HomeMy WebLinkAboutPermit Electrical 2002-11-13
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City of Springfield
Electrical Permit Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00135
11/1312002
11/13/2002
5/13/2003
SITE ADDRESS: 250 A ST
ASSESSOR'S PARCEL NO.: 1703353202700
Springfield
TYPE OF WORK: New
TYPE OF USE: Commercial
PROJECT DESCRIPTION: CCTV system install
OWNER/APPLICANT: ELECTRICAL CONTRACTOR:
SPRINGFIELD UTILITY BOARD
541-461-9657
+ 7% State Surcharge
+ 8% Administrative Fee
Low Voltage - Commercial Indus
GLOB~,Il~Sr;CURITY
46.IRVING:ROAD
,;v,'EUGEt-jE,QR"97404
(,"'. (,G;6Il-#e'9970~Cl'\- Expiration Date: 10/01/2003
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Amount Paid ~ <\\e'Da1e:P.aia,,,or ",e ~\l' Receint Num ber
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3. 15 \(O~ 'Q: ~\e\' .1<!J,i:ii2QQZ50 \e\(I'2ROz'ilQ'000000000226
,3i60v 0\\ C/<> :\_ClClfI/,1.J/2!r02.;s.e ~1:2b0200000000000226
. ~....t~...O~~';)'t'~~'! 0~1;~i?z2~~~'i.~'!,~.i00200000000000226
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To Request an inspection call the 24 hour recordi'l.I!;l?3.6&Y69'N!Q~p~tlJri's requested before 7:00 am. will be made the same working day,
inspections requested after 7 :00 a.m. will be miill1'lheJ.mllowiQg\~orkmg 'day.
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SPRINGFIELD OR 97477
"250 N ""A"" ST"
Desc rintion
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Reauired Insoections:
1 Low Voltage: Prior to cover.
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and the laws of the State of Oregon pertainil'lb,lfl. the work described herein, I
further certify that only contractors and employees who are in compliance with OR~\\~.f'Jl55~1l be used on this project I
further agree to ensure that all required inspections are requested at the pr~llite,~t~a~'il'cll'address is readable from the
street, and that the approved set of plans, if applicable, wi{-remain o~~ejile~tyQ.i.'ti~e\\!.l1-ring construction.
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Owner or Contractors Signature \ \'\\~\\\)\\\l.t.~\) \)\\ D~ev.
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