HomeMy WebLinkAboutPermit Electrical 1999-9-1
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTt}LLATION
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LEGAL DESCRIPTION
/70 J .\ L-f W I O'U)~{)
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT S~.~.llr}~~
Address 1501
PPAr' ~~
Ci ty Eueen..
Phone 342-1111
Supervisor License Number _ tjsJtn,F
Expiration Date 11/01/99
Constr Contr. Number 59944
Expiration Date 4/27/9R
Signature of Supervising Electrician
W-~~
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Owners Name j)..../~ H'F' k---t
Address / 2-1? MNJA./ V/1
Ci ty ~"" Phone l.[f{1..; -<7'i.!l.. S
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
.,.-
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DATE: Cfll 1'r /7
RE~~~~..lI~._ tJ30iO'( ~'-:-';.i/ .
ELECTRICAL PERMIT APPLICATION,
City Job Number 77 I)f 6
3.
COMPLETE FEE SCHEDULE BELOY
Items
\'IlVTICE:
JOB DESCRIPTION THIS PERMIT !l\Qll.QLsq:~E l101HWJ9RK
Alarm Inst"l)oH~" AtHHORIZED~~~:s~g<NOT
Permi ts are non-transferable and exp(i;~MENCEDQl}.j~~%:>l!l~E.~R
if work is not started vi thin 180 da~NY180DAy~Qijan~f'd Home, or
of issuance or if york is suspended for Modular Dvelling
180 days. Service or Feeder"le~$J(,40:00
\ \J'c\,lu""" '~o- egon Utillt'1
,B. Sery,~ces" 9\t~ ftl~!!~fswt~~ .,:s ale set tOIt!
Ins.t.ail:'])a1j!.:r'6n~ IAl\t era\t'l.'ons'O"'" 952.-001-
:"_. '''-; I P: l\lJ . n 1"'\11
orNtE!J9ca<tioJ1J~_0010thIO\lg 0\ the l\lles b)
\n Op..p. 952- , obtaill caples loUnone
2000eIJ.!B$'i'o't \'Il"~~S'tel. ~Note: the ~$:\i~ea\Q9'
. 201 a~l?t\l,ifto'Niq!?,l ~T.~tl'n UtllWJ S; ~u. 00
401 aflB;'j\bto \<60.oe ~mp-;;.('Io- '\3~..2:V$ 100 . 00
601 amps to~1000'amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Cost
Sum
$ 85.00
$ 15.00
C. 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm ~
5. SUBTOTAL OF ABOVE
, 7 SIt State Surcharge
3% Administrative Fee
TOTAl.
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00,/ '(;d
$ 36.00 'b
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