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HomeMy WebLinkAboutPermit Electrical 2000-10-17 (2) ';". 'I Job# 00-01552-01 Page 1 of 2 TRANS#:01-0003506 DATE:OCT 17 2000 AMT RECD:l $ 20.00 CHANGE:$ 3.50 CASHIER: 059 0# RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01552-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1012 Centennial Blvd Spr Assessors Map#: 17032644 Lot: Block: Addition: Tax Lot #: 10000 Subdivision: Owner: Address: Jaime Perpinan 1012 Centennial Blvd Phone Number: 541-746-8025 Scope Of Work: Electrical Only New circuit to dryer and water heater City/State/Zip: Alte~ation Springfield, OR 97477 Value: $0 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: , Range: _NOTICE: " I HIS PERM/'" , 'A" ,I SHALL r:- UTHORIZE C.XPfFif IF , ' COMME D UNDER THIS Pi: THE WORk ANI./" 1 NCEDC#jCDj BUildirig~MIT1SNO'r I 80D,A "ul-\bAf\Jnn~I"'_ . ,I 1'"\ Y PEf:/,c(J8pancY\Gro,uP~OA ' Heat 'Source: Sq. Footage: Final Electrical To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a,m, will be made the same working day, inspections requested;aft~r~7:00 a,m. will be made the following k' d ' 1;'"" , .~ '~' I tt...Jl\{ (,;l",Q.." wor Ing ay. "lI/0Vi'rli' c, ','....('(, 8' , ' ", 'f' ,,8, :laom \i1 9quire' R . - n'm::>..,,,. ,-- ,eo hi. ,... _ ~ .In" " equlred I~~e~~~~s:--I:jn.ref rho' "'C ~regon Uti ' , I Elect/li~1 v;,';'.~~u~J1-001 0 thr~~ rUles are Set :~r~, -When all electrical work is comPlet~?qth~dYobtaincOPiJhOAR952_od,;" q,; ':1be; 'Or ~~=nter. (Note: t~~: the rUles bl' " - Oregon Ut'" e/ephane- 'r.: , p Illy Not 'I' , ,'i:"I.~~", ., II/Cation '" ~" ,,34.4), Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D , -Area (Sq. Feet) Main: ' # Of Stories: Current Units: Census Code: Does hot apply Height (feet): Proposed Units: Accessory: Total: Fee Paid On Receipt# Electrical 10/17/2000 3505 10/17/2000 3505 10/17/2000 3505 Value/Quantity ,Fee Amount Branch Circuits WIO Feeder o~ Service ' State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 2 $37,00 $2.59 $1,11 $40.70 " Fee Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing ~ ') ?:z ~ature \ ,~"~. {/ Job# 00-01552-01 Paid On Receipt# Plumbing 10/17/2000 3506 , 10/17/2000 3506 . 10/17/2000 ' 3506 .., Page'2 of 2 Value/Quantity' Fee Amount I $15,00 $1.05 $.45 $16.50 $57.20 Date /O~/7- 00