HomeMy WebLinkAboutPermit Electrical 1995-11-29
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SPRINGFIELD
225 FIFTH STREET ELECI'RICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . /
INSPECTION REQUEST: 726-3769 Ci ty Job Number 95/2,("7
OFFICE: 726-3759
1. LOCAJ10N OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
ALARM SYSTEM
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorADT SECURITY
Address 1501 Pearl Suite B
Ci ty Eugene
Phone 342-1313
Supervisor License Number R-1777
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1-95
Signature of Supervising Electrician
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Address.2-3~1- d./J'Jej (J/!lI JeT
Ci tJl~JA~RA..l'I C1? Phone 5./-/' 'l..2&-,...u03
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OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent,
Ovners Signature:
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DATE: // /.;..<f~2.r
RECEIPT ~: . /7 h 'h2
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3. COMPLETE FEE SCHEDULE BELOII
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular D~elling
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 Cos t
Sum
$ 85.00
$ 15.00.
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Ne~, Alteration or Extension Per Panel
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One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 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 2U.00
Limited Energy/Comm $ 36.00
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20.00
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.100
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