HomeMy WebLinkAboutPermit Electrical 2002-10-11 (2)
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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:
ELE2002-00108
10/11/2002
10/11/2002
4/11/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
3260 RALEIGHWOOD AVE
1703221320300
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION:
Add 2 circuits for air handler and heat pump MEC2002-00101
OWNER/APPLICANT:
BAKER GREG T & TRACY J
3260 RALEIGHWOOD AVE
SPRINGFIELD OR 97477
ELECTRICAL CONTRACTOR:
KS ELECTRIC 541-686-6236
PO BOX 24933
EUGENE OR 97440
CCB # 70889 Expiration Date: 12/3012004
Descriotion
Amount Paid Date Paid Receint Number Cashier
3.22 10111/2002 1200200000000000054 dib
3.68 10/1112002 1200200000000000054 dib
43.00 1011112002 1200200000000000054 dib
3.00 1011 112002 1200200000000000054 dib
+ 7% State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
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 I nSDections:
Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
By Signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify lhat all
information hereon is true and correct~ and I further certify that any and all work performed shall be done in accordance ",'Uh
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 be 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 the 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
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