HomeMy WebLinkAboutPermit Electrical 2003-01-03City of Springfietd
Electrical Perm it Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-3676Fax
541-7 26-3769 lnsPection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00168
U3t2003
1212312002
71312003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
PROJECT DESCRIPTION:
OWNEWAPPLICANT:
STEVEN SHEFCHECK
740 MAIN STREET
SPRINGFIELD OP.97477
Descrintion
+ 7oh State Surcharge
+ 8% Administrative Fee
Service Reconnect
505 S 5TH ST
1703353406000
Raise mast head
541-741-4898
Amount Paid
3.50
4.00
50.00
AI IhN I :Oregori
followrules o
Notification U
in OAR95AO0t -0010throu gh oAB 952-001-0090.
n
Date Paid
01/03/2003
01/03/2003
01/03/2003
I
EUGENE OR 974p2.
Eds #- 9oz0o ExPiration Date: 0311712003
urr 541-344-3561
ReceiPt Number
1200200000000000487
1200200000000000487
1200200000000000487
7:00 am. will be made the same working day'
[{aine
herein I
this project I
, each address is readable from the
during corstruction'
To Request an inspection call the 24
inspections requested after 7:00 a'm'
hour recording al 1 26'37 69' All inspections requested before
will be made the following working day'
Required InsPections:
1 Electric Service: Approval required prior to utility company
By Signature'I state and agree'that I have careful$ examined
information hereon is true and correctt and I further certifY that
with the Ordinances of the CitY of SPringfield and the laws of
further certifY that onlY contractors and emPloYees who are in
further agree to ensure that all required insPections are requested at the Proper
street, and that the aPProved set of plans, if aPPlicable'will remain on the site at
Date
Owner or Contractors Signature
1of1
r1312003
8:26:01AM
CitY of SPringfield
DeveloPment Sewices DePartment
Public Works DePartment
Offrcial ReceiPt
225 F'ifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
Receipt #z 1200200000000000487
Date:01/03/2003
ine Items:
Payments:
Job/Journal Number
ELE2002-00168
ELE2002-00168
ELE2002-001 68
Service Reconnect
+ 8% Administrative Fee
+ 7%o State Surcharge
Amount Paid
50.00
4.00
3.50
Confirm No
Line Item Total:
How Received
$57.50
Amount Paid
Tlpe ofPayment Paid By
Check EUGENE ELECTRIC SERVICE,
INC.
Received BY Check Number
ddk
In Person
Total:
57.50
$s7.50
t
Page I of I
cReceipt.rPt
LEGAL DESCRTPTION
l"o_3s3L/r) ect)c
IR]CAL
0b
or
Multi-Family per drvelling unit.
Service Included:
ff.. or less
500
Home or
Drvelling
Service or Feeder
TTON'rf
72
.1 . l.L OF
Items Cost
$ 106.00
$ s0.00
JOB CRTPTIONrsea
Permits are rion
if work is
of issuance
180 days.
rvork is
2
Electrical
Address
Date
9$00
grgnalirte
ru€)
ervising Electrician
-a-Arl
in OAR 95F001
0090. Yso
Over
"B" above
THIS P
AUTH
GOMM
ANY 1
4. SUBTO
7Yo
8Yo
S PER
or witJr
E
5O,',"
TOTAL
ovE
Fee is 545.00 +
St9