HomeMy WebLinkAboutPermit Electrical 2003-1-27 (2)
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LEGAL DESCRIPTION. . . Sewe Included: .
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. JOB DESCRJPTION' ~ 0"'illg.910~ 1101 le<\\l\(~ ' 1000 s or less '
. S bt-..J I L~ ,i::-e...'t.~r!ft~ Jr- cJ!:::::.' c 'additi ~ 500
'1 a9910,a '"g .; 0 r pOrtion
. Permits are lion-transferable and exp~II' ~~ ~ '.' ·
.' if~ork is nclstaited \~thin l80\fP, . 'Ie ~a~h.~ufd ~ome or
of ISsuance r work IS snspJfi~Cd fO[ed5ignaW . " Modular Dwelling .
180 daYs.' " .. ' "uIIlO(\ .. . Service or Feeder'
.' OR~STiill:~TIONONL y.... B. Services or Feeders
. : '~&.j1\1 I) ~/) .s Installation, Alter
cto~ ' -6.' .&~fJOC ,Relocation:'
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City of Springfield
Electrical Permit Attachment
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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:
ELE2003-00016
1/22/2003
1/22/2003
7/22/2003
SITE ADDRESS: 5120 FRANKLIN BLVD 1
ASSESSOR'S PARCEL NO.: 1803034000200
Eugene
TYPE OF WORK:
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION:
Service and 1 circuit
OWNER! APPLICANT:
FRANKLIN PARK LLC
PO BOX 1548
EUGENE OR 97440
ELECTRICAL CONTRACfOR:
REYNOLDS ELECTRIC
2175 W 2ND
EUGENE OR 97402
CCB # 17252 Expiration Date: 02/08/2003
Descrintion
Amount Paid
Date Paid
.Receint Number
+ 10% Administrative Fee
+ 7% State Surcharge
Add. Alter. Extend Circ Ea Add
Perm ServlFdr 200 amps or less
6.60
4.62
3.00
63.00
01/22/2003
01/22/2003
01/22/2003
01/22/2003
1200200000000000584
1200200000000000584
1200200000000000584
1200200000000000584
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 am. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following working day.
Reouired Insoections:
1 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 Final Electric: When all electric~work is complete.
~o .~{\.'\
By Signature, I state and agree<i~q;l~il,,(c~l'efulIY examined the completed application and do hereby certify that all
information hereon is true aii&.~~'V~CiW,'I~lter certiJy that any and all work performed shall be done in accordance
with the Ordinances otl6't~tP'og;~rin-gliel$"and the laws of the State of Oregon pertaining to the work described herein. I
furthercertiJy that(01li~<;iIRt:;a\il~roltfut~n":p.B'fee~\who are in compliance with ORS 701.055 will ~.~~ on this project I
further agr~,~~~..'tt.litllU~~u~e'd'ipj"~~if'ns are requested at the prnper time, that ea~(lJ-~ readable from the
street, an~\ffiaI,Jlie !!p'pro~~'t:t-iffill{l.D~\it&UlicabIe, will remain on the site at all ti~~\fri[lg..~c\\1sY::j;ction.
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I of I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
ELE2003-000 16
ELE2003-000 16
ELE2003-000 16
ELE2003-00016
Payments:
TWe of Payment
Check
Paid By
Receipt #: 1200200000000000584
Date: 01/22/2003
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 10% Administrative Fcc
+ 7% State Surcharge
Received By
Check Number Confirm No
REYNOLDS ELECTRIC INC
djb
Page I of I
1/22/2003
1O:18:34AM l
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
63.00
3.00
6.60
4.62
Line Item Total:
$77.22
How Received
Amount Paid
In Person
77.22
$77.22
.
Payment Total:
cRcceipt.rpt