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Home My WebLink AboutPermit Electrical 2003-03-05SPEU'AFIALD City of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfiel( Oregon 97 477 541-726-3759 Phone 541-726-3676Fax 541-7 26-3769 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-000s9 3tst2003 3tst2003 9tst2003 750 23RD ST r703361209601 Service change and 11 circuits Springfield TYPE OF WORK: TYPE OF USE: Addition Residential OWNERYAPPLICAIIT: KYLE BRUCE 750 23RD ST SPRINGFIELD OF.97477 s4t-st1-2532 ELE CTRICAL C ONTRACTOR: EUGENE ELECTRIC SERVICE INC 120 MONROE ST EUGENE OR 97402 CCB # 90200 Expiration Date: 54t-344-3561 0311712003 Description + l0% Administrative Fee + 7o/o State Surcharge Add. Alter. Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid 9.60 6.t2 33.00 63.00 Date Paid 03t0512003 03t0s12003 03105/2003 03/0st2003 Receipt Number 2200200000000000558 2200200000000000558 2200200000000000s58 2200200000000000558 To Request an inryection call the 24 hour inryections requested after 7:00 a.m. will gat726-37 69. All inspections reque$ed before 7:00 a-m. will be made the same working day, the following working day. Required Inspections:( 1 Rough Electric: 2 Electric prior to utility company energizing service. 3 Final work is complete.$ that I have carefully examined the completed application and do hereby certify that allBy with further further street, and th e approved set of plans, if applicable, will remain on the site at all times during construction. Owner or Contractors Siglature lofl Date SITE ADDRESS: ASSESSOR'S PARCEL NO.: PROJECT DESCRIPTION: correct, and I further certiff that any and City of Springlield and the laws of the State contractors and employees who are in be done in accordance work described herein I on this project I is readable from the S 3/5/2003 l0:14:35AM City of Springlield Development Services Department Public Works Department Official Receipt 225Bifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 2200200000000000558 Date:03/05/2003 Line ltems: Job/JournaI Number Description Amount Paid ELE2003-00059 ELE2003-00059 ELE2003-00059 ELE2003-00059 Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + l0% Administrative Fee + 7o/o State Surcharge Payments: 63.00 33.00 9.60 6.72 Line Item Total:$112.32 Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid CreditCard EUGENE ELECTzuC djb 0000 I I 005221 In Person t12.32 Total 12.32 Page I of I cRec€ipt.rpt $Ftttl(lFrELll submitted has the lollowing 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 . F.*Xl'64*)d2bff89t req uire sPecific land use E LE CT RI CAL P E RM I T AP I' LI CATTON approval ys 3 Zonins City JobNumber &[ZOOI --o5 Date e 3 o l. LOCA -75o^ ?TON OF INST'eI,I-qT.roN 3. coxqPLEl-E t Z3sL 5l LEGAL DESCRIPTIONtaos3Lrz D 76Ol JOB DESCzuPTION >,eL{//.i.o^, k Permits are and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. COr|TRACTOR TNSTALIAION ONLY EUGENE ELECTRIC Electrical Contractor Address 120 MONROE City EUGENE phor. 344-3561 ,r Supervisor License Number 10 Expiration Constr,s$0200 Expiration Signature of Electrician ,Q.l-V,rr>--eJ A. Nerv Residential - Single or Nlulti-Farnill' per dnelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ r 06.00 $ 19.00 $s0.00 B. Services or Feetlers * Instal lation, Alterations nr Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Arnps to 1000 Amps Over 1000 Amps/Volts Reconnect Only L3 C.Temporary Services or Feeders1 $ 63.00 $ 75.00 $ 12s.00 $ 163.00 $3 7s.00 $ 50.00 $ s0.00 s 69.00 $ 100.00 3-lrt$\" Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits Owners Name * Address 1tO lt\ .14,be L E. Miscellaneous (Service/feeder not included) -Each lnstallation \\\, " Cify OWNER INSTALLATTON The installation is being made on propefiy I own which is not intended for sale, Iease or rent. Owners Signature Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimurn Electric Permit Inspection Fee is $45.00 * Surcharges 50.00 50.00 25.00 45.00 $ $ $ $ 4. SUBTOTALOFABOW - c' 1 / 3tt-C E- {t7cuc' €i*-k ',-v- /t 7%o StateSurcharge l0% Administrative Fee 10 b7L _J6a_llz 37TOTALInspection Request: 726-3769 Shalcd Drive(T:)/Building Fonns/Eltxtdcal Pennit Application I -03.doc CITY OFt OREGON Date New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Pennit I I $ 3'ooroqSe\ b\ r{r\e\(\,5 rtt$v qGJL{(tN AA)' n\@i \