HomeMy WebLinkAboutPermit Electrical 1994-11-22
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The following project 0.9 SUo m. a . ...$ II -II ,I
zoning, and doe!} not reqUire cpEclflc land UOG
approval.
225 FIFTH STREET Zenina L 0/2
SPRINGFIELD, OREGON 97477 '
INSPECTION REQUESTElIll97?f>-'Hf>Q 1I_l.."2-~.t..(
OFFICE: 726-3759 AuthortzedSlgnatu19_tJ M.
ELECTRICAL PERMIT APPLICATION
City Job Number 9ft A/2-
wiir~u" FEE SCHEDULE BELOII
~.
1. LOCA~N OF INSTALLAp;EjN
. g I ~ f/Anu' ~ ~().AJ
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
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~
Sum
Items Cost
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. .it or portion '
thereof
Each Manuf'd Home or
Modular, 'Dwelling
Service or Feeder
JOB DESCRIFTION
ALARM SYSTEM
$ 15.00
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 //,.;21-'/ B.
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
Electrical ContractorADT SECURITY
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 ~mps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Address703 NE Hancock ~
Phone 284-3265 ext 35
:
City PDX 97212
Supervisor License Number 893
Expiration Date 10-1-96
Constr Contr. Number 59944
Expiration Date 4-1-95
Si~~ng Electrician
Temporary Services or'Feeders
Installation, Alteration or Relocation
c.
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
D.
Owners Name'-yn QJ1JtU.M YJu..-Wv
Q/' f) . JJ NeW) Alteration or Extension
Address 0 z.. t"~AI' ~ d"""Y'\ rl,. ~
:rid ' '1'6'5-<( ~'f'..:(U-' One Circuit $
Ci ty . Phone 147-5/ tin Each Addi tional
I Circuit or with Service
O\INER. NSTALLATION or Feeder Permi t $
"
Per Panel
35.00
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
20.00
/.00
. fD ()
-::l.1. I" I"J
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
5.
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DATE:
RECEIPT 11:
RECEIVED BY: