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Home My WebLink AboutPermit Building 2004-7-30 . CITY OF ~rKlr\jtJl'lt<.,LU Building/Combination Permit PERMIT NO: cOM2004-00830 ISSUED: 07/30/2004 APPLIED: 07/08/2004 EXPIRES: 01130/2005 VALUE: $ 11,248.00 v . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspedion Line SITE ADDRESS: 2455 MAlA LP ASSESSOR'S PARCEL NO.: 1703251408200 Springfield TYPE OF WORK: TYPE OF USE: PROJECT DESCRIPTION: MH and garage Owner: Address: DOLORES COTA ~\O 86MICHOLASCT CO;ATl CA 9493~~~\)\\"\II ....-flI\ . _ nte9? _. ."ia\ t.~.t;~tip~1l~~tON I ~ f:/iJo"e, O\n~JJ o\~v.e, con\tll'tt 9J>2.~~ ~\eS ~ \e\99"'*'''''nse HA ~"",,\r ~\{;~~~6 KlDD fO~ \)\\II ~). 154009 HARDA 'PL~~ JY1l~~1)PMENT 79496 HARDA ~ 79496 BUILDING INFORMATION I Contractor Type General Electrical Manuf Home Inst Plumbing Manuf Home w Garage/Carport Private Now Residential Phone Number: 541-736-0661 Expiration Date 02119/2005 01/27/2005 02/19/2005 0211912005 Phone 541-895-4307 541-942-1352 541-895-4307 541-895-4307 # of Units: 1 # of Stories: 1 Lot Size: .' 5,310' Primary Occupancy Group: R-3 Height of Structure Sq Ft 1st Floor: 1,188 Secondary Occupancy Group: U-l Type of Heat: Forced Air Elect Sq Ft 2nd Floor: Primary Construction Type VN Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 360 # of Bedrooms: 3 Energy Path: Sq Ft Other: 100 Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I f it\~ \NO~v. \t~'. t\t>.\.\. ~'I.~\?~ ~?WI\i \':l"fi&l'1RED PARKING Overla 't..?WI\i S Ot..? it\\S ~ t..O iiD%.l: 2 # Street T ;1t..O \l~ ? \'21 t>.Bt>.~O~ Handicapped: Paved D~ . l'iCt..O 0 'On. Yes Compact: % of Lot . Op..'l ~t..\>\ "31.00 . p..1'i'l"i Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 5.00 22..00 10..00 0..00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: 'Infrastructure is Private Notes: Pal!e 1 of4 Sidewalk Type: DownspoutslDrains: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Foundation Onlv Garal!e Manuf Home Use Bid Amount Garal!e Manufactured Home Fee Description Plan Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Annexed 1979 or Before Building Permit Heat Pump Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service MinimumlAdjustment Mechanical Plan Review Major - Planning Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Willamalane Manuf Home Private Total Amount Paid . . CITY 01' ~rKlI\jtJNt<.,L1J Building/Combination Permit PERMIT NO: cOM2004-00830 ISSUED: 07/30/2004 APPLIED: 07/08/2004 EXPIRES: 0113012005 VALUE: $ 11,248.00 I Valuation Descrintinn I $ Per Sq Ft or multiplier $1..00 $24..30 $1..00 Square Footage or Bid Amount 2,500..00 360.00 45,500.00 Value Date Calculated $2,500.00 $8,748.00 $45,500.00 $56,748.00 07108/2004 07108/2004 07109/2004 Total Value of Project F pp<, PlIiliLI Amount Paid $79.95 $10..00 $61..40 $42.98 $6.00 $31..00 $-162.46 $123.00 $12.00 $30.00 $45.00 $50.00 $160.00 $50.00 $33.00 $103.00 $45.00 $402.16 $528.88 $10..00 $214..23 $314..63 $91..95 $54.38 $772.49 $175.13 $671..46 $45.00 $45.00 $1,000.00 $5,045.18 Date Paid Receipt Number 718/04 7130/04 7/30/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7/30/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 7130/04 1200400000000001061 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 1200400000000001157 Pal!e 2 of 4 . . CITY OF SPRI~tJl'mL1J Building/Combination Permit PERMIT NO: cOM2004-00830 ISSUED: 07/30/2004 ' APPLIED: 07/08/2004 EXPIRES: 01130/2005 VALUE: $ 11,248.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review 07109/2004 07109/2004 0710912004 I Plan Reviews I 07109/2004 APP 07119/2004 APP 0711312004 APP LLH TAJ MS 7115/2004 - As per telephone conversation wlcontractor, the roof drains on the east side ofthe MH will be relocated outside the private utility easement. The contractor will specifiy the location on the plan set at the time of building permit pickup. - MS Structural Review 07109/2004 07116/2004 APP DLM 7113/2004 - Both storm and sanitary sewer infrastrucure is private. Therefore hookup will be private. -MS See documents for plan review comments To Request an inspection call the 24 hour recording at 726-3769. AIl 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. ~ Rponirp,-l fnsnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated.. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Manuf Home Set Up: When installation of all piers or stands is complete. Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Final Building: After all required inspections have been requested and approved and the building is complete.. Underl100r Drain: Prior to cover or placement of concrete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. MH Service: Approval required prior to utility company energizing service.. Pal!e 3 of 4 --:1tIr8;~~~' " ; . .' . ".,' . . Lll f VI' ~rKlNGFIELD Building/Combination Permit PERMIT NO: cOM2004-00830 ISSUED: 07/30/2004 APPLIED: 07/08/2004 EXPIRES: 0113012005 VALUE: $ 11,248.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 tbis project. 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 ~m)irin;Jns_t2) 7~ ] v- cPy O~n{,. or Contractors Signature Date Pal!e40f4 225 Fiftll Street Springfield, Oregon 97477 541-726-3759 Phone . ""~""'.<!,~~,,'-', ~; ,. : -, - wc__ ___ ~ of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 COM2004-00830 Payments: Type of Payment CreditCard 7130/2004 RECEIPT #: 1200400000000001157 Date: 07/3012004 Description SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transpo Admin Annexed 1979 or Before Building Permit Manufactured Home Placement Manuf Home State Issuance Sanitary Sewer - 1 st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Manufactured Home Conn - Plmb Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Plan Review Major - Planning Manufactured Home Service Manufactured Home Feeder Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Addressing Assignment WiIlamalane Manuf Home Private Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement Paid By RALPH HARDACKER Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000458 030411 In Person Payment Total: Page 1 of 1 9:54:09AM Amount Due 772.49 314.63 214.23 10.00 91.95 54.38 (I 62,,46) 123.00 160.00 30.00 45.00 45.00 45..00 45.00 12..00 33.00 10..00 103..00 50.00 50..00 6.00 42..98 61.40 31.00 1,000.00 67L46 528.88 402.16 175.13 $4,965.23 Amount Paid $4,965.23 $4,965.23 . SPR.FIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 MANUFACTURED HOME LAND USE AGREEMENT As required by the City of Springfield Development Code, I agree that with the approval of the attached penn its, one of the following manufactured homes will be placed at ~ C;S /11 A/A /.p. , Springfield, Oregon, City Job Number f!G!!12LJ1:J4 -~ /;30. ~ Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thenna1 envelope meeting perfonnance standards which reduce heat loss to levels equivalent to the perfonnance standards required of single family dwellings constructed under the State Specialty Codes. _ Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area of not less than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width and that has no bare metal siding or roof mg. The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6 percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the home shall be constructed of stolle) brick or other masonry materials, and with no more than 24 inches of the enclosing material exposed above grade. I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60 days of the date of Issuance of the manufactured home set up penn it These requirements may include, but are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on your approved set up plans :md/or penn it and your partition approval if applicable: . Street Trees . Paving Driveway . Minimum 32 square foot storage structure . Completion of partition approval . Removal of any existing structures as noted on your partition approval . Signing and recording of any required partition, easement, improveJ;l1ent agreements,-etc. . Final lot grading .. City Sidewalk and curbcut installation . Any outside agency approval as required Le., Division of State Land approvaL By my signature below, I agree to complete the above mentioned land use requirements. x ~. ?1iJretJJ ;.)( (:;'Cfacto~gnatur" - Date 7---Zv.:-o Lf Date I " "CITY OF S.GFIELD SYSTEMS DEVELOPMEN&RKSHEET JOURNAL OR JOB NUMBER: COM2004-00830 NAME OR COMPANY: Dolores Cola LOCATION: 2455 Maio Loop TAX LOT NUMBER: 17032514 Tax Lot 08200 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF): 1. STORM DRAINAGE I I'" J~ I~ " ~ 5228 DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x 1 COST PER S.F. 1 1 CHARGE 1 I 2166..00 I $0.310 = I $671.46 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. 1 x 1 DISCOUNT RATE 1 1 0.00 I $0.3 10 I 50"10 = I ITEM I TOTAL - STORM DRAINAGE SDC I $671..46 I 2. SANITARY SEWER - CITY DISCOUNT $0.00 $671.46 1070 A REIMBURSEMENT COST: I NUMBER OF DFU's I x 1 22 R IMPROVEMENT COST: I NUMBER OF DFU's I x 1 22 $18.28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $24.04 $528.88 1091 I I' $402..16 1092 = , $931.04 3. TRANSPORTATION A REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 1 957 I 1 1 $18.30 I 1.00 1 $175.13 11093 R IMPROVEMENT COST: I I ADT TRIP RATE 1 x I NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP FACTORI 1 957 I 1 1 $80.72 1 1.00 1 $772.49 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $947,62 I 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 I I i $314.63 = $314..63 11054 R IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU 1 I 1 $214.23 = $214..23 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($162..46) I 1054 MWMC ADMINISTRATIVE FEE $10..00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $3 76.40 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , $2,926.52 ~ 5 ADMINISTRATIVE FEE: l I SUBTOTAL x I ADM. FEE RATE 1= I CHARGE $2..926.52 1 5% $146.33 TOTAL SANITARY ADMINISTRATION FEE: 91.95 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $54.38 ! 1078 Matt Stouder 7/13/2004 TOTAL SDC CHARGES = $3,072.85 PREPARED BY DATE . . . ,~ DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE - NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS.. CALClJLA TE ONLY TIlE NET ADDmONAL FIXTURES) NO.. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS . rBATHTUB ---~- -- 6 1 2 3 = IDRlNKING FOUNTAIN. 0 0 1 = 0 I' I FLOOR DRAIN 0 0 3 = 0 1 IINTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC 0 0 3 = 0 I IINTERCEPTORS FOR SAND / AUTO WASH I ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 '.' , CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 .,' MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER ST A nON I ETC 0 0 1 = 0 -' RECEPTOR FOR COM. SINK / DISHWASHER I ETC 0 0 3 = 0 SHOWER. SINGLE STALL 1 0 2 = 2 SHOWER. GANG ~BER OF HEADS). 0 0 2 = 0 SINK: COMMERCIALlRESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR I 0 0 2 = 0 SINK: WASH BASINIDOUBLE LAVATORY I, 0 I 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR I 2 I 0 1 = 2 iURlNAL. STALL / WALL I 0 I 0 5 = 0 ~TOILET.. PUBLIC INSTALLATION I 0 I 0 6 = 0 TOILET, PRIVATE INST ALLA nON I 2 I 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 22 .EDU (Equivalent Dwellin~ Unit) is a dischar~uivnlent to a sincle family dwellinJt unit (20 DFU's) set at 167 ~lons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO :===l ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXA nON CREDIT? BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 I 1980 $5.19 (Enter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 .1 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE I 1000 CREDIT RATE I 1985 $4.40 $30.71 x $5.29 ~ , $162.46 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3.22 VALUE I 1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = $162.46 I 1993 $1.45 I 1994 $1.25 I 1995 $1.09 I 19% $0.92 I 1997 $0.72 I 1998 $0.48 ~ 1999 $0.28 2000 $0.09 2001 $0.05 roo 225 ~u< 111, STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F.&;~~~-3689, ELECI'RlcALPERMIT APPliCATION 'D_, .- <1( O'O'O:-~""f~ , t '''I <I u" vs . City Job Number fJPVIIA'2IJO -/)013.'2./1 Date ' "I,,,, "....... ,o,'1f,,^ ' Ofr" sV6~. ' . ~__ ~ _~. v ~.~ . "/. . I I'",() EI' 1. t1:.Q,@TION:OF1NSTXf.Tr!J1'TI,'ON.~'m 3, !(COMP""LffEf~~c~'""D-,' -,,'."" : ,;;.~5~1l'~ ~_ _~~~~;~ ~.iU';";c~~!U~'~ "~~,.-' ~tO~;e~~ US'S /l1A/A I~. ,,' ' vr" ,'" ,"O'v;o,>;" LEGAL DESCRlPTlON' A. ~,:~~,- esid1riifa~~&lii,o;:"';lf:: - '" Y;~~dw~li'llt.'~ Ei~l::~~~"'..J::.."'r.~'Ie'~~- . -~~l-.. ~lhi<.~~ /7n '2,2. S- 14- Of?:J2-t70 Service Included JOB DESCRIPTION mfl. ~ &AJt ,+(:;iE. Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or 2. $50 00 ., 00 (50 sus;:~:~,~~=~___~~__~~, ._~_' ,ll.~~;~\~t'''~S_~~' 2 eONrRA&l,v1{('J.l'<lSTAXEATION,' '0 ,- /, oN\. . ;' ,: i6i1;-.:AlterationsA()riRelo~atiim:, ' . . _ ~~~!"St~~rNJ'f(i~C"~c;"!!f< ".__ - I~ - ",_ ' "JS;!'_'-~;,l~~;==:~~r~"'P"~~' 1.-- ij ~/.~'"ll!9S9~\e98 -oM:" ' Electrical Contractor b; {/ t' ,~/~ ' . fi\1o'\h~" OAfI 952- 'OY' $ 63.00 . ~_~RsCB~..t&~ rule3 $ 75.00 Address,-:r765"7' . S"&ne v/~J~PtN~~_ep\'\O:' $125..00 . - ca\iln9\h8~~~\i~.2~I\lli' $163.00 Phone228"O~~ &~,.I~~4}, $375..00 7!.y,5l.. -/.35~ oerm.;"'nnectOnly, ' $50.00 Supervisor License Number II ~ ,<) City ~7),,.t::::u , ~ , Expiration Date' ff;) r .:200.L/ Constr.. Contr.. Number X~ 00 '? Expiration Date ;b:r ,- '~r?O.':::; Signature of Supervising Electrician I ~L:,~ ~ / ~ Owners Name J)f)~A e-J & ~ ~&. Me-Hour fir. City &"f24:-1 8()'hone nt,-/J6~1 , , (DM,PJl.Ad) OWNER lNST ALLA nON Address The installation is being made on property 1 own which is not intended for sale, lease or rent Owners Signature: , 1000 sq.. it or less Each additional 500sq.. fl or , portion thereof $ 19..00 c: (1:~r-nt"'6i-a ''<4S~i~e~F1e(j~~~'fli~~Jtf~ ~_p~,.~.. ".....'.. ,,~'Ul""'~Wil!'''~~ Installation, Alteration or Relocation $ 50.00 $ 69..00 $100..00 200 Amps or less 201 Amps to 400 Amps ' 40 I Amps to 600 Amps , Over 600 Amps or 1000 Volts see "B" above.. D. ':Bt1il1~iir€i~r~H ~~" :"-. ~"~:~.~' ,':: ~~ New Alteration or Extension Per,Panel '~' One Circuit ' - i'/(t't1fO~ - Each Additional Circuit or with "-:1-?\tl.t \T -M," \~~G' .&; ~ serviceoO,,~)'e'R'.%\\~\.\l.1\\~~~~~\'D \tlV>" ,~' E !!i!'~'~~_;- ",~~,,>l,~' ':.~ 1>!~d,~d;\Yi)':-E":""Jj:l:l''!l'r.<<t''''Il'-''ti'''''~ . s~a~(}'ij , ~~lim e ,~'aCllUnSlalla~lon;il . ,'l>"~' ~c. ~\Q~-='--'~~ Pump or i~fi~t: ~ Q~i \It! ;..._____- . $'50..00 SignlOutl9\\liigll~g $ 50..00 Limited EnergyIResidentia1 $ 25.00 Limited Energy/Commercia1 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~-.o ~~;.~~s:.~),'";'~"~'~~' 4. -SUB1iOTAIfOEiA:BOVE" 0 .~, ~ . . '" . "".,~. , ..... . / !Jt41 (tt), 7,42- /~.60 /M. OJ-- . ' Inspection Request: 726-3769