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HomeMy WebLinkAboutPermit Electrical 2001-8-30 A' ~ .~ . I Job# 01-00905-01 I . Page 1 of2 TRANS~:Ol-0006571 DATE:AUG 30 2001 AMT RECD:2 $ 13.80 CHANGE: CASHIER: 003 CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00905.01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1053 Harlow Rd Spr Assessors Map#: 17032722 Lot: Block: Addition: Owner: Michael Evans 1071 Harlow Rd Address: Scope Of Work: Electrical Only 3 circuits Quad Area: # Of Units: Constr, Type: Water Heater: Tax Lot #: 00200 Subdivision: Phone Number: 541.726-8523 City/State/Zip: Springfield, OR 97477 New, Value: $0 Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: 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, Rough Electrical Final Electrical Required Inspections Electrical . Prior to cover, - When all electrical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq, Feet) I Main: Accessory: Fee Minimum Electrical Permit Fee Branch Circuits W/O Feeder or Service Miscellaneous Electrical State Surcharge. Electrical State Surcharge - Electrical # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# r-- Electrical 08/21/2001 6486 08/21/2001 6486 08/30/2001 6571 08/21/2001 6486 08/30/2001 6571 Value/Quantity Fee Amount 3 12 $,00 $49,00 $12,00 $3.43 $,84 ,- ~ ;I' ~ . Fee Administrative Fee. Electrical Administrative Fee - Electrical Total Electrical Grand Total ~JL.~ ~ f~ Signature Job# 01-00905-01 Paid On Receipt# Electrical 08/21/2001 6486 08/30/2001 6571 . Page 2 of 2 Value/Quantity I Fee Amount $3,92 $,96 $70.15 $70.15 ~->()-O( Date