HomeMy WebLinkAboutPermit Electrical 1995-1-6
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SPRINGFIELD
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225 FIFTH STREET OMS
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:. 726-31'691orlZedSlgnetura tJ k
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number Qs (){J "J--eJ
3.a.~T~~ST~~N AJ 1.
LEGAL DESCRIPTION
1""1 0"3 ::)~) -- 0 /5D /
JOB DESCRIPTION
ALARM SYSTEM
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorADT SECURITY
Address703 NE Hancock ~
3. COMPLETE FEE s,,"""......E BELO\I
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion -
thereof
Each Manuf'd Home or
Modular. -Dvelling
Service or Feeder
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
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
Owners Name (3JJLi: 'l-A!tV.-A.6 ~ ~ D.
Address:30 /~ ~ ~)fiR..
City_g,pJJi Phone 7 V/,2-I'Ib
O~ INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
D~TE~=7~4 A'iS -
RECEIPT lIU.U-., '-1:'-$ <<-f ~ (t 1
RECEIVED BY: ;..J. NYJ.-.~......
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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
:
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
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
$ 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 :LU.OO
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
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