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HomeMy WebLinkAboutPermit Electrical 2002-12-17City of Springfield Electrical Perm it Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone 541-126-367 6 Fax 541-7 26 -37 69 Inspection Line PERMITNO.: ISSUED: APPLIED: EXPIRES: ELE2002-00160 12n7t2002 1211712002 6n7t2003 SITE ADDRESS: ASSESSOR'S PARCELNO.: PROJECT DESCRIPTION 860 2sTTIPL 1703361107301 Service Change TYPE Springfield OF WORK: TYPE OF USE: New Residential OWNIiTUAPPLICANT: MURPI IY SUZANNE M & TROY E 860 N 25TTI PL SPRINCFIELD OP.97477 ELECTRICAL CO NTRACTO R: BUILDERS ELECTRIC INC 541.485-0922 195 MADISON ST EUGENE OR 97402 CCB# 4296 Expiration Date: 12/10/2003 Desc rint ion + 7%o Statc Surcharge + 80% Adrrinistrative Fee Penn Scn'/Fdr 200 amps or less Amount Paid 4.41 5.04 63.00 Date Paid 12n712002 1211712002 t2/1712002 Receint Number 22002000000000003 l0 22002000000000003 10 22002000000000003 10 Cashier ddk ddk ddk ToReqrrestaninspectioncallthe24hourrecordingatT26-3769. All inspectionsrequestedbeforeT:00a-m.will bemadethesameworkingday, inspections requcsted after 7:00 a.m. will be madethe following working day. Rcquircd Inspections: 1 E,lcctric Service: Approval required prior to utility company energizing service. By Signatu re, I state and agree, that I have carefully examined the completed application and do hereby certify that all infornration hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with tlrc Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I further ccrtify that only contractors and employees who are in with ORS 701.055 will be used on this project I further agrce to ensure that all required inspections are requ from the street, and that the approved set of plans, if applicable, will rem COMMENCED OR IS ABANDONED FOR Olvner or Contractors Sigrature ANY 1B&OAY PTRIOD. l of I .225 FTFTH STREET ELE -.JCAL PERMT APPLICATION oREGON 97477 REQUEST:9 cit.vJob xu^rr"rLD€ %Ob OOIbO h:ff8"ur$ry4gr"t T?T,CI 3. COMPLETE FEE SCFIEDULE BELOW A. Neu' Rc.sidential-Singlc or Mrrlti-Farnily per rll'elling unit. clutletl v ft rtion Sum Address Phone License Nurnber +)q Supcrrising Electricirur In.stallation, Altcrations or Rclocation: 20() arrrps or less 20 I aurps to 400 arnps 201 amps to 400 amps Over 401 to 600 amps Over 600 antps or 1000 volts see "8" above Items Cost $ 106.00 $ 19.00 $ 50.00 s 63.00 $ 75.00 $ 125.00 _ $375.00 _$ 50.00 fd Home or ofissuance or ifwork is suspended for 180 days. r,..rre lar Drvclling 5\gf\a\uie Service or Feeder - .riju., rJ2. CONTRACTOR INSTALLATIONONILY B. Sen.iccs or Fecdcrs (osa Co Citl'onc OWNER INSTALLATION The installation is being urade on propertv I orvn lvhich is not intended for sale, lease or rent. D. Branch Circuits N,Tl[ti Alteration or Extension Per Panel TH|S BSBMLLSHALL EXPIRE lF THE W0B6: oo AUTHOBIZED UNOER THIS PERMITISNOI c 0 M rfiHtlgtuiom{Bc/rtsf, t\tD0rl$EErf0i* ANy f86tffif ftnibo. $ 3.oo f. l\[iscellnneous (Scrlicc/fceder not inclutled) -Each installation Pump or irrigation $50.00 Linrited Energr,/ltes $25.00 Lirnited Energr'/Colnrn $15.00 I\Iininrunr Electric Pernrit Inspcction Fcc is S-15.00 * Surchar.gcs 4. SUBTOTALOFABOVE 7%o Statc Surchargc 8%o Administrttiyc Fce N MAVP Address Atro Ll 5*n Ha c € Orvners Signature TOTAL 1>../s Permits are non-transferable if u,ork is not started u'ithin 180 Etecrrical contrn.tor-pqjgprS- Qe6* n C . L- $69.00 _ $100.00 _ 'a: Expiration .SvfCtr. €oastr Contr. Orvne rs