HomeMy WebLinkAboutPermit Electrical 1993-08-13s'E.rIir{(;f II-LL,
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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. '
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