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HomeMy WebLinkAboutPermit Electrical 2002-11-18City of Springfield Electrical Perm it Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone 541-726-3676Fax 541-726-3769 Inspection Line PERMITNO.: ISSUED: APPLIED: EXPIRES: ELE2002-00139 tUt8t2002 tut8t2002 5n8t2003 SITE ADDRESS: ASSESSOR'S PARCELNO.: PROJECT DESCRIPTION: 4O1O E 16TH AVE 1703344306600 Install one circuit in out building Eugene ryPEOF WORK: TYPE OF USE: Addition Residential OWNER/APPLICANT: CARVO DAVID V PMB 5I7 EUGENE OR 9740I Description + 7%o State Surcharge + 8% Administrative Fee Add, Alter, Extend Circ Minimum/Adj ustment Electrical 541-221-2949 * $U1812002 812002 tUt8l2002 t1/18t2002 ,16TH AVE rE oR 97403 Expiration Date: Receipt Number l 20020000000000025 1 I 20020000000000025 1 I 20020000000000025 l I 20020000000000025 I Cashier dib dib dib dib To Request an inspection call the 24 hour 726-3769. All inspections requested before 7:00 am. will be made the same working day, inspections requested after 7:00 a.m. will be the following working day l( Required Inspections: 1 Rough Electric: Prior to Cover 2 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 City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, and that the approved set of plans, if applicable, will remain on the site at all times during construction. Owner or Contractors Signature Date lofl - LEGAL Dtlo oLbo Each Manufd Home or Ivlodular Drveiling Senice or eeder amps or 201 amps to .401 amps to 1 anrps to 1 100 Over "8" abo|e ,Family per drlelling unit. Included or 500 Iterns Cost _ $ i06.00 $ 19.00 $ 50.00 ^r 69 l:"J:""". Electrical' JOB D o Permits are non-transferable and if rvork is not sttrrted u'ithin 180 days suspended s TALLATION ONLY B. en'ising Electrician tor ,0 D. Br Address Cit)' Date ers Name I orvn rvlfch is not intended Iease or rent. anch Circtrits Nctr Alteration or Exlensio One Circuit Elch Additional Circuit or or Feeder Pennit q n Per l'ith E. I\'Iiscellaneous (Serliceilced -Each install:ition Ptrnrp or irrigation Sign/Oulline Ligltting Linrited EnerglAcs Limitecl Energr''/Comnt cr not includcd) 5)U.Ut) Nlinimum Electric Permit Inspection Fee is S"15.00 * Surchargcs -- J. SUBTOTALOFABOVE q) 7o/o Stfie Surcharge t-rr 87o Administrativc Fee ?6o TOTAL 5rf 2]5 FIFTH STREET SPRINGFIELD. OREGON 97+77 TNSPECTION REQUEST . 126-37 69 OFFICE: 726-3159 OF t--- City Job No*t,.,' fiLCZfuZ' 3 ?,' 3. COMPLETE FEE SCHEDULE BELOW ELE( CAL PERMIT APPLICATION : or Expiration Expiration OWNER II{STALLATION Tlie installation is being rnnde on C. Tcnrporary Scruices or Feeders Installi-rtion, Alteration or Relocation $ 3.00 180 days. Alterations or: ! SLrpen'isor License Number amps or less to 400 amps volts, see $4300 !)