HomeMy WebLinkAboutPermit Electrical 2002-10-31City of Springfield
Electrical Perm it Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 47 7
541-12G3759 Phone
541-726-3676Fax
541-7 26-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00133
10t3u2002
10t3u2002
4t30t2003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
,410;,25{H ST NOTICE: ___ Sp_r.in_g_fieldiirosir6t*l6s0o THIS PEBMIT SIXIE^BHBHT THeRffifri. .: : .-'; :i'i r/:rr AUTH0RIZED uNoEHt8tsSERtvtttB$ffiTtiatI Rewire:of,sutke house (remot)DfylffiEN0ED 0R lS ABAND0NED FoR
OWNER/APPLICANT
JORDAL BOYD
4IO N 25TH ST
SPRINGFIELD OP.97477
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CCB #Expiration Date:
Descriotion
+ 7Yo State Surcharge
+ 8% Administrative Fee
Residence Wiring 1000 Sq Ft
Amount Paid
7.42
8.48
106.00
Date Paid
t013y2002
1013U2002
t0/3U2002
Receint Number
l 200200000000000 I 73
l 200200000000000 l 73
I 200200000000000 I 73
Cashier
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To Request an inqpection call the 24 hour recording al 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.
Required Inspections:
1 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 Final Electric: When all electrical work is complete.
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 further certify that any and all work performed shall be done in accordance
with the Ordinances of the and the laws of the State of Oregon pertaining to the work described herein. I
further certify that and employees who are in compliance with ORS 701.055 will be used on this project I
further to t all required inspections are requested at the proper time, that each address is readable from the
street,set of plans, if applicable, will remain on the site at all times during construction.
Contractors Signature
lofl
Date
Multi-Family per drvelling unit.
LEGAL DESCRIPfiON rne ronowrng p;oJecr as submilted has the 6twioS Inclurled: .
zonrng.'and does not.require specific land use
3
oo
Permits are and expire
if work is rvithin 180 days
ofissuance is suspended for
180 da1a.
Electrical
Date
or less
Each Manufd Home or
ModularDwelling
Service or Feeder
200 amps or
201 anrps to
, 40i amps
1 amps
Items Cost
//-$106.00
-_ s 19.00
$ 50.00
or with
not inclu
Eee is 545.00 +
appruvar
JOB DESCRETION
' i)ate.
Zoning - 3 - oz
Adthorized Sr gnature
D. Branch
4.S
7v,
8%
TOT^AL l2/J"
Rdocation:
ONLY