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Home My WebLink AboutPermit Electrical 2004-6-17 ."\'.,,,'.,\,.,~," ""'G "A'F"S ,nr F.:n~'~@N"L'" 1"~;i/' r r;\;,. ~n:.~:r~~".~;) 111J! U '/ )."..&.0..1:"< I J.i.CJ U {:^If.~~~ .}4;;\i1~~' ,. ..'-':l:{h ~ ;~ IN' . '-, .1;\:" .l-- ~ ,I~ . ~.",:,."",(,.,::,:.,~ t~~' ';Ji"~~"Y!n.r,,. I' ;...,.4.<,')"..~t.)".; t:;~";1 ~t~'$-!4'~.,'& 3, 225' FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERMIT APPliCATION City Job Number Cot1lfwo4 --a07/~ Date Electrical Contractor h1.~ .....~.f--PWlf +-f3~",!fI<e.~ Address ::l~W tlw 3 J 4-""_ PhO(,~~ .2c5-1777 NOTICE: Supervisor License Number 31?f?~:;H~~~~IJ ~~?lf:~~~~t~~~~~~~ CO~MENCED ORj~~~!lt9!tfigrf90~ or Relocation AN, 166 DAY PER1~~AmPsorless $50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps. $100,00 Over 600 Amps or 1000 Volts see "II" above, D. ~~~if~.~~lr~~:lmm,..lF'fn<!-f' f~. '" .'~ ~~1~~. ", .... 'f ", li~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permii 1. ~gI{2E~~iN~~~ifg_ -hf'/.~fv(/ ~ ~Ir.~ LEGAL DESCRIPTION 'II? I FrO-#lk./u. 8/~ 170334L{3 00/00 JOB DESCRIPTION ~k,,,- fJu~ !,; Pc ,,:,./. . Permits are non-transferable and expire if work is not started within 180 days of.issuance or if work is Suspended for 180 days. ~oNfIDt~RYt.RisTAXL\f'i'r6MONL~ 2. ~ff~1.~t;l,\~-'L'iOI:i',~~;""-'5~~;'~~a.'tilitRV:~iitiJM:h&tYltt.li City ~~ Expiration Date It') - J - 0 if- Constr. Contr. Number D 166 '7 Expiration Date '2. - J;).' 09. Signature of Supervising Electrician PM /J.:r - Owners Name ~d! at! B-odu.c-{-s Address rc> '/] 0;<- U <"h '7 City .i6Ql.Lcd o-_lhone '/" OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included 1000 sq, ft. or less Each additional 500 sq. ft. or . portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50,00 B. !~~~~ir.. ~~~fuS!f$F~~~iJ~1t;n:tiJiqAit~;u~-:i~1~f:R~I~':i~:~. ~='~~2H'~'f4t,;,t!r~&V~,,)\i'}1~~~~"'<;if~.~ ;.. ~ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63,00 $ 75,00 $125.00 $163,00 $375.00 $ 50.00 $ 43.00 $ 3,00 Lj) 51l- . '-Iso 1,' 5 z l!:.- I Shared Drive(T:YBuilding FonnslElectrical Pennit Application 1-Q3.doc TOTAL . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00715 ISSUED: 06/16/2004 APPLIED: 06/16/2004 EXPIRES: 12/16/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4197 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344300100 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Replace buss In panel Owner: SHELL OIL PRODUCTS US INC Address: PO BOX 4369 HOUSTON TX 77210 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: - It' \MU\'\" C~' ~~~lI'ffitctj;)~\l\'''VKMATlON I \\01\ .' \i S\\f>,ll \\\S W~~,!, I ?I Contractor Typq\\\~ ~\)~?I ~~l\~\)O~~\) rO License Electrical . l\\.liblaij . ~ ~~ ~ EQUIPMENT CO 64567 COW\\~\~~ Of>,~ ~t."'\\J1 ( BUILDING INFORMATION I p..~~ ' # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 03/12/2008 Phone 503-205-2158 Lot Size: Sq Ft 1st Floor: Sq FtZnd Floor: Sq FtBasement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a 11J"~"LOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: ~\O Paved Drive Rqd: _~ U\iX\\1 % of Lot Co~ t\8 U'I--_ 1;9\ \()l\h r.~~~~~_~rJ-~_.()O~. I PUImI;:{M~;.1~~'~"'I~~t\8~~e '1 !"v.1 g':W.... ~t\~Smt\9\e\".-~ \l\ or>S\ 'foU ~ ~. 0l~~\\'I \\.9 . fJ;faO. \, "t\e~ ...-"ot\:AJi~utsmrains: ~~\f'l... ~t\ev'v:::,,~ l'l\~et\O f~ \-- t\U c;en\6 Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier . Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . . CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: cOM2004-00715 ISSUED: 06/16/2004 APPLIED: 06/16/2004 EXPIRES: 12/1612004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ Fees P'ilid I Fee Description + 10% Administrative Fee + 7% State Surcharge Other Electrical Permit Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 6/16/04 6/16/04 6/16/04 1200400000000000918 1200400000000000918 1200400000000000918 Total Amount Paid $52.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work day. I Re\~uired w,snections I 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 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, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that aU required Inspections are requested at the proper time, that each 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. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfieht, Oregon 97477 541-726-3759 Phone , . Job/Journal Number COM2004-00715 COM2004-00715 COM2004-00715 Payments: Type of Paymeat CreditCard 6/16/2004 RECEIPT #: Description + 7% State Surcharge + 10% Administrative Fee Other Electrical Permit Paid By JOSH RONER ....~.~1;I1lI,D ... . WiL'. . < -".----1. .. '.. , . ~,' I .iilY of Springfield Official Receipt Wvelopment Services Department Public Works Department 1200400000000000918 Date: 06/16/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000411 092979 In Person Payment Total: ,1 " .. I" "'. Page I of I 2:58:17PM Amount Due ),15 4,50 45.00 $52.65 Amount Paid $52.65 $52.65 l.. ..' . ,"'., ....~'I. .\" it 4 ',' "; .(.... .~....~ ~~'.'",,)' ~ .'1.~.t1).',"l:>~ ii.l..~.~_:.,:.. f. t: .... ,\;~\.":'.. I ..... ~I"'!. ,~or v ...~ .;'" .~ . . "1 ....i.;;-i".;~:.,. .1:";Cimv:-0F,--.,nn..T~F':n:lLD';OREGO:XT'," ,.-'. ,; ?~( ~::'. h':':~"r...l ,jot ~J.:a.':~'.:' 1 ~l~~ J.:D~: T'L'::.; ~.,,~' '" t'h'.:.:;t::,',::.~:,~.t.';..,:.,:,{~<;.I.<,'l~:~'j_ Jl\.~:?<S:':~""~t"'!.::~'r.J.. ':;;:"~"'I~~~t,...;~..t.,...~:;~ ",\ i.,. I:": 3. . -~ . 11J\.<N9~~Iffl;f~~RSs submitted has tha foilowlng zonIng, and does not require specific land use approval. ;3 - 8 -04- Zoning (I .<L- [late 2, 'lI,-O.( COMPLETE FEE SCH.eUULb lH:>LU .'f.' d( i-,U1ilunzed Slgnatum -. 1 ("C.I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERM.IT APPLICATION City Job Number COf'll 2oot! OD lif7Date I. LOCA nON OF INSIALLA nON 4/q7 FR.mJK..L1A.J LEGAL DESCRIPTION \7033 LfLf 3. BLVO 00100 JOB DESCRIPTION Hoot U f p() (E J.../6Jtr Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CgNTRACTOR INSTALLA170N ONLY N01ICt: L EXPIRE IF THE WORK 1 ElectRlft, \f,I,');t~~t~rE~lac.o.nr:~:Vtlfdll JNi}f AUTHOR\Z~D UN 'ANOONEO FOR O\ll(jiMENfa:$l50fRb'b~~vel.l B1 vd ANY 1 BO bl'.Y 1"'1:01(,;). City Eugene .I'I1On0(541)461-0291 . I,. Supervisor License Number 3485 - S ,( Expiration'Date. 10';.0'1/0'3 :,. "",' Const!"" ContI", Number 38497 Expiration Date 01 / 1 0/04 CA..'t>C l:::7Y-Bl.(-..'t' LL L Address ~S/l~ :su t:>fie-'LwAy City LJ dSc)vo-.vrtle- Phone OWNER INSTALLA nON The installation is ~eipg,n~aqe.on property I O\l,ln which is not intended for sale, lease or rent. ":'" I..' -.;. (".... Owners Signature: Inspectioll Re<jut'st: 726-3769 A. New Residential - Single or Multi-Family p{'r dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thcreof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Rclocali6n: ,. c. 200 Amps or less $ 63.00 20 ~1I-NQl$N-~QfIi'gon law reqUlfes y$l,Y~~80 4C\blW\Ilsr~ oer6\1\'lp!ed by the. ureg'-', , M~~\~ OODtiliGf1.liW] oo!lr,Wi\~:, Those rUI~;~e 9\eJ~eP m,Q~61~i?liQ9.-.1oRp10 thro~gh- - rii~-- oV 1000eRhc~t<l}h!1)ay obtain COPIes-ef-tl'le s ! ~ 0 calling the center. (Note:,l~,e tel~pI\O. g . 'f\lJfij\bar;.\~JMtQr81Q~~(IJ.Wlty NotlllcatlOn ,... __'M:~ 1_llnn.~~~.2344), .'1.. :0 r' :11' ',t" IIIS!~~lIa(i~lI;, AII('n;ti~n or Rcloc;~tioll 200 'Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69,00 $100.00 Over 600 Amps or 1000 Volts see '.8" above. O. Branch Circuits New Alteration or Extension Pcr Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit I Ji.3jl12 $ 43.00 $ 3.00 E. 1\'tiscellan{'ous (Service/fc('der lint included) -Each Install<Hioll Pump or in.jgation Sign/Outline Lighting Limited Energy/Residential $ 50.00 $ 50.00 $ 25.00 $ 45.00 Limited Energy/Commercial . f'~ .!".; Ii . 11 ' . ;'1 .'.. ~ .."'~J.l.l'l , Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~ (" , tl" . 4. .' SUBTOTAL OF ABOVE L-J5" 3/5" Lf~ S2~ -4-1, .10 3.0/ _~L1Q_ .s.~~.$J=-_ 7% State Surcl~arge 10% Administrative Fee TOTAL SIWi't:d l)f'i\'L'(T:)'Building Fnnll~,IFk;;llit:all',-,,.\\\il Applicall\\ll j.l(\.th'l: . . CITY OF SPRLl~ut<l1!,LU Building/Combination Permit PERMIT NO: cOM2004-00147 ISSUED: 03/24/2004 APPLIED:' 02/04/2004 EXPIRES: 03/24/2004 VALUE: $ 500.00 ~ "- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4197 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344300100 Eugene TYPE OF WORK: Gas Station ...~ TYPE OF USE: Alteration PROJECT DESCRIPTION: Light pole foundation approved by Liz Miller. "(PP8Z-C;t;t;-uui:n ~:.-.--~ !. J!..- -'1' '^j '~r",m" UVHt:;v!J!JVI\I '+H!+I1 ....Jr:._~_ - - 1 . OWlmib deM~.~EWlll\lDJS(!;11 6u!lre:J Adld~~fh~ aWib~!M~~iilY> ^~/,il~~ OR 97070-0607 UU.G~bt::jVU'"i':"l\'''''''1tu..vv ~.::,.: :;:~'~':'tl; . .lJOlles are salnJ es041 'Jalue:) UO!IBttblhRACTOR INFORMATION I ^llllln u06aJO a41 ^q peldopB S61nJ A,., . . n rv' \ ) ~!'( con,inm.tmal'l\IpeJ MB~l5lfiTliCtblOllN3ll\f Licens'<<90\'dE1~I~.~~J*!1,Ra~ Electrical JOHNSEN ELECTRIC INC 'dO~ mNm~I1JglJ S\ 'dO 01YJ.~ij06nlJ Engineer HAL PFEIFER .inN SI1\\^J'd3d SIHl 'd30Nn O:\"\ H~ Mechanical SITEWORK CONSTRUCTION ~~^^ :l\.J I 4P.:M~311IJHS bl\n~-t1~p$~fl ,. .:lJ,..",. I BUILDING INFORMA nON I Commercial Phone 541-461-0291 541-683-4257 541-744.9204 # of Units: . Primary Occupancy Group: Secondary Occupancy Group: Primary Constructinn Type Secondary Construction Type: # of Bedrooms: M # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Fl 1st Floor: Sq Fl 2nd Floor: Sq Fl Basement: Sq Fl. Garage/Carport Sq Fj Other: Impervious Surface Area: VN SETBACKS I DEVELOPMENT INFORMATION' ... Frontyard Setback: Side 1 Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: \><:~ Paee 1 00 . . CITY OF SPRINGFl1!,LU Building/Combination Permit PERMIT NO: cOM2004-00147 ISSUED: 03/24/2004 APPLIED: 02/0412004 EXPIRES: 03/24/2004 VALUE: $ 500.00 Status Issued ., 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Val~ation Descriotion I Description Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 500.00 Value Date Calculated Total Value of Project $500.00 $500.00 02/04/2004 l..Fpe< P~\lU Fee Description Amount Paid Date Paid Receipt Number \;... + 10% Administrative Fee $4.50 2/4/04 2200400000000000094 + 7% State Surcharge $3.15 2/4/04 2200400000000000094 Building Permit $45.00 2/4/04 2200400000000000094 Plan Review CommlIndlPublic $29.25 2/4/04 2200400000000000094 + 100/0 Administrative Fee $4.50 3/24/04 3200400000000000014 + 7% State Surcharge $3.15 3/24/04 3200400000000000014 Add, Alter, Extend Clrc $43.00 3/24/04 3200400000000000014 Minimum/Adjustment Electrical $2.00 3/24/04 3200400000000000014 Total Amount Paid $134.55 I Plan Reviews I Structural Review 02/04/2004 02/04/2004 APP JMP To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work ~~ day. Ueollirery-nsnections' I 1 Foundation: After forms are erected but prior to concrete placement. 2 Rough Electric: Prior to Cover 3 Final Electric: When all electrical work is complete. . Paee 2 of3 . . CITY OF SPRIl~uN1!,LU Building/Combination Permit Status Issued PERMIT NO: cOM2004-00147 ISSUED: 03/24/2004 APPLIED: 02/04/2004 EXPIRES: 03/24/2004 VALUE: $ 500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU information hereon is true and correct, and I further certify that any and aU 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, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projeet. I further agree to ensure that all required inspections are requested at the proper time, that each 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 constr-!,ction. b(1gLL/ ~~ ~ fYlaJ c3/d~/ o-?L 1717'-- Owner or Contractors Signature Date '{" ,,{ Paee30f3 ., .;..~ ~: . ~',T:.~~'t\~'Y. .: ~~~~~.fSiL7:~.~--, ) -~.~ 19 I" ~4':5' .' .:. .-. . us B'A' NK' "'(p..f_.;j:,~.::}:':'l :!~ft~~" 1: 'l~;;?r"'''", -., ~ -::~ . "<- . . '~?,:i .... . ,,'>:o!oI;.,O J .,k 'i ~tf..,., i ......~:- ~4' .. }.800 US BANKV~~ - '2g!~.~; 2-.,,<;';.. . ":--; ~ .".J .~ -:~~<~~/~:";' ..;.., ....., ~\ .:.?~~..... ~t~~~ .~:~~.~~ '.< .;t ~..- '}, '. '.' ';?f2..~24'22/1230,f~'':~~~~~~,;!~~ ~~~"!';h;. ~'-.i . '.. :~;,,';i."', ~,~.-:-~. j; ~.T'-;';''''.~:J;:;'p...~~i~t '*~" . ~ft'.' f:;t"t.. :.:. :i..:..;l:~~ !~'~~~;"!'''}i-::f....:5 "-~"'!.<"'Y;":'. ~~t~..,~J<'''.~~l'''' :! . ) ~~:f-;{'!" r~~t- ",_....,,-... . "~,~1,'.1."'n- h~",,<~~.~ T~"""'o-" .:;;..."'\C_y r..-.!..... c . ".-, ,.~?-t..~ ....t,?'" ~<.y1'F_:~ .\:..il'''' .,,;~,.....~.....,<..; "i'J ~~-_""""'{./;~ . ~{. 0 -- ,"":..-':"':',"f.-,~..!.Jo.~,,'-'B''''n''l-i:.>o.-::;,J'.>'rl~':h.:g::..:.o.~~''I:';''.J-:~V. ".! -. ",...'-..,~t')~i";::..::t,'t4:..;.6t;;;1W ....:jJV':O;i~~.j~...,~:,tl:FJ~<tl-T~\ '~J.f' " 5 "."- . .,r:"7~~;;;':t.;'r:r.n:.~.~'r"-''-'.r-I'' ;:.I~:'<:>"":.:'~~~~ ~. "'. ~.... ,",,'~-,~ ~ ;"H/''''''';<"'~:,"''~.l:.~~;jI.'l~;,:,'~.'::,.l",,*'.?~o.I>j''''I-II.I'h,''.'l.~."l .....-...... '\: e " '~,,.:~.~" "'''''-.f$..W!';:./ ~'"'(lJ"~..:5t;J7J;,';1...~...../ .,..r~-"~!.~ lf~~'v 2 . ,~.~t.,.,;li, .:it..;7i"'ft.""#:.,.~.-;;:, "';".: ~~' ~i~~~ ftR~ .t;~~. : ~~~ jt}9. ".\.~ . :;: t' - 1Jt'f.,:'-.t. Mi'J;.';.;81'2004~<:'" _.-1.,::...;15'~"~{~~~'***'**.*'***'!**$50 3F , ..--=-Y-" UI O!. \ " .! ""'. ...-;t.);;!; ~ \. l.~~..... . .-li:' :' J~ ,.. I>f".f''''J*-''l,/___1:.K .;"-;......,...~.. ~"..; ;:;,~...~~, .~~ 5.~...~~. ~i't:.....'~f 5 ....... iI~,.., "'l~~,;OR.Oi) .~"J,:_..'" )'~,. ....f<l'-ro.1 '... ~,..._~.,~u . ~"">-~\~~""~'- g::~Jft:...~~".~ i::~ ,'1..>1'., ;';....-;.'.~,:..~:\ff.,~~},f~-d ";'if:'.ct' 1.J'"~ "fl~" ;t:'?". :: ~"'j:::'l~1!:'~.1,. ij ',." .'. ~!I. ::f:,,. .'J y...:<t.-."f.. . '" - ......~..,f..;:; >::1'~'" ','1:- ,,< ':~"'".."" ~ ......~.....; o<1<.!",:->(,,"~""_"'i ,,'....t . .~.. >'1;',1=-'. ~..."... J .~~ ~ ...-....-': ~ '. ,.,"'''''~;;''It'.... S!1..o1>~.~~a.~ .~.l/~;~.;&JHt:i:tfJl.!:;~:.t.~~:.:;:;f}i:~~'; ,,,':- f' 7_-:': 1~.1.);:.:-}~1.~~~Jw: . 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".~ 1100 ~q ~I;qllo ': ~ 230002 WI: ~ 5 31;01,0 ~ ~ 51, ~1I0 / "225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone -~;~~~.!!!'!!.'_._.'._h.!._ ~ . . . .1"~~ '''0 I '_.0-_. .-.._,~' Job/Journal Number COM2004-00147 COM2004-00147 COM2004-00147 COM2004-00147 Payments: Type of Payment Check Check . Job/Journal Number COM2004-00147 COM2004-00147 COM2004-00147 COM2004-00 147 Payments: Type of Payment Check Check . .. (f Receipt #: 3200400000000000014 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Paid By Received By BEACON ELECTRIC LIGHTING njm BEACON ELECTRIC LIGHTING njm Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Paid By Received By BEACON ELECTRIC LIGHTING njm BEACON ELECTRIC LIGHTING njm Check Number Batch Number Authorization Number 19145 19169 Check Number Batch Number Authorization Number 19145 19169 City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/24/2004 8:45:42AM Amount Paid Item Total: 3,15 4.50 43.00 2.00 $52.65 How Received . In Person In Person Payment Total: Amount Paid $50.31 $2.34 $52.65 Amount Paid Item Total: 3.15 4,50 43.00 2.00 $52.65 How Received In Person In Person Payment Total: Amount Paid $50.31 $2.34 $52.65