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HomeMy WebLinkAboutPermit Miscellaneous 2002-10-21 '.', .' .- .-. iiii . . City of Springfield Electrical Permit Attachment ., . Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2002-00121 10/2112002 10/2112002 4/2112003 SITE ADDRESS: 40th Olympic ASSESSOR'S PARCEL NO.: 0000000000000 TYPE OF WORK: TYPE OF USE: New Public PROJECT DESCRIPTION: Traffic Signal OWNER/APPLICANT: CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD OR 97477 541-726-3753 ELECTRICAL CONTRACTOR: LANTZ ELECTRIC 541-726-0659 4131 E STREET SPRINGFIELD OR 97478 CCB # 84679 Expiration Date: 07/14/2004 DescriDtion Amount Paid Date Paid ReceiDt Number Cashier + 7% State Surcharge + 8% Administrative Fee Perm ServlFdr 200 amps or less 4.41 5.04 63.00 10/21/2002 1012112002 10/21/2002 1200200000000000110 1200200000000000110 1200200000000000110 ddk ddk ddk 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. Reouired Insoections: 1 Electric Service: Approval required prior 10 utility company energizing service. 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 he 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 lhe 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 Page I of 1