signature IV t-.A.
ELECTRICAL PERMIT APPLICATION
95r.Jo~ 7
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City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included: ~
Items Cost Sum
1000 sq. f t- or less $ 85.00
Each additional 500
sq. it or portion
thereof $ 15.00
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder $40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
1. LOCATION OF ~STAL~TION
J 12 UJ \. /, ;[I}--
LEGAL DES~ION - ~, .
J'7(JJ ~~ 3' ~16~.
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. c'..
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2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorADT SECURITY
Address703 NE Hancock ~"
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Phone 284-3265 ext 35
City PDX 97212
Supervisor License Number 893
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1~95
c. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B" above
or. less
to 400 amps
to 600 amps
amps or 1000
200 amps
201 amps
Over 401
Over 600
ervising Ele~trician
volts
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{'
owner:vNa::;r ~ ::t-~
Address / /2.. (jJ . O. ..s:r-
City ,UI'LJ Uhone 1L/7- 523;/
oVNik INSTALLATION
Branch Circuits
D.
,.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
20.00
1.00
.100
.;2 J I I.) r)
, 5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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DATE:
RECEIPT #:
RECEIVED BY: