HomeMy WebLinkAboutPermit Electrical 1994-09-06C,TY OF SPF FIELD OR EGON
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oPPrcB: 726-3159 ,r* 1-Q-7# 3. coupr,Brg rBE
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HuItt-FantlY
SPRTNGFTBLD, OREGoll gT4TfPProvat'
INSPBCIION RBOTIBSTn 726-3769
IAGAL DBSCRIPTIOHOL
JOB
Permlts are non-transferable and explrelf vork ls not started vlthln 180 days
of lssuance or lf vork ls suspended for
180 days.
2. OOIITRACTOR INSTALIATION ONLY
Electrlcal Contractor L.R. BRABHN4' INC.
Address68 ll. "Q" ST.,
ct SPFLD
Supervlsor Llcense Ndmber I 473S
Exp lratlon Date l0ll/95
Constr Contr. Nunber 08699
Expl ratlon Date I2/18/94 ,- " =
Slgnature of Supervlslng Electrlclan
225 TIFTB STNEEf,
. Tho.lollowlng project
zcnrng, and doe6 not
q*, -2.-BZ
as submittad hrs the
require epeciflc land
thereof
Bach llanuf'd Home or
-. Hodular Dvelllng
Servlce or Feeder
B. Servlces or feeders
Installatlon, Alteratlons or
Relocatlon:
PBRHIT APPLICATION
Ctty Job Nunber q /t se z
SCBEDUIA BELOU
1al-Slngle or
Servlce Incl
per dvelllng untt
udedt Items Cost Sum
1000 sq.ft. or less $ 85.00
Each addttlonal 500
sq. ft or portton
s 15.00
$ 40.00
200 amps or less
201 anrls to 40Q amps -lZ-
401 amps to 600 amps
601 amps to 1000 amps_
0ver 1000 amps/volts _
Reconnect Oniy
50.
60.
100.
$
$
$
$
$
baru
00
00
00
00
00
00
r30
$3oo
40
X
C. Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocatlon
D. Branch Clrcults
Nev, Alteratlon or Extenslon Per Panel
One Cl.rcul t
Each Addttlonal -.
Circuit or vlth Servlce
or Feeder Perml I I
$ 35.00
200 amps or less S 40.00
0ver 600 anps or 1000 volts see ttBtr above
Ovners
Address 4b
Ct ty Phone 1t/ 7, 31 7 5
OIINER INSTALI.ATTON
The lnstallatlon ls betng made on
property I oyn uhlch ls not lntendedfor sale, Iease or rent.
Omers Slgnature:
DATB:
E. Hlscellaneous (Servlce/feeder not lncluded)
-Each lnstallatlon
Ptrmp or lrrlgatlon
Stgn/Outllne Llght lng_
Llmlted Energy/Res _Llmlted Energy/Comm
SIIBTOTAL OP ABOVB
5f State Surcharge
TOTAL
0q0
$2.OO 4, do
$ 40.00
$ 40.00
s 20.00
$ 36.00
b d,00
,/O,ILaa
RECEIVED
5
,.qb
--ffiuo
A r/o/1
Phone 747-6638
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