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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 dib dib dib dib 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 N to\tt';" iotltcj *OhY 'oogo' CO nu lofl xmH*m* \t tp g(\ . 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