HomeMy WebLinkAboutPermit Electrical 1993-08-31r I
STiTIINGFIGLI'
Ai!
225 FIFTE STREEf,
SPRTNGFTBIJ, ORBGoN 97 477
INSPECf,ION R80tESf,: 726-3
OFBICE: 726-3759
769
EI.^ECTRICAL
ent I
APPLICATION
4ar 3t)
oe-
\ -a l':rz
Ctty Job Number
3. COHPIATE FEE SCEEDUI.E BBLOS
HuItl-F
al-Slngle or
per dvelllng unlt.
Permlts are non-transferable and explre
lf vork ls not started wlthln 180 days
of lssuance or lf vork ls suspended for
180 days.
2. COtfItsACEOR INSTALI,ATION ONLY
Blectrlcal Contractor L.R. BRABHAI4, INC.
Address 68 l^I. "Q" ST.,
cit SPFLD Phone 747-6638
Supervlsor Llcense Nilmber I 4735
Expl ratlon Date 10.11195
Constr Contr. Number 08699
Expl ration Date 10118193
Servlce Included:
Items
1000 sq.ft. or less
Bach addltlonal 500
sq. ft or portlon
thereof
Each Hanuf'd Home or
. Modular Dvelllng
Servlce or Feeder
B" Services or Feeders
Installatlon, Alteratlons or
Relocatlon:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps _
601 amps to 1000 amps-
0ver 1000 amps/volts
-
Reconnect 0nly
c
D.
E
5. STIBTOIAL OP ABOVB
5Z State Surcharge
TOTAL
Temporary Servlces or Feeders
Installatlon; Alteratlon or Relocatlon
Cos t
$ 8s.00
$ 1s.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
s 40.00
Sum
6K
200 amps or less $ 40.00
0ver 401 to 600 amps $ 80.00
-
Over 600 amps or 1000 volts see I'B'r aboveSignature of Supervlslng Blectrlclan,64
Owners Name 2Ge ot 6/t*re[(
Address 0tO l/,lt,
Ct ty phone 7a t ' 35 7L
OIINER INSTALI,ATION
The installatlon is being made on
property I ovn vhlch ls not intended
for saler lease or rent.
Ovners Slgnature:
DATE:
Branch Circuits
Nev, Alteratlon or Extenslon Per Panel
onecircuit / s3s.oo q!0
Each Additional
Circuit or vith Service 1 Ar'
or Feeder Permi t / $ 2..00 Y
Hiscellaneous (Service/feeder not lncluded)
-Each installation
Pump or lrrlgation
Sign/0utline Lighting-
Limited Energy/Res _
Limited Energy/Comm
ly,
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RECEIVED BY:
1.
$ 40.00
;.i
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