HomeMy WebLinkAboutPermit Miscellaneous 2000-4-24
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I Job# 99-01410-02 I
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Page 1 of 2
TRANS#:01-0001326
DATE:APR 24 2000
AMT RECD:2 $ 39.60
CHANGE:
CASHIER:059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety .
225 North Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 513 Nicholas Dr Spr
Assessors Map#: 17032210
Lot: 16 Block: Addition:
Owner:
Address:
Cozy Homes
P.O. Box 237
Phone Number: 541-747-8704
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Miscellaneous
This is a copy with a new Sequence Number- for low voltage
Contractor Type
Electrical Contr
Contractor iIIO.,., Registration #
Adt Security s~91~j,I~e:
1501 Pearl s.~guge~r/~~o"
INn... UNII,.
L'Q . . "<cD -... c:..KIJ
1'I.11\11'-'HC lQffice lJSW?;:: I'" 7'1 .
A,N ... "cf1 -q'nlt ,- 'rif:
YI80LJLan(:l~S~A,a ~SPf:RMJ WORk
z6rfing'IS~de~NDONf:D ilSNOi
(VN) Wood Frame Bedrooms: FOR
Range:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Job Number: 99-01410-02
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 21900
Subdivision:Zachary Place
Expiration Date
Phone
541-342-1313
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day. ,"(, .', I' .
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- 'FiJI) ,',' ::1 81r1co .9hOA,R effor',
/lIIV, Ihe flte,. (No/J1eS Of fh 952-00,
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Construction Types:(VN) Wood Frame " "~." ';;"Otificati ~
Occupancy Groups:Dwelling 1<11 Stor~
# Of Buildings: # Of Stories: . Height (feet):
# Of Bedrooms: Current Units: Proposed Units:
Handicap Access? 0 Census Code: New SF - detached
rArea (Sq. Feet)
Main: Accessory: Total:
Low Voltage
Fee
Paid On Receipt#
Electrical
04/24/2000 1326
Restricted Energy - Multi Family
Value/Quantity
Fee Amount
1
$36.00
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Job# 99-01410-02
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Page 2 of2
Value/Quantity Fee Amount
.
Fee
Paid On Receipt#
Electrical
04/24/2000 1326
04/24/2000 1326
l
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state 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 the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
during construction.
$2,52
$1,08
$39.60
$39.60
Signature
Date