HomeMy WebLinkAboutPermit Electrical 2003-2-3
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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
541-726-37691nspection Line
PERMIT NO,:
ISSUED:
APPLIED:
EXPIRES:
ELE2003-00025
2/3/2003
2/3/2003
8/3/2003
SITE ADDRESS: 223 A ST D
ASSESSOR'S PARCEL NO,: 1703353203000
Springfield
TYPE OF WORK: Addition
TYPE OF USE: Commercial
PROJECT DESCRIPTION:
Add I circuit
OWNER! APPLICANT:
SPRINGFIELD UTILITY BOARD
250 NORTH A ST
SPRINGFIELD OR 97477
ELECTRICAL CONTRACfOR:
EASTSIDE ELECTRIC INC 541-741-1499
38253 BOSCAGE LN
SPRINGFIELD OR 97478
CCB # 117770 Expiration Date: 10/04/2003
,Descriotion
Amount Paid
Date Paid
Receint Number
+ 10% Administrative Fee 4,50 02/03/2003 1200200000000000644
+ 7% State Surcharge 3,15 02/03/2003 1200200000000000644
Add. Alter. Extend Circ 43,00 02/03/2003 \)",'f.. 1200200000000000644
Minimum/Adiustment Electrical 2,00 02/03/2~0{v...~ ~ >I,\)\ 1200200000000000644
To Request an inspection call the 24 hour recording at 726-3769, All inspe~~~~)~~\1I;OO a.m, will be made the same working day,
inspections requested after 7:00 a,m will be made the foll~~ng wo~,\"(\\S \)~~\)
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Reouired Insoections: ,"(\\S "(\\)",\1..~~\) '\)'" <s-\'\)\)'
1 Rough Electric: Prior to Cover \>.~\l\~~~ \)~ \l~
2 Final Electric: When all electrical work is bo~l!\&~
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 I 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 ~r;t.!!Lnjii'g't~~e work described hereilL I
further certify that only contractors and employees who are in compliance with ORS'701.0SS'\\!,m.be used on this proJ' ect. I
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further agree to ensure that all required ~specti?ns are r~que~~...~b\l!e.lpr~{\QJII!,,,"l~!:e~c~l~<tress is ~eadable from the
street, and that the approved set of plans, If applIcable, wIIlrClDa1n oB~e~,feI a~all\tlmeS'dunn~constructlon.
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'(1\~0~ 1~01\ cel\:~~~ 0 \nIO\}~c, 0\ \n:-;hOl\e \'
Owner or Contractors Signature ~O\I\IC~ 9f:l...\JJ~ o'(,"!.e,1\ C~~e.,\~e w o\i\iCa.\IO
il\Of'i '(oo~a.':I el\\el.\..~ U\i\I\':I~ A'\').
0090, ,,~\neC Ole~OI\ 3~'l.-'l.~
Ca.\,1 el \01 \ne,s ~_~OO-
1\01\1'0 cel\\ell
I of I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Nnmber
ELE2003-00025
ELE2003-00025
ELE2003-00025
ELE2003-00025
Payments:
Type of Payment
Check
Paid By
Description
Add, Alter, Extend Circ
Receipt #: 1200200000000000644
Date: 02103/2003
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 7% State Surcharge
EASTSIDE ELECTRIC
Received By
Check Number Confirm No
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Page I of 1
2/3/2003
3:02:55PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
43,00
2,00
4,50
3,15
Line Item Total:
$52.65
How Received
Amount Paid
In Person
52,65
$52.65
.
Payment Total:
cReceipt.rpt