HomeMy WebLinkAboutPermit Electrical 2001-5-2
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SPRINGFIELD
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225 FIFTH STREET zoning.5 - lli~ - ~\ P' BCTRICAL
SPRINGFIELD. OREGON 97417.ile -\0Jl
INSPECTION REQUEST: 72A~thilR1t Signature -
OFFICE: 726-3759
1. LOCATION OF INST~LATION
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LEGAL DESCRIFTION
I fD 'S 2- 3'1' S
225 FIFTH STREEF
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726.3689
PERKIT APPLICATION
dty Job NUlllber 0/- 002-1 (- 0 (
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
IOcr cr~
JOB DESCRIPTION
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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 Services
Address 4660 Main Street. Bld~ A. #100
City SDrin~field
Phone 736-4973
Supervisor License Number 853 JLE
ExpiraHon Date 10/01/02
Constr Contr. Number 26209CLE
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:
It ems Cos t
Sum
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
$ 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
Expiration Date 10/01/01
Signature of Supervising Electrician
~ /VI ~.
Owners Name R.n" ('~p 5
Address )" A-""'--"
City ~;;:rfl Phone'lY1-tJ'Q{?-
O\INER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIVED BY: <:"'\)~ ----
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 with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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