HomeMy WebLinkAboutPermit Signage 2004-1-27
Building/Combination Permit
PERMIT NO: COM2004-00040
ISSUED: 01127/2004
APPLIED: 0111212004
EXPIRES: 07/27/2004
VALUE: $ 27,450.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.,'
SITE ADDRESS: 1007 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703223300400
. \..-11 l' OF ~rKll'\jljt<JJ!,LD
TYPE OF WORK: Sign
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Signs - 1 monnment and 4 wall signs .Refer Combo Permit #COM2003-00983 for
variance approval.
Owner: WILLAMETTE MEDICAL CENTER LLC
Address: 975 OAK ST # 780 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Sign
Contractor
SIGN GROUP LLC
SIGN GROUP LLC
License
145755
145755
I BUILDING INFORMATION I
SETBACKS
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Pathias 'IOU to
n laW reC\ult n UtilitY
'Q,\.()rBQOL~ f'\reQo ,,,.....
/l-lIl::\"u'I'e~' ePDEVELOi>MJLM"~INFoRM1UlION ,
Ilo..or U' ,,,
10" ceru" , . gll1 u" .. l
-lotitication _ 01-()0~Q t~~~~ . "'o~ the rules
O/l-f\ 952 0 btalQ..refI.iiy"fi,st'\slephOne
'\ 90 '{ou.l!18'1 0 ter~~~tI:Mt:t:r'e~(IW\\,catiO"
')0' the cen P '(JlIIIOWWR7.'ii;
calling r the ore~ ",,?_'23a..',.
nUlOber to . ,;" ~%\6fCo't Coverage:
,...,..'" 0
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Expiration Date
06/30/2004
06/30/2004
Phone
541-485-5546
541-485-5546
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsffirains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Use Bid Amount
Use Bid Amount
"
Sien
Sien
Sien
Sien
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sign - Outline Lighting Each
Sign - Outline Lighting Each
Sign 0-35 Square Feet
Sign 151-200 Square Feet
Sign 36-60 Square Feet
Sign 36-60 Square Feet
Sign Plan Review
'",
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
$1.00
$1.00
Square Footage
or Bid Amount
10,700.00
4,800.00
4,300.00
7,650.00
Total Value of Project
Fpp<, P.,irl J
Amount Paid
$70.00
$14.00
$50.00
$150.00
$80.00
$200.00
$110.00
$110.00
$160.00
$944.00
Date Paid
1/27/04
1/27/04
1/27/04
1/27/04
1/27/04
1/27/04
1/27/04
1/27/04
1/27/04
I Plan Reviews I
Paee 2 of 4
. CITY OF ~rKll'1ljnJj,LD
Building/Combination Permit
PERMIT NO: COM2004-00040
ISSUED: 01/27/2004
APPLIED: 01/12/2004
EXPIRES: 07/27/2004
VALUE: $ 27,450.00
Value
Date Calculated
$10,700.00
$4,800.00
$4,300.00
$7,650.00
$27,450.00
01/22/2004
01/22/2004
01/22/2004
01/22/2004
Receipt Number
1200400000000000120
1200400000000000120
1200400000000000120
1200400000000000120
1200400000000000120
1200400000000000120
1200400000000000120
1200400000000000120
1200400000000000120
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sien Review
.
01/22/2004
01/22/2004
. CITY OF SPRIN\.d'I~LD
Building/Combination Permit
PERMIT NO: COM2004-00040
ISSUED: 01127/2004
APPLIED: 01112/2004
EXPIRES: 07/27/2004
VALUE: $ 27,450.00
APP DJB
Paee30f4
Per approval of sign variance,
COM2003-00983, the following code
language applies:
8.248 Community Commercial and
Major Retail Commercial District.
These standards apply for all
property located in CC or MRC
Districts except those located in the
Downtown Sign District, 1-5 Mall
Sign District and the 1-5
Commercial Sign District:
(1) Single Businesses. Each business
shall be permitted a maximum
number of three wall signs totaling
350 square feet for all faces.
(2) Free Standing, Roof and
Projecting Signs. In addition to wall
signs permitted above, one sign from
this group shall be permitted for
each approved development area.
The total area permitted for a free
standing sign, roof or projecting sign
shall be 100 square fcet for one face
or 200 square feet for two or more
faces at a maximum of 20 feet above
grade.
(3) Second Story Businesses. Two
wall signs per business shall be
permitted with a maximum sign
display area of 175 square feet for
all faces.
(4) Logos are exempt from permit
requirements provided the logo is
the logo of the business residing on
the premises and provided the total
square footage of the permitted wall
signs and the logos do not exceed a
combined area of 350 square feet for
single story businesses and 175
square feet for second story
businesses. [Section 8.248 a'mended
by Ordinance No. 5862, enacted
September 15, 1997.)
.
. CITY OF SPRI1'ljut<lJ<..LD
Building/Combination Permit
PERMIT NO: COM2004-00040
ISSUED: 01/27/2004
APPLIED: 01/12/2004
EXPIRES: 07/27/2004
VALUE: $ 27,450.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Rl'lJuirl'tI \II,~nl'~tiow
5 Sign Location: To verify the location of the proposed sign.
4 Sign Footing: After excavation and forms are in place, but prior to concrete.
2 Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
3 Sign Electrical: After connection is made but prior to energizing.
1 Sign Final: After all required inspe.ctions are conducted and approved and the sign installation is completed.
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 berein, 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 he 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, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all
times during construction.
~d* l 1(!r~
Owner 0 Contractors Signature
;/;1 kt/
Date I I
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00040
COM2004-00040
COM2004-00040
COM2004-00040
COM2004-00040
COM2004-00040
COM2004-00040
COM2004-00040
COM2004-00040
Payments:
Type of Payment
CreditCard
;":
~~_.~_C!..'!I.,_~., _.dn "I' ."
Mi..............-.....,...,.....
-. ,-
':", ~
..'. I
;..- - j
~'- ". ,
....=<.. _ ) _.~,;- d','
Receipt #: 1200400000000000120
Description
+ 10% Administrative Fee
Sign .. Outline Lighting Each
Sign 36.60 Square Feet
Sign .. Outline Lighting Each
Sign 36-60 Square Feei
Sign 0-35 Square Feet
Sign 151-200 Square Feet
Sign Plan Review
+ 7% State Surcharge
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
CHERI FLETCHER POWELL
000285 027253
City of Sprifigfield Official Receipt
Development Services Departmeri~
Public Works Department.
Date: 01/27/2004 2:47:S1PM
Amount Paid
Item Total:
70.00
50.00
110.00
150.00
110.00
80.00
200.00
160.00
14.00
$944.00
.
How Received
In Person
Payment Total:
Amount Paid
$944.00
$944.00
.
~~~-
~~1,,01 ,
}~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA..'X; (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number l'.oWl z004- OOO<{O Date
c t';!~T~~~p>1>"'l:ry'~";;~s~i~~~61~F~~(i~:s~;;~~~i,i~~~:~i\~'l-:l~~~!]f;i.lli~~'tt~
. . !.ab:'I~;t'.~:ll.".N;.;,.;~.~~T:W:1~D.;";u'''~~~~oti:\Q:'i;~J/iK.:;.,,,~~l;'~<f,~;J!!j:.~~!g~~
eq}l~~.es 11\\\i\'l '
Installation, A1t.sfi'#OlI Ur o<<-~flo\\ \On '
2m~QI~~o b~ \ne u\eS ate ~ ~"..nO S 50.00
p.."~b~pstW~~~e t "Op..'t\ ~:~\..s \$ 69.00
\o\\O~Ol~m.(\)I\~Ou.~s 0\ \n'" ~...nne $100.00
~~~~~~;~~~~i;~~=~~;~,!~'f'iWi:'i:~~~'?;i~'~~Vj')1l
()~:;~r!:~~~~s~~':r~:;'''~~-~'''''~ ," """~=
~~~irc1lit~'f" $ 43.00
Each Additional Circuit or with
Owners Name / t {y .Pro ri,'.pJ Service or Feeder Perniit, $ 3.00
J1 fJf. ~-~-'""~~~'"~~'_~L1~"It;\~'6._, .~,,-w~.. "---""'T,,..,"~"
Cd I IAI 'J1' '/1 n . <::'-1- E.:;Mis~'i!ll[ii~diNf~"'~"-"";W~ld~'t':~'~" ~ii'd'gdibEii'Ch';iiilft';'lliit(~ri;~
Address -J'" YV I IQ j1l.orrr _ J I. "c...,.'........,......,,,',,., _''''..H'\'''.\~llin, ",' ....","-""~.""......=~"-'--,
-- -- :t\,,~ -""'"l\:.t'I.C '_...?,~\,\..,1>',..'" ..
Phone (P'if(g -( to ~~\S ~~~\ ~t!9n \I-\\~~~"'C.O fQ~ $ 50.00
~lji~~ ~~~\S1~ , ;Z $ 50.00 15 d -
CQ,,^Wi~~cr@'~enllal $ 25.00
~"'/L,~lj\~ Energy/CommerCIal $ 45.00
lVlinimum Electric Permit Inspection Fee is $45.00 --:- Surcharges
4. .~~~~~~~~i~~~~~@l~~~5i:s~~:.,) J~
/OS=
i% State ~rcharge
J .-c'yo
10% Administrative Fee -> -
J75~
~,~.-:--.':!'.:.....,..._._A "<'~,,~ ,,-~~~"'I:'1'!'~~1~.o . ....,.._>...,\?;'~~"L~
1 t-,LOCAHON OEINSTAEEATION';;",~ic~i,'~"r.
. t::.;,..~.,.'. ....., F"",,;, '!;J,~"'--'."""'-' '~"".~, '6ji ,..:!:i.~)..'''.,.,."'''i(.,';~_,...,~'';,....m,PT
/.(jo 1 .. /I,:ne/OfJ.J"' f~ ,_..
LEGAL DESCRIPTION
1703ZZ.33 6'oL(fJo
JOB DESCRIPTION
1ih/ i f1~htll.I'i-) iJJ IAl\i,r.ahIIJJdI 5'r-S
Permits are non-transferable and expire if work is .
not started within 180 days of issuance or if work is
Suspended for 180 days.
r;i?,.......-.""', ",,=,,~;, ..:,....;.,l':-"",.:.\~,.."~<. .~;~':!";;'y."..,::"...,~."'.,';.,......,~..~";:,.,.,)..::-.~
7 iRCO}'fFMCTOR'INST:AJl;EA,I1O,lYi.OIVE'Y(r#,
... ti.'''l!",.',..'lJr~'f,'',r:,(;:'''-''''''''';';f{~''''''''5.,i?f!~E~~:tl~1:tfu";I("...~,,,:\;,.l~.~g:"j
85 ilf
OC/ f: I/o Iv/.- /!/
City .eo<~ /,L Pbone '18-5 -:;j' r-t.
Electrical Contractor
Address /;2/0
. Supervisor License Number ;2 d -;) [; >5 CLS
Expiration Date
/D / / /~ '-I
,
,
Expiration Date
/ Lj ,~ 75'~
tho/tJl-/
ConsO'. ConO'. Number
I I
Jl~~~.,.,~~.,,~
l~M'
3o("St~
City ~ILL-
OWNER INSTALLATION
TIle installation is being made on propeny I own which
is not intended for sale. lease or rent.
Owners Signature:
inspection a.cquest: 726~3769
{
~~~~,~.:'!'V'l~~~='...t.~~~':;-:"I''!";':-~~-5":Vz:m'~':r;..... -".,' ~ "1,'."""
3. i"COMPEET'E''FEE.'SCHED.UEE;SEEO.w';;..,\i;:-,'t'"ri'~''''\'::.t;:~.tll;}
r:;;!.~"",:w..:.::t,,>I'^~..~~u:":'.:>>.~~.''-~~'" ,-, ." ".,~~ ..... ,~"~"",~",~,'h~1f"h........'T,J.-',~~!:,:,,,<~~~.
;'?;:!.I;.~l3r;r-:'?l~I'i1\;'i~--:"-'i}~i:'-'i'~j:~j"{;::'U't;>J'~r..Y~{~1';1i',~i;~i~J'..'i~~,':'i;i.~~,}.l7.;"'i\~..~~~~:,.~r.:;$;}r,\\'.l\"r-?I\\!"'~~:~~~e,'::r
A. ii\'N ew'Reside'ritial,'tSirigleCo~,Multi" Falnily:pe~'divelliiig: nnit:,', <
'~""f.J"~J::a.c-:.'~~',~v~ki.di,,,n.:~,r:,~~';.C#..-a.u>~~~~...;1l'ltr~,:.t'.....:'''\;...r..~h,..:w,~>4t
Service lnclnded
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
~_._ "_~""'~. .,.._.__...~""'''''f''''''''''~''',~ ..~
B. ~S~br~r~'~~.iFii~d~~~~4?jrigtiiii1i;ti~ii~'fAit~a'"ti;;~f~~~~I~~h ti~f~~i~~
~~\..~t;...tlh'S",,'...::.,..'l."'>(,"H""'1i:!.r;''''''J.7';''';'',7'''"'''ltolii'.;~~,..~r,r'.~,'...~~;;.~~~~'o:.'.::l::':'~"_.'::~'~'-',!",,:, ;;,'., ''.''.l''t:'it
200 Amps or less
20'1 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN Oils
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
TOTAL
Shan-d Drivt.'1T:)IBuilding Fonns/Electncoi Pcnnit Appiic:l.lion 1-(iJ,J(1C
/
'.',..,..,...,." <-';..~' ''"'F'ST! iKTi~ "Q~ON"" '''I .. :c"",
::-,'" ;';::;"".,:', "".:.~ 't'__~'::;':' '\::J '::1::':.. ~~ ',: ..:<': ":':.'~. ;,'t:.?;.....;-
vt.:t"\. ~\" ..." .. ',' . ~,-,"- ...,..-....-,r...-. 't.; ,.! ...- ""-..:.. .. '.
:~_t.\;: ,J,:-.~" '"' k. _~..;';.."".,.;.....'-..__~,,\, <-~'~_,.1_,:.....I'~,:~r~.~".J::;"U... . '; "
, 6.D ~D~ '
. \~&.
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FA...'X: (541)726-3689
ELECTRICAL PERMIT APPLICATION I
City Job Number CO,WZC'ic>'1 _ oOOLt 0 Date
'i:;_~" .""r;':J'''''l~''!'(~_'''.'/','''''''?T<i''''r;::(...,: ....,..;I"~I :'l~"l:'1.""~'F~..n'<>;~'::'iI"i?'~;:p~'>"':;;:~: ~~
L L:L;'OCATION OF.lNSTA'ISEIlTION:,"'i~..:':"'':'c~
/OO..7.....'4;;;;;~l<;.,...._.'c~.~;:.'"
LEGAL DESCRIPTION
170) Z zY3
r>() YOO
JOB DESCRIPTION
[s..12/in<;1111 I {() l/k/hIMfd !H./Jl'N,I.fYl</IoT
Permits are non-tra:Sferable and expire if work is $/ r
not srarted within 180 days of issuance or if work is
Suspended for 180 days.
~"... .~"_'J"'",;, -:.....;i.."':~"~_...':;... ';:~;".:..';'''f.-' ~z;':'>'~""';'''''_+.;;".,~.;;::.<;v:.'.;]
r!.COIVTR,ACFORrINSTAl!;EIlTIONONL1W
2. l:~',_.:Vr~.i' "1~.7~'..,'_ ",.. .:,'t.t.~.. ?i"-i:.dL.~.3::.;l:;-~1!:f&b~~..c".'\:,J~..- "-~,'!l
Electrical Contractor ES t A
Address /'l./O ~()k Df'l-wJ.....
I
City
fU (YfPL(
lJ
Phone
~~5 -65H.
Supervisor License Number t() - ;< 55 CLS
Expiration Date If) II !o L/
. I
lif 5755
Expirarion Dare (p ho If) t-/
l 'I
('J reO;~:[r
Consn'. Contr. Number
3('}\~uL
Owners Name )J( (; Prop.etht\
Address ~ Sf ,
City ~IL9, Phone b 1(; -llrtJ 7
OWNER INSTALLATION
TIle installation is being made on property I own which
is not intended for sale. lease or rent.
Owners Signature:
inspectioll Request: 726-3769
.~:i-,~,,!T<f'''4r:''''-~''"'''''Vl1''l'''T'j:'''~r;t~':'''!.n:_ -,', """,:"-"~,,.t''!''\':~\.7-~!:~;;:r,'',:2:;::'?:1.~::''l!n,~.~ft
3. i/COMPLJET,E,'FEE.SCHEDIJl:;E>BELOW.""'I':-;".""''''<I''"'';'.t:t:,:\"~
::;)]':~";-:~""~:~.....J.::-.:.:;.~:,..",...".~~.,'"-~'0',,, -~:;>>.;.~::;.:k" ...'"t""''''.'-hJ~,.j..:t.:-:;~
i.......<::,;-,~ -"~<n..t<\i;'J~,~,..~il;i;:.;:..~~~:<:"f.'l1-:;~~";"~.,~~",.-f'-j.'~,~"u"~:77":-;p.';:"'~'~~Y'';'~':::i
A, ;;'1'1 ew'Resideritial,'~ Siiigle:o~.Miilri" Family~pe'r, divelliiig"tillit:, ',;'
;.~tt""~;~(i::""::~'~..;I:;.~....,,,~.:,,~'.,.o;,.'..t!:..t."':~C:u...-...:.:...:...~l':"';.;:'~~';:.t...:.ltt..1~......::.s...::.;
Service Included
I 000 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
,~.:!~ ,~;;~-:..;).~ .:-~ ;i;".'-"'"~-:'!":"~1'-"-"""'-;';.';;'<.'- .......,'^''='.'l<:'i~'-. "''"0'''''''",'' :.,~ '.t.'w..... _',"'-....., '-i~';'~..i!..:. It
R '~Servii:es.or'FeederS':'.!:IiiSt3Uation' ;Alte"ations'or:Re!ociltion:::;:,
~J"".;7#':'-''''_''''<'-:;';' ~J:.,""-' ~\o.j.;~..:.~,;::r'J;-""ffl~- <'- -,.....~;o("..-~" '. ,J -.......",.,.." ~~; ;-,,:-. "'. '_,;'.;>."- .,. _o..:Jr.;:D
200 Amps or less
201 Amps to 400 Amps
40 I Amps ro 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN oils
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
s ,/0'1 to $ 50.00
leC\\llle I \\i~it
~ l~r",,- '~J'>n...... \a~~iIY10fh'!'!l, """>;""""'di'""r.:::~.w",,'"~'''''~
/ ~ orD-rv\'Se~s;.or:;yeede.r,A+il \I,I:'.YtM\I','t"''''~\:,,~<,;;'\.'t}~:~''Ji 1:1"tf ,_~in..,
~1iE. . :\~s ;dOptea<O:~~\'il~a~;~~::t)6"'"I1"","","""'~ ,'" '"'\l"",~""""
\O\\o'tJ hlnse!l!lfiilfr'~~i\.Ii9nTh~JOe'\Y.!IOS t
-\oti\ice.\i~0Gr1Pp~~~~ copies O\~ephO{\e $ 50.00
I O",p. ~a(V~pPPo ~p',\\,\tI1i"s" ~~e ~otiticat\OII $ 69.00
009~~"i{\~ 1.\:I\11f~2@R,~~;~%:W\)- $100.00
{\\lIt\~~~r4W;~~~~~O,I.~,:,;;,:,:,~::,~~~~;;, '" "''''''''''''''"'"" '. ,''''
D. i>.~Br;ancll~Clrcults ....~;;.l,1!lrl./,.if2-;,'?,';;"'~r.t sr, !If.~ It"~\ii.i~\'i~~:1n'r:~0};i+.t:.~-';.; ;.~I{':'.;" ~ ~,':'~
;;,~a:;", f,;;;o~:"...~;"~r..~ol.U~~\:.~,.....''-'''''' ~,..... ~:J;.;JC~{.........~.u:_-:..::.:..,.;"::......~_"',...,.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pemllt _.....S 3.00
c "{\it V~UI''''
'Ol\~~~"~="'"u~' :-f~P.\\lt."~~'--":\~'NO'k::'-,~", ~.;:',=' -:~': .,
,Ci,!,~"!lS ~'ID~~~hdl:lUaed)';"Each,I!ls.tnUauon:
\1\~'l'.: -~tO.tlN ~\O"L':..-f4EO'fO\\--"-'" -"'" ~
f>;BOR1J B'@Ji~ IS I\BI\NDD $ 50.00
. c,Q ~lillO\l~D. J $ 50.00 'I- 50 -
~ ,red Energy/ReSIdential $ 25.00
Limited Energy/Commercial $ 45.00
$ 43.00
iYlinimum Electric Permit Inspection Fee is $45.00 + Surcharges
J,Sl#i~t~~~~~~YE~:~:.zr};::::.-: :-'
so
3SV
-0-0
->
58~
7% Stare Surcharge
to% Administratil'e Fee
TOTAL
Shared DrivdT:VBuilding FonnsiElectrical Pcnnit Appiicalion j.rd.Joc