HomeMy WebLinkAboutPermit Electrical 2002-12-17City of Springfield
Electrical Perm it Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 9147 7
541-126-3759 Phone
541-126-3676Fax
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-0016s
12117t2002
12n7t2002
611712003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
PROJECT DESCRIPTION
663 SWAN CT
1703221309700
Add I circuit
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Residential
OWNER/APPLICANT:
MCCALL BARBARA MONROE
663 SWAN CT
SPRINGFIELD OP.97477
ELECTRICAL CONTRACTOR:
DIXON ELECTRIC
33736 MARTIN ROAD
541-895-2440
CRESWELL
ccB # 66894
97426
Expiration Dare: 01118/2003
OR
Descrintion
+ 7o/o State Surcharge
+ 8% Adminishative Fee
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Amount Paid
3.l s
3.60
43.00
2.00
Date Paid
t2/17/2002
t2/17/2002
t2lt7/2002
1211712002
Receipt Number
l 200200000000000423
1 200200000000000423
1200200000000000423
1200200000000000423
Cashier
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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.
Required Inspections:
1 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
\$
to$
By Signature, I state and agree,that I have carefu and do hereby certify that all
information hereon is true and correct, and I fu work performed shall be done in accordance
with the Ordinances of the City of Springfield and pertaining to the work described herein I
further certify that only contractors and employees ce with ORS 701.055 will be used on this projecl I
further agree to ensure that all required inspections at the proper time, that each address is readable from the
street, and that the approved set ofplans, ifapplicable'remain on the site at all times during construction.
Owner or Contractors Signature Date
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. 225 FIFTH STREET
SPRINGFIELD, OREGON 97 477
INSPECTION REQLJEST: 726-3
ELEI .CALPERMITAPPLICATION
city Job No*t,"r [ILCiZc O i .() C-i I 6i-
3. COMPLETE FEE SCTIEDT'LE BELOW
A. New Re.sidential-Single or
Multi-Family per drvelling uni
Seryice Included:
sq.ft. or less $106.00
500
'oT,ry
LEGAL DESCRIPTIONaozzt3 0 ? 7(Jc
JOB DESCRIPTION (Lcv.i
9,9
Pernrits are non-transferable and Oo\
if work is not started within
of issuance or if work is
2. CONTRACTOR INST
Electrical fNc.
CFESWELL,oR s742A
Supervisor
Expiration
Home or
Drvelling
Service or Feeder
Pump or irrigation
Limited Enerry/Res
Limrted.E4erry1Coq1n
Minimum blectric Permit Inspection Fee
4. SUBTOTALOFABOVE
77o State Surcharge
87o Administrative Fee
Items Cost Sum
V
_ $I9 .00
$50.00 j
$25.00 .
(
B. Services or Feeders
Constr
ration Date
N
of Supen'ising Electrician
C
gYtz
The lnnotE
tudGjD + Surcharses
-3rf_5ee
TOTAL s/ 7t
Installation,
Relocation:
200 amps
201 arnps to
401 amps to
alups
Over
D. Branch
Circuit or rvith
DIXON