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HomeMy WebLinkAboutPermit Electrical 1993-08-13s'E.rIir{(;f II-LL, I h 225 FIFTH SItsEET sPRrNcFrBID, ORBGoN 97477 INSPBCf,ION REOUBST: 726-3769 OFFICE: 726-3759 ELBCTRICAT PERTIIT APPLICATION Clty Job Number COHPTATE FBE SCBEDUI^E BBTOIJ One Circui t Each Additional Circuit or vith Service or Feeder Permi I A UIMI 1 8 9.k_ JOB 2. COIITRACTOR INSTATI,ATION ONII Blectrlcal contractor L.R. BRABHAI4, INC. Address68 [rl. "Q" ST., Ct ty SPFLD Phone 747-6638 Supervisor Llcense Ndmber 1 4735 Exp lratton Date 10/1/95 Constr Contr. Number 08699 ExP iration Date 10118/93 . New Resldentlal-Slngle or Hultl-Family per dvelllng unlt. Service Included:Items Cost tt - ^. ,l r 1000 so. f t. or less{ 5lLf2 sach additionat 500 $ 8s.00 Sg. ft or portlon thereof Each Hanuf'd Home or Modular Dvelllng Servlce or Feeder $ 1s.00 $ 40.00 B. Servlces or Feeders Installatlon, Alteratlons or Relocatlon: I200 amps or less t _ l 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts _ Reconnect On1y C. Temporary Servlces or Feeders Installatlon, Alteration or Relocatlon $ $ $ $ $ s r30 50 60 100 40.00 55.00 80.00 e trBtr N00 00 00 00 00 00 4ao Sum above 300 40 Slgnat of Supervlslng Electrlcian 200 amps or less $ 201 amps to 400 amps _ $ 0ver 401 to 600 amps _ $ 0ver 600 amps or 1000 volts se Branch Circults ,Z Owners Name Lvntrnb D. )NDtlgTwttr> Address E ci Phone , 117 OTINER INSTALI,ATION The lnstallatlon is belng made on property I ovn vhich ls not lntended for sale, lease or rent. Ovners Slgnature: DATE: Nev, Alteratlon or Extenslon Per Panel $ 35.00 s 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or lrrlgation sign/outline Lighting- Limited Energy/Res ST,BTOTAL OP ABOVB 5f State Surcharge TOTAL s 40.00 $ 40.00 $ 20.00 $ 36.00 ()5 RECEIVED 5 I,BGAL DBSCRIPTION. /)-Z>?-Ato-.'^, az? + Permits are non-transferable and explrelf vork ls not started vlthln 180 days of lssuance or if rrork ls suspended for 180 days. ' I