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HomeMy WebLinkAboutPermit Electrical 2000-4-12 ......- . . I Job# 00-00554-01 I Page 1 of 2 TRANS#:01-0001209 DATE:APR 12 2000 AMT RECD:2 $ 38.52 1 $ 1.08 CHANGE: CASHIER: 059 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD~ OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00554-01 Office: 726.3759 Inspection Line: 726-3769 Location Of Proposed Site: 665 A St Spr Assessors Map#: 17033531 Lot: Block: Addition: Owner: Address: Tax Lot #: 00000 Subdivision: North Pacific Insurance Phone Number: 665 A Street Suite G City/State/Zip: Springfield, OR Alteration Value: $0 Scope Of Work: Electrical Only Contractor Type Electrical Contr Quad Area: # Of Units: Constr, Type: Water Heater: Contractor ~~~/Cc: Registration # Expiration Date New Tech Electric AlJTHOE:RM/TSHALLc 1400 NE 48th Place,~Sbor~/9'iDUND"'''' XPIRE:/FTI-/,.... IVIM!':^,~_, c:"" 7'u.~ _ c: .,'n,:,!, AM, . _ -'-LJ,UR I'" ' "rCHM/ . ", -"-"-'-+O'~lf.l!pl1se ..I,C'11VDO/V TIS NOT Land Use: cR/OD. 'E:D FOR # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Heat Source: Range: Sq, Footage: Phone 503-648-1900 To request an inspection call the 24 hour recOlCI~at 726-3769. All inspections requested before 7:00 a,m. will be made the same working day, irfs)J~V9Df~que~ttd after 7:00 a.m. will be made the following working day. ,"'otificalio es adopte~t/'W requ/~ 'nOAI=Ln, n,Ceme l' ythen,o_esYOlJl[ VV/10~~qillrll\l_I, fl'o'itatrR!WJlfiS ~-" UTllit, calli ~,I17~len.,t~rOlJ9h bA are Set foi1) nUl17b;~i.' '" Center (N' vVPles Of thA 952-00;_ ortheo - ote.th erlJ/esb ("''''~~""._/~~~n Utilitye~e/ephone j. . ',0,"" OtlfICat,'O ~ -~ ~..11.1) n Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: Low Voltage Fee Restricted Energy # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# Value/Quantity Electrical I 04/12/2000 1209 1 Fee Amount $36.00 I . Job# 00-00554-01 I Paid On Receipt# Electrical 04/12/2000 1209 04/12/2000 1209 " Fee State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Grand Total Signature . Page 2 of 2 Value/Quantity Fee Amount $2.52 $1.08 $39.60 $39.60 Date