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HomeMy WebLinkAboutPermit Electrical 2001-3-26 t;- , -e I Job# 01-00201-01 I ~ . Page 1 of2 ~<~IC''' J.l.. J"" ' ~, . . n ,-;J: . . - L\fl- . ~ ~.J' . -S(\~II~EI"~ . CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Slreel Springfield, OR 97477 Location Of Proposed Site: 3444 Assessors Map#: 17023131 Lot: Block: main St Spr Addition: Owner: Ken Leusen Phone Number: Address: 2115 Lorane Hwy City/State/Zip: Eugene, OR 97401 Alleration Value: $0 Scope Of Work: Electrical Only install securily syslem Contractor Type Electrical Conlr Contractor Adl Security Services Inc 4660 Main St, Springfield, OR 97478 Job Number: 01-00201-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: Subdivision: * 00800 Registration # Expiration Date Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: Phone 541-7364973 # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To requesl an inspeclion call1he 24 hour recording al 726-3769. All inspeclions requesled before 7:00 a.m. will be made the same working day, inspections requesled after 7:00 a,m. will be made lhe following working day. Low Voltage Requi~d\ihspections ~nnljfl,'I\I "I~" :.-. Electrical - . 'OAri 952-00'i- 'lll" .liLlI "n,ouPIl y ~ I s by I \'. ;~\t~H ~'1"'?~- ")i .hu ru e ':...' ~ :.1" taldpho~e ,. . .' " '\'otificatlon II. . .. ,._JniJ,4). " Construction Types: Pl. . Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Ar~a (Sq. Feet) _ Main: Accessory: # Of Stories: Current Units: Census Code: Does nol apply Total: Fee Paid On Receipt# Electrical 03/06/2001 4617 Reslricled Energy ~ Multi Family 'OOI'd3d };'liO Og~ ^N'<t "51 'dO 03:)N31NINO:) 'dO:! 03NOGN'<ttl Nil 03ZI'dOl-l1fN , ON 51 111Ni:l3d 511-11 'd~'<t1-l5 111Ni:l3d 511-11 ~'\-lOIlJ\31-11:!13'dld)(3 .3~\lON Height (feet): . Proposed Units: ~ -< -41:::::1 ?:' Value/Quantity Fee ~@t :D '::":":50 (l) l'.J :;0 I--" 2:i(")~ rr1 ::c 0" 0 ;::o:ou 0 .. :z. '-0 .....J .p.. ocn. 00" CHTl 0" 0 ....... u.~o"""'cc 1 ,- " . Fee Slale Surcharge - Electrical Administralive Fee - Electrical Total Electrical Gr~~~ '7 cz7 ~ 5"- ~_ -- \ ..... Signature Job# 01-00201-01 Paid On Receipt# Electrical 03/06/2001 4617 03/06/2001 4617 t:;:? . Page 2 of2 Value/Quantity Fee Amount I $2.52 $1.08 $39.60 $39.60 3-(;-6/ Date