HomeMy WebLinkAboutPermit Electrical 1997-5-15
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1. LOCATIONIPF~~NSTALLATION
J041'l ~rl'lit KA
LEGAL DESCRIPTfl>>! <>-f l"-" I ~
Residence . /0<')"....., <u6 V-{)-/
JOB DESCRIPTION
Alarm I~ l.t'inn
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT Se"w:.Hv
Address. 1501 Pp.~l ~.
Ci ty Eueene Phone 342-1111
Supervisor License Number 949 .11.1<
Expiration Date ll/Ollq'l
Constr Contr, Number 59944
Expiration Date 4/27/qP,
:igna~~Sing Elec~.rician
.
Ovners Nam"~Il'" P"I\~().A
Address~ c.+.
City~e Phone /",(~-,;)4l((}
O\INER INSTALLATION
The installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent.
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Ovners Signature:
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_______.!____C5.."*_~J,d.----;-r.-=----rr 5.
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ELECTRICAL PERMIT APPLICATION
, 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
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' 'OT 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
.'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
SUBTOTAL OF ABOVE
5% State Surcharge
$ 35.00
$ 2.00
1
$ 40.00
$ 40.00
$ 20.00
$ 36.00
pn no
$20.Ql1
1.00
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225 FIFTH STREET
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
']"LJ':l <\c,,~ IV ' A.
LEGAL DESCRIgJ:Iqti, ') ") n I ;> 7V'l1 - .
Residence I IV';)~""'.J (/oJ'P.O i)
JOB DESCRIPTION
Alarm In8ta11atinn
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 S"Cl'ri."
Address. 1501 Ppp,.l c:.
Ci ty EUl!ene Phone 342-1 11 1
Supervisor License Number 949 JL,F
Expiration Date 1l/0J/qq
Constr Contr. NumbeL'. 59944
Expiration Date 4/27/qA
Signature of Supervising Electrician
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Owners N"me..1k.Rn. Jc.1\ ~ Qll<::<lA
Address \'1?C\ J\J" C-t
City~P Phone L'(~-'dl./~Q
OllNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
- ovnssliftq:~i {)JS 1'f:'(
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Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
Items Cost
Sum
$ 85.00
S 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' 'OT 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
"
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
$ 35.00
$ 2.00
1
$ 40.00
$ 40.00
$ 20.00
$ 36.00
,?n no
$20,QQ
1.00
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