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HomeMy WebLinkAboutPermit Electrical 1992-2-21 - , '. ~eO ,,~\-"O ~ ~~ ~'Otf/ ~vFI~ ~- - o\ee\~(eO.\,)~6 ELECTRICAL P'ERHIT APPLICATION 97477 ~'<:J#\(\~:~a9 (\0\ q~'D8 ~ 726_3761)'0~O~,e.r<o mber l:JL.../ , {:\\(\~ -, ~,,~ ~ 0'. "'. <:--p? ~or<\ , LOCATION OF INSTALLATION (, \ . ~~ l '-l7~~ QSF)~4 CA q 01 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. _111') ~npn~t - -, JOB DESCRIPTION Low Voltage Smoke Detectors 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 B. Electrical ContractorADT Security Systems Address 1501 Pear~ Street Ci ty Eugene, OR Phone 342-1313 Supervisor License Number 852JLE Expiration Datel0-1-93 New Residential-Single or Multi-Family per dwelling unit. Service Includedi Items 1000 sq.ft. or less Each additi~nal 500 sq. ft or portion thereof ' Each Manuf'd Home or , Modular Dwelling Service or Feeder Servi~es or Feeders Installation, Alterations or Reloca ti on: 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 Cost Sum $ 85.00 '$ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 59944 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 4-29-92 SigntU~y=:;ctrician 200 amps or less 201 amps to 400 amps 'Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits Owners NameCentennial Elem/Spfld School Dist Ci ty Springfield, OR Phone 726-9558 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~-------~~~cr~~--;---;------ RECEIPT 1t: I 'I :- ,e- '" - g;W RECEIVED DY: 't) ~JY} )-, I~---- - Miscellaneous (Service/feeder -Each installation' Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited En~rgy/Comm, y One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 55.00 $ BO.OO volts see "B" above $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 . 01 CO ~J.O; _ ).'r;(J 9'l ).~