HomeMy WebLinkAboutPermit Electrical 1992-04-16ST'TITNGFTELO
I
225 FIFTE SlREEf,
sPRrNcFrELD, oRBGoN 97 477
INSPBCf,ION RBOIESTI 726-3769
0FFICE: 726-3759
1 LOCATION OE INSTALI.ATION
l50lt4ohawkBtvd. (MohawkTavern) A
€s APPLICATIONrequire
use
City Job Number
PEE SCEEDULE BETOV
Single or
MuItl-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
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_
0ver 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
Qfr
200 amps or less $
201 amps to 400 amps
-
$
0ver 401 to 600 amps _ $
Over 600 amps or 1000 volts s
Sum
JOB DESCRIPTTON
C i rcu'i t for poker mach i ne (LRB #t 964 )
Permits are non-transferable and expirelf vork is not started within 180 daysof issuance or if vork is suspended for
180 days.
2. COl,lTRACf,OR INSTALI.ATION ONLY
Electrical Contractor L.R. Brabham, Inc.
Address 68 West "Q" Street
Spri ngfi e1 d phone 7 47 -6638
B
ci
Supervisor License Ndmber
Expiration Date 10/1 /92
I 4735
Constr Contr. Number 8699
Exp iration Date 12/18/91
Signa ture of Supervislng Eleetrician
Owners Mohawk Tavern
t66sssg 1 501 Mohawk Bl vd.
Ci ty Springfield phonel4l-3211
OTINER INSTALI,ATION
The installation is being made onproperty f own which is not intendedfor sale, lease or rent.
Ovners Signature:
DATE:
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
gne Ci.rcui t I g 35. OO 35 .00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $Sign/OutIine Lighting- $Limited Energy/Res
-
$Limited Energy/Comm $
35 .00
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c
40.00
s5.00
80.00
ee ilBtr a boveX
00
00
00
00
40.
40.
20.
36.
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
t .75
TY OF
RECEIVED BY
5
36. 75