HomeMy WebLinkAboutPermit Electrical 2002-11-27
'" .'
".::::...." ..,'
+"..IIt~~~~~ 1
. ~~t~~I:J"leREg,o~ ~ .
~~11
pnR~1 ~ '
11.L~i2F' S, " 1f,~'i1, I,
.,- . /Y \ Lf esidenti !S , '
" , 2f>J:f'1 Multi-F:inuly per dwdling unit:' '
,LEGAL I1ESCRIPTION' ~o~ceIncluded;,
1"703 ;; L/ Lit; C,OOl, C50 .. ' ~~0~0~~0 , '
. '. '. . . ~'O'c\-a; .
,J9fJ15'ESCRIPTIO~ ' , _, .. 'to<<-~:~0C\" '1000 . orIess, '
,,-{t.Q) tJ .n. ) "?i? ^ lJ 1 C-iL, ,~~,,(},~,,0 ~" ,"ad' ,onal 500
, . ' , '0C' ,,0 sq rpo' '
S . Q...Ol (\0. . . .
, Permits are lion-transferable andiil;e'," 000~' A)1r ereo ',',: ,
if w~rk is no'i!!started within 1~~9\l: 0, .,,,0, ' :, 'd:" ~E Manufd Home or"
, of issuance lIf,- work is susp~ "", to<-'''~ \ \", od~ Dwelling, '
, 180 days. ' , " ,': "<i<i, ' ,;".;,0' , ,Semce or Feeder '
O}l.F'~ TJ\r.unO~~o r;","" B. Services or Fe~ders
, " if; 9/11 () CliP"s ' ' , 'Installation, Altera
eto 6t'~C"" ~Re1ocation:
,; Jl~i?;s.:-"cq' zit
, .Items Cost
$19.00
s ~o.ool
~
.00
I L-!tj, q u
. '
;~ .
.
.
City of Springfield
Electrical Permit Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00]49
] 1127/2002
1l/27/2002
5/27/2003
SITE ADDRESS, 4501 FRANKLIN BLVD SPACE 4
ASSESSOR'S PARCEL NO" 1703344400200
Eugene
TYPE OF WORK:
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION, Two (2) New Service
OWNER/APPLICANT: ELECTRICAL CONTRACTOR:
RANDY COUNTS
2140 ROCKY LANE
541-484-5729
REYNOLDS ELECTRIC
2175 W 2ND
EUGENE OR 97402
CCB # 17252 Expiration Date, 02/08/2003
Descriotion
Amount Paid
Date Paid
Receiot Number
Cashier
+ 7% State Surcharge
+ 8% Administrative Fee
Penn Serv/Fdr 200 amps or less
8,82
10,08
126,00
11/27/2002
11/2712002
11/2712002
2200200000000000238
2200200000000000238
2200200000000000238
nJm
nJm
njm
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 after 7,00 a,m, will be made the following working day,
Reouired Insoectious:
1 Electric Service, Approval required prior to utility company energizing service,
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 furtber 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 pertaining to the work described berein. I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, and that the
approved set of plans, if applicable, will remain on the site at all times during construction.
Owner or Contractors Signature
Date
Page I of 1