HomeMy WebLinkAboutPermit Electrical 1994-11-22
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The, following project as submitted has the following
z-:.nmg, and does not roquire opeclfic land use
etJproval. .
225 FIFTH STREET
SPRINGFIELD, OREGON 9747ibning L~OP
INSPECTION REQUESTb 72~~{~?fL
OFFICE: 726-3759 ate ~ (
Authorized Slgnaturo "I'M
1. ~T~ OF IN~~TION ,n. ")
5?~ 5 't-<:'LA~ IJ.JJW Wi../
,n~~~ION \ \4rO
JOB DESCRIPTION
ALARM SYSTEM
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 ContractorADT SECURITY
Address703 NE Hancock.
ELECTRICAL PERMIT APPLICATION
'9-1-/8/l)
City Job Number
3.
COMPLETE FEE S"nr.uu...E BELOI/
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
.~
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. it or portion .
thereof
Each Manuf'd Home or
Modular. 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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Phone 284-3265 ext 35
Ci ty PDX 97212
Supervisor License Number ~ 7 2'3
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1-95
S~~ng Electrician
Owners Name rP4fdt4 ~~
Address g3 5 R WUl. !~ ,fJ;L
&k"1,"" Phone ,7U-hcjZ cJ
OI/NER INSTALLATION
Ci ty
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
// /,2. )../54-
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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 100u VOlts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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 :.w.OO
Limited Energy/Comm $ 36.00
5;
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
,.00
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