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HomeMy WebLinkAboutPermit Electrical 2002-11-27 (2) '" .. ".::::...,'. .... +"..IIt~~~~~ 1 . ~~t~~I:J.,leREg,o~ ~ . ~~11 pnR~1 ~ ' I1.L~i2F' S. -' 1f,~'i1,_. T . /Y \ Lf esidenfi !S . . .' . 2f>J:f -1 Multi-F:inuly per dwdling unit:. . .LEGAL I1ESCRIPTION' ~o~ceIncluded;. 1"703 ;; L/ Lit; c.a;l. C50 .. . ~~0~0~~0 . . . '. '. . . ~'O'c\-a; . . J9fJ15'ESCRIPTIO~ . . _. .. 'to<<-~:~0C\" '1000 . orless. . "..{t.Q) tJ ,n. ) "?i? ^ lJ / C-iL, ,~~,,(}.~,,0 ~.. . 'ad . .onal 500 . . . . '0C' ,,0 sq rpo' . S . Q...Ol (\0. . . . . Permits are lion-transferable andiil;e'," oo0~. A)1r ereo ....: . if w~rk is no'i!!started within 1~~9\l: o. .,,,0. . :. 'd:" ~E Manufd Home or.. . of issuance >If,- work is susp~ "". to<-'''~ \ \". od~ Dwelling, . , 180 days. . . '. .': .,<i<i. . . ;".;,0 . . .Semce or Feeder . O}l.F'~ T:.\r.unO~~o r;","" B, Services or Fe~ders . .' if; 9/11 () CliP"s . . . . Installation, A1tera eto 6t'~C"" ~Relocafion: .; Jl~i?;s.:-"cq' Zit . .Items Cost $19.00 s ~o,ool ~ ,00 I L-!tj, q u . ' ;~ . . . 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: ELE2002-00149 11/27/2002 11127/2002 5/27/2003 SITE ADDRESS: 4501 FRANKLIN BLVD SPACE 4 ASSESSOR'S PARCEL NO.: 1703344400200 Eugene TYPE OF WORK: TYPE OF USE: New Commercial PROJECT DESCRIPTION: Two (2) New Service OWNER/APPLICANT: ELECTRICAL CONTRACTOR: RANDY COUNTS 2140 ROCKY LANE 541-484-5729 REYNOLDS ELECTRIC 2175 W 2ND EUGENE OR 97402 CCB # 17252 Expiration Date: 02/08/2003 Descriotion Amount Paid Date Paid Receint Numher Cashier + 7% State Surcharge + 8% Administrative Fee Penn Serv/Fdr 200 amps or less 8.82 10.08 126.00 11/27/2002 11/2712002 11/2712002 2200200000000000238 2200200000000000238 2200200000000000238 nJrn nJrn njrn 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 Insnections: 1 Electric Service: Approval required prior to utility company energizing service. By Signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he 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 readahle from the street, and that the approved set of plans, if applicahle, will remain on the site at all times during construction. Owner or Contractors Signature Date Page I of 1