HomeMy WebLinkAboutPermit Electrical 1996-11-14
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. ' ct . "'ubrr.rltecl he", ti1~ hHowing
The followmg p~oj:'l . e, '''. . ~ .,. l..-r' 1.1~'"
. nd do~' 110" r",C'l,;liCl C:::"ClflC ~,,~ ~
ZOning, So v-'.' , .., ,
225 ~ U la STREET approvaL ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477., "7' L-De.-- q(. .
INSPECTION REQUEST: 726_3769orlil1f' . Ci ty Job Number () f ,5 41
OFFICE: 726-3759 DfrteJI /It-f "'-7.l(
p~ COMPLET~~E SCHEDULE BELOV
,
1. LOCATION OF INSTALLA'ftON.~a-d SignE'tlJre
~f'\ fir' sf.
LEGAL DESCRIPTION
Res,~~ee '7 0 ~ ~I / 2! O~L~OO
JOB DESCRIPTJ;.ON
~t\(\~m. Li'\"..L,1I0410(\
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACI'OR INSTALLATION ONLY
ElectLical Contractor ADT SeCllrityC;YSlims
Address 1501 Pearl Street, Suite B
Ci ty Eugene, OR
Phone 541-342-1313
Supervisor License Number W ~Lf
Expiration Date~tJ ( (.133
Constr Contr. Number 59944
Expiration Date 04/29/97
Signature of Supervising Electrician
~
Ovners Name \Y)(\Q(H\.O~ "('J.'1A~
'-' I
Address )S~ IIT'I sL
.
Ci tyi--~\"_~~I ~ Phone ~(,,_. '7/'d'
OVNER INSTALLATION
.T,he ,installation is.being made on..
pro~~rty r Qvn vhich is not intended
for sale, lease or rent.
Ovners Signature:
------------------~-------------------
DATE:_J {- / tj - 7(.?
M,l,Mt'T f: O'~? 7Ci'/
RECEIVED BY: I'}, YY1~ch(V0()
:--,..t;.~:j_...,:._OO:....~.........""'_.D ___.......... ~........._._
A. Nev Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder S 40.00
B. 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
C.
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
S 40.00
$ 55.00
$ 80.00
volts see "8" above
Ney, Alteration or Extension Per Panel
One Circuit
J:;ach Additional
.Circuit or'vith Service
'.or Feeder Permi t
E. Miscellaneous '(Service/fe~der
-Each instillation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$2.00
".. ..'. ,
not indudedr,"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
7n nn
20.00
1.00
.60
2l......6 n