HomeMy WebLinkAboutPermit Electrical 2003-01-27Gity of Springfield
Electrical Permit Attachment
Status: Issued
225 Fifth Street
Springfield, Oregon 97 477
541-726-3159 Phone
541-726-3676Fax
541-7 26-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2003-00021
u27t2003
u27t2003
7t27t2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION
I57 I?T}J ST SPACE 2
17033s4100201
200 amp service upgrade
Springfield
TYPE OF WORK:
TYPE OF USE:
Alteration
Residential
OWI\ERYAPPLICANT:
SPRING LANE MOBILE VILLAGE 541.747-3557
157 t2TH ST #8s
SPRINGFIELD OR97477
ELE CTRICAL C ONTRACTOR:
EUGENE ELECTRIC SERVICE INC 541-344-3561
120 MONREO ST
EUGENE OR 97402
CCB # 90200 Expiration Date:
Receint Number
1 200200000000000608
l 200200000000000608
l 200200000000000608
reque sed before 7:00 a"m. willbe made the same working day,
shall be done in accordance
to the work described herein I
will be used on this projecl I
that each address is readable from the
during construction.
0311712003
Description
+ l0% Administrative Fee
+ 7%o State Surcharge
Perm ServiFdr 200 amps or less
To Rquest an inryection call the 24 hour
inryections requested after 7:00 a.nL
Required Inspections:
1 Electric Service:
1$
energizing service.
examined the completed application and do hereby certify that all
Amount Paid
6.30
4.41
By Signature, I state and agree,
information hereon is true and correct,I further certiff that any and all
with the Ordinances of the City of Springfield and the laws of the State of
further certiff that only contractors and employees who are in compliance
further agree to ensure that all required inspections are requested at the
street, and that the approved set of plans, if applicable, will remain
Owner or Contractors Signature
lofl
aaalflc[&D
ICAL PERMIT APPLI
it-v Joh Numb
FEE
LEGAL DESCRIPTION
Permits are rion-transferable and
is not started rvithin 180if work
of issuance &if work is suspe4{p$ ter--'''
180 days. *.. ..,,,rsG 5r9(i:i. , ,-"'"
I l.rrlille
2. CONIR.A,ITOR INSTALLATION ONLY
, . ."'. ti l
Electrical'
denti
Multi-Family per drvelling unit.
Service Included:
Items Cost
to[ov{inghas$ft. or less $ 106.00
quire Each additional 500
Home
Service or Feeder $ 50.00
B. Ser-vices or Feeders
Institll:ttion,
Relocation:
200 amps or
201 amps to
401 amps to
1 anrps to 1000
1000
l7033sn/oc ZI
JOB DESCRIPTIONZoD rtt'ua
,riti0
\ature
Address fAe)
Date
of Superdsing Electrician
INSTAL
lrt*5e New
eifiut
E not include
_$4
Nlinimum EIectfic Permit
4. SUBTOTALOFABOVE
7Vo Sttrte Surchtrge
87o Administrative Fee
1S5?
TOTAL
ction Fee is 545.00 * Surcharges
$ 19.00
D. Branch
73 "L
t/27t2003
ll:26:52ANl
City of Springfield
Development Seruices Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
Receipt #z 1200200000000000608
Date: 0112712003
Line Items:
Job/Journal Number Description Amount Paid
ELE2003-00021
ELE2003-00021
ELE2003-00021
Perm ServlFdr 200 amps or less
+ l0%o Administrative Fee
+ 7Yo State Surcharge
Payments:
63.00
6.30
4.41
Line Item Total:$73.71
Type of Payment Paid By Received By CheckNumber Confirm No [Iow Received Amount Paid
Check EUGENE ELECTRIC djb In Person 73.71
Total:
Page 1 of I cReceipt.rpt
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