HomeMy WebLinkAboutPermit Electrical 1999-10-6
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225 FIFTH STREET approval, L-- \'YlJ ELECTRICAL PERMIT APPLICATION,
SPRINGFIELD, OREGON 97477 zonlng-to-lo- q 9; Q
INSPECTION REQUEST: 7~ro~7J;.Q c:p City Job Number 11 J ?C 2-
OFFICE: 726-3759 . SlgnalUre -=r-
NnT~~hOflzed 3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF tRS'r A\.LE)(~~\FTHEWORK
;;/::tl"> FU.IV{c.lWf> }~f;ft,!;ERMftjStJmt ~esid~ntial-Single. or .
AlJTHO t: U,,,UC: ,," 'Hultl-Famlly' per dvelhng unlt.
) LEGAL DESCRI:m~NCEDORISABANDONEDFORset"vice Included:
~:61)7 /)?;t/D, fH1 ar/l~~[" . Items Cost
JOB DESCRIPTION 1000 sq.ft. or less $ 85.00
Alarm Inpt?"..<^^ Each additional 500
. ' . . A"ITEN r ~~ ',",f,~ or port ion
Perml'ts are non-t ransferable and expulbll IOtliereof; ,aw requires l'QU",
if vork is not started vi thin 180 daYl&nnow ;.uleEa2IlPHanUf!id?Hom';!~.cn:lt'lity
of issuance or if vork is suspended f~r~~~a Ion C~?~~~~rODveUil!'ge set forth
180 days. OO~O 952-0Ser,v'l~e~Orj~F,e~,d,~FJ52.nn.
, . ~ou may obtain copies of the rUles b
2. CONTRACTOR INSTALLATION ONLY calliBQ thISer:vi'ce:sJ(or. ~F,~l!~!t~~lon" ~
number fOl]ns ta1?J:M.iion " "Al-terati'ons
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erd r" 'Reloca~!-:~:m:344)_
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Electrical Contractor ADT Se~.u
Address 150Lfur' ".
Ci ty EUl!en"
Phone 342-1111
Supervisor License Number $C;~ ,TT F.
Expiration Date )0 )//:ltJO:2-
Constr Contr. Numbet" 59944
Expiration Date_ r; /7/;2tJO(
Signature of Supervising Electrician
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Ovners Name~l1-h_tl:~ a.,'/e f!o..'d::-
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Address') I J tJ t:"t1...4"/~/";
Ci ty !t</6rr' ~ Phone '), I.{)':" ).1 ({
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01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
u"-
DATE;------~~7;i'-i
1lP.r.F.!PT #:
________________ 5.
o ~,f-vt 7 .01. J::;l
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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
Sum
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporat"Y Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps ot" 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
."
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 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 'f.'~r::
Limited Energy/Comm $ 36.00 ~_
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
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