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Home My WebLink AboutPermit Electrical 2003-02-14Gity of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97 477 541-726-37 59 Phone 541-726-3676Fax 541-7 26-37 69 Inspect ion Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00030 2fl4t2003 2nu2003 8n412003 SITE ADDRESS: ASSESSOR'S PARCEL NO.: PROJECT DESCRIPTION: 430 18TH ST 1703362401800 Service change TYPE Springfield OF WORK: TYPE OF USE Alteration Residential OWNEWAPPLICANT: GEORGIA DAVIS 430 1STH ST SPRINGFIELD OP.97477 54t-9t3-2237 ELECTRICAL C ONTRACTOR: OREGON ELECTRIC SERVICE 54I-343-I681 PO BOX2237 EUGENE OR 97402 CCB # 38001 Expiration Date: 0911412004 Descrintion + l0% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid 6.30 4.41 63.00 Date Paid 02/14t2003 0211412003 021t412003 Receipt Number I 200200000000000697 l 200200000000000697 I 200200000000000697 To Request an inryection call the 24 hour recording at726-37 69. All inspections requested before 7:00 am. will be made the same working day, inryections requested after 7:00 a.m. will be made the following working day. Required Inspections: 1 Electric Service: Approval required prior to utility company energizing service.10 By Signature, I state and agree, that I examined the completed certify that all information hereon is true and certiff that any and all done in accordance with the Ordinances of the CitY of and the laws of the State of Or described herein. I further certiff that onlY who are in compliance on this project I further agree to ensure that all are requested at Ilom the street, and that the aP if applicable, will Y SiContractorsorOwner -{o$ 'r$ lofl arrtilatr3.o '€ c 225 FIFTH STREET . SPRINGtrIELD, OR97477 o E LECTRICAL PERMIT APPLI CATI ON cityJobNumber W2.rc3 -OooSO Date PH:(541)726-3753 . FAXI (S41)7ZG36B9ii.j s ubmitted has the following ,:c,rirrrg 6fid does not req uire specific land use al,provalaI-a -6.Zoning l.3. o tK*M LEGAL DESCRIPTION 073 JOB DESCzuPTION fih*.- 8cc ,, ' Permits are if work is not started within 180 or if work is Suspended for 180 days. 1 Electrical Address PhoneSrJE -tLSl Supervisor License Number I aq& S ExpirationOate \e - t - O * Constr. Contr. Number Expiration Date -o of Supervising Electrician \.Q-o Ciry OWNERINST on property I own which 15 or rent. Inspection Request: 726-37 69 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only D. E. Minimum lYo State Surcharge 10% Administrative Fee TOTAL $s0.00 Amps or less I $ 63.00 6-3E $ 106.00 $ 19.00 s 7s.00 $125.00 $163.00 $375.00 $ 50.00 Inspection Fee is $45.00 * Surcharges ttt{I C. The Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Ampe to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or One Circuit Each Additional Service or F $ s0.00 $ 50.00 $ 2s.00 ob ib al i i111. ; :r;;lil'1; i; .;il 4 Shared Drive(T:/Building Forms/Electrical permit Application I -03.doc A. ZY B. 2/14/2003 8:43:56AM City of Springfield I)evelopment Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone Receipt # z 12002000000000 00697 Date: 0211412003 Line Items: Job/Journal Number Description Amount Paid ELE2003-00030 ELE2003-00030 ELE2003-00030 Perm Serv/Fdr 200 amps or less + ljYo Administrative Fee + 7o/o State Surcharge Payments: 63.00 6.30 4.41 Line Item Total:$73.71 Tlpe of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid Check oREGON ELECTRTC SERVICE djb In Person 73.71 Total:$73.71 Page I of I cReceipt.rpt