HomeMy WebLinkAboutPermit Electrical 1995-4-28
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SPRINGFIELD
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225 FIFTH STREET z 1/ U ELECTRICAL PERMIT APPLICATION
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SPRINGFIELD, OREGON 97477 L~} if q'
INSPECTION REQUEST: ~.J7WCL-D' )
OFFICE: 726-3759 Authcmzed Slgnature_fJ f'A.,
1. LOCATION OF INSTALLAnqN @.
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LEGAL DESCRIPTION
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JOB DESCRIFTION
ALARM SVSTF.M
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT SECURITY
Address 703 NE Hancock
City PDX 97212
Phone 284-3265 ext 41
Supervisor License Number 518
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1-q~
Signature of Supervising Electrician
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~ 'Na~e 1--hr-rn.t1hu~' . 6u ~J: D.
Address.BooO G A.;t~.J 1M Y [:Tfj '7;:L/.o
Ci ty S:J.. )b~J Phone At"lJe I!-/lA.tL.Ai>Le..-
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: 'f~28 ~
RECEIPT 11: /7/'&:"'--
RECEIVED BY: - ..r..f---fr-~
City Job NUJIlber 95"'0/95
"I)MPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular. 'Dwelling
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
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
$ 40.00
$ 55.00
$ 80.00
see "B" above
,"
New, Alteration or Extension Per Panel
$ 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
Limi ted Energy /Comm $ 36.00 36. 00
5. SUBTOTAL OF ABOVE ~~.oo
5% State Surcharge I. )fO J
3% Administrative Fee ~ o~ I
TOTAL ";;\ \(, Y )f
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit