HomeMy WebLinkAboutPermit Electrical 2003-1-27
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LEGAL DESCRIPTION. . . Sewe Included: .
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. JOB DESCRJPTION' ~ 0"'illg.910~ 110\ le<\\l\(~ . 1000 s or less .
. s bt-"; I L~ ,i::~'t.~r!ft~ Jr- cJ!:::::.' c 'additi ~ 500
'1 e9910,e '"g .; 0 r pOrtion
. Permits are lion-transferable and exp~II' ~~ ~ '.' ·
.' if~ork is nclstai1ed \~thin l80\fP, . . Ie ~a~h.~ufd ~ome or
of ISsuance r work IS snspJfi~Cd fO[ed5iglleW . .' Modular Dwelling .
180 daYs.' .' .. . ",,1110(\ .. . Service or Feeder'
.' OR~STiill:~TIONONL y.... B. Services or Feeders
. : '~&.j1\1 I) ~/) .s Installation, Alter
cto~ '-6t'~/C . Relocation:
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City of Springfield
Electrical Permit Attachment
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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:
ELE2003-00016
1/22/2003
1/22/2003
7/22/2003
SITE ADDRESS: 5120 FRANKLIN BLVD 1
ASSESSOR'S PARCEL NO.: 1803034000200
Eugene
TYPE OF WORK:
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION:
Service and 1 circuit
OWNER! APPLICANT:
FRANKLIN PARK llC
PO BOX 1548
EUGENE OR 97440
ELECTRICAL CONTRACfOR:
REYNOLDS ELECTRIC
2175 W 2ND
EUGENE OR 97402
CCB # 17252 Expiration Date: 02/08/2003
Descrintion
Amount Paid
Date Paid
.Receint Number
+ 10% Administrative Fee
+ 7% State Surcharge
Add. Alter. Extend Circ Ea Add
Penn Serv/Fdr 200 amps or less
6.60
4.62
3.00
63.00
01/22/2003
01/22/2003
01/22/2003
01/22/2003
1200200000000000584
1200200000000000584
1200200000000000584
1200200000000000584
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 am. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following working day.
Reouired Insnections:
1 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 Final Electric: When all electric~work is complete.
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By Signature, I state and agree<i~!.l-~il,,(c~l'efu1IY examined the completed application and do hereby certify that all
information hereon is true a,iilh:~~'V~CiW,'I~lter certiJy that any and all work performed shall be done in accordance
with the Ordinances otl6't~tP'og;~rin-gliel$'and the laws of the State of Oregon pertaining to the work described herein. I
furthercertiJy that(01li~<;iIRt:;a..il~roltfut~n":p.B'fee~\who are in compliance with ORS 701.055 will ~.~~ on this project I
further agr~,\~~~..ftt.litllU~~u~e'd'ipj'~~if'ns are requested at the proper time, that ea~(lJ-~ readable from the
street, an~\ffialJlie !!p'pro~~'t:t.iffill{l.D~\it&Ulicable, will remain on the site at all ti~~\fri[lg..~c\\1sY::j;ction.
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1 of I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
ELE2003-000 16
ELE2003-000 16
ELE2003-000 16
ELE2003-00016
Payments:
Type of Payment
Check
Paid By
Receipt #: 1200200000000000584
Date: 01/22/2003
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fee
+ 7% State Surcharge
Received By
Cheek Number Confirm No
REYNOLDS ELECTRIC INC
djb
Page I of I
1/22/2003
1O:18:34AM l
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
63.00
3.00
6.60
4.62
Line Item Total:
$77.22
How Received
Amount Paid
In Person
77.22
$77.22
.
Payment Total:
cRcceipt.rpt