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Home My WebLink AboutPermit Electrical 2004-4-1 ,. , ~ ~6i It::: 1'" ~~E#~ ' I" 11 ACt> " E~~N I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-368~1 " If 012003 71)J! ELECTRICAL PERMITAPPLICATION .. - Q . 1CliER,9Y I 'IY/ CityJobNumberCOt'1ZOc'l_003~3 Date 3-c\-(S}a4 ~EC ('1/ 1. ~tON1@i~J1!t~.i'iW1fIIII 3. ~~~~ffEW~~~~jf.ilt~ OCS.S m~;,", LI\'lt-kJ) A. ~~iijt~g~~~~~~~ The tQ~i~,Qel. 'uhmilted ~.mHse rn~IJlded .cullmg and doe . rolffiwmg JOB DESCRIPTION approv~1. s not requ"j"peql/jGil<\np /Asa:>r less S ' \ ( , Zonin (!..a. / ptOEach additional 500 sq. ft. or I . ~ y,. -.. . .) t i ..J \ ~;;.o~ . gr. ~~ ~~~O. \BM~Af, PermIts are non-transferable anti fiDlre l~ork IS ...:...a......G i.VJ.d.i.1UlO'.....~ d Home or , . .-"lJrn""zed . atJ"s not started WIthin 180 days of Issuance or I arK. 1,.) \ frvin hr nw~Uing Service or Suspended for 180 days. Feeder LEGAL DESCRIPTION j70l. 3"")'{/.( $106.00 $ 19.00 $50,00 ~""'._-"'~-'''"--hl'~'~~*~II' ' Ill'~~' , , ~' \I!ll~r."'~'~!m.~~!P.='_' " 2. €CDj~llll'fl1.~m'E€1P.jJJN'sm..IqJ}J~~I!J:fB~" B..-~,e&Wc.es{>..r,.F:eedecs.",,' lImn ~~.: ,,'jR;{>JQ.l:.a:ao ,... , . . -~ :~.. liliil'-.oJln'llilIJl,i1/i1lllu''''1ll. ~'. .. ~ &It!i...o...-.-.,a,la.__..;,._-..a'l I!Hti_::-- Electrical Contractor C. L. '< r"( ~C\.~ r. I e-;1-,,^< 200 Amps or less \ $ 63.00 (,3~' \J 201 Amps to 400 Amps $ 75.00' Address \.s q (, <-c ..J . t.~'j' s E"_ 401 Amps to 600 Amps $125.00 \ ) 6.01 Amps to 1000 AIDps $163.00 CitySil ~'''' 1'73~(Phone~S,j3Y3"l"t-7G\l1 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 Supervisor License Number \3~~-S c. nm~hi !lO~.1i;~S~fi ~~I~V~JJ~"~ b~aiF~ E~piration Date \.0 - \ - c.<::l rJ A Co~tr. Contr. Number <=t \ 66 8 Expiration Date '1 - <- <l)-~- c.<) () 5 Installation, Alteration or Relocation . 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Signature of Supervising Electrician 'K~J~~ Owners Name O~OI 4t I T~(1'o S. t4-L(.-']AA. Phone IS L- DG- O'!.J~ ' New Alt~:tt6hJ~J{>J(jIJtlfl,Dm,er Panel AVa GiH ANV One cJcUl~ SIIlW8id $1/,11 . SI ~a a3J~J13cOOO~ '-. Eacb A'liditib~f~ir~~i~'tr/witli 8jUi\,1 a3ZlfJg~'n,'; i3"::: Service or Feeder Perm*, dX3 11"11,1, '''~lLf ~,w. v . , . 'v ,L'''a3d SII-II E f'v.""~i,"'!""! ,~"w''-'''''''di\''.''''w,,,,p_~' '::'~"lil"!"n'.''''~' . ;!T"JlSCcu3neous; >.;ien'\{lcenee, e.r;~nOp!muud'et:,' , 'c " t:auanOU IiJl,'..., I """ ,If.{lil..,, ~\,_;,.'~_:i~; .fil,lJI,l.,. Address City Pump or irrigation _ $ 50.00 Signf.O tl;"~.T,';_""~~')U to $ 50.00 ON'OreaoR ,a;'1"""'l~ I aitv ATTENTI . ~i$e~cttiAliliJT , $ 25.00 fnllow ~;s adopt " los.,....Iln~t fort The installation is being made on property l'tlm> w' Center. 41!mted>JElj<=>gY""~95~~'Oti $ 45.00 . t . d d ' I I -.Jot\1lca u,~,"""" 'h:.<lllnn QAR 9 . IS no mten e ,or sa e, ease or rent In OAR 952-00'Y.uwmIJll' ~m 'J!,llje1;!tJ,critewmtrillffil'o.tion Fee is $45.00 + Surcharges Owners Signature: 0090. You may,? - - ; s, -~.afll~ I ( 0" callingthecen , ~fi~~ ~ '),-- numberforthe.O~~~~~te>SllF6hYg!). 4.~ . A ,'f"" ~ . ibO ~. _ 10% Administrative Fee "" .,..,--- 717:!=- ~ ~OWNER INSTALLATION Inspection Request: 726-3769 TOTAL Shared Drive(T:)JBuilding Forms/Electrical Pennit Application l-03.doc r . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00353 ISSUED: 03/31/2004 APPLIED: 03/31/2004 EXPIRES: 09/30/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspedion Line SITE ADDRESS: 5655 Main St ASSESSOR'S PARCEL NO.: 1702334401307 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Signal service Owner: OR DEPT OF TRANSPORT A TION Address: 411 TRANSPORTATION BLDG ATTN LTD LEASE #45045 SALEM OR I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MORROW MEADOWS CORP License 91668 Expiration Date 07/20/2005 Phone 503-399-7609 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type_ Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Q\.be~ '" ~ Impe~~~face Area: '-' _<':) . ..li; ..... _~ _0 _, q,f >:- "VJ nr r>J I D&V.EJiOPMt~TJNFORMATION I ~ ~AA~~~ 0 ~ ~ ~. ~- ,"",' (;:)' 0; !>.,0 ~RKING ~~~~~ ~O~~0 ~ ,,-0 <;::> ~Oy.~da~ 1st: ~ 0 .,.,0 rtOta1! ~q,.~ X;' ~ v ,- -!Jr ~ <2i ~'_'"" 0 ,;;; ~ ~ ~ ~tri rees Rqd: ,s ~ ~0 ,Si~~$Cii~"po~ .($ c':)- cff ,CBaved Drive Rqd: ~ ~ 0 !>.,O .r.;xmpa~: ~ ~ _::!i j;[' !>.,'I> 'I>'~~' Oq~0' ~ '" ~ "V ^' .'. o'f Lot Coverage'. 0 ;;; " "" (j '" ~ ,v -# ~" " ~. o"'~' ~.S ~o ...., ~ ~ ~ i;> 0 ~?;i ~.~ ~ ,s ~ .....<::5 '\.. .....0 1."- &. OJ ~, -0 ....... _tii ~ 6>'~')","i)IPUBLICIMPROVEMENTSld ~~ >:-v~ ~- 1&'..1: ~'>, " .., ... ~ ~ iff $'- &0 0.' ~ c':)- 'i~ ~ ~ .~ewal~~ef/ ~~ ~~~~~~r -$i >:S ....O'~<es~t~li3ins: ~ ~#(J'7i~ ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 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 . . LIlY V" ISrKll~u1'lELD' Building/Combination Permit PERMIT NO: COM2004-00353 ISSUED: 03/31/2004 APPLIED: 03/31/2004 EXPIRES: 09/30/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fee~ Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.60 $4.62 $3.00 $63.00 3/31/04 3/31/04 3/31/04 3/31/04 2200400000000000303 2200400000000000303 2200400000000000303 2200400000000000303 Total Amount Paid $77,22 I Plan Reviews , 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 Reouired Tnsnectinn~ I I Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete, By signature, I state and agree, that I have carefnlly 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 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther 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 construction. Owner or Contractors Signature Date Page 2 of2 22!:/Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ Job/Journal Number COM2004-00353 COM2004-00353 COM2004-00353 COM2004-0035I COM2004-0035I COM2004-0035I COM2004-0035I COM2004-00352 COM2004-00352 COM2004-00352 COM2004-00352 COM2004-00353 Payments: Type of Payment Check Change Job/Journal Number COM2004-00353 COM2004-00353 COM2004-00353 COM2004-0035I COM2004-0035I COM2004-0035I COM2004-0035I COM2004-00352 COM2004-00352 COM2004-00352 COM2004-00352 COM2004-00353 Payments: Type of Payment Check Change WiL~~=~.. .i. ~t:,_,,,"," .. ".. ' .....""""'">."..s,-.,"'.. ....,,, " ,'l' Receipt #: 2200400000000000303 Description Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Penn ServlFdr 200 amps or less Paid By MORROW MEADOWS MORROW MEADOWS Received By djb djb Description Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcbarge + 10% Administrative Fee Penn ServlFdr 200 amps or less Paid By MORROW MEADOWS MORROW MEADOWS Received By djb djb Check Number Batch Number Authorization Number 17618 Check Number Batch Number Authorization Number 17618 City of Springfield OHlcial Receipt. Development Services Department '. Public Works Department Date: 03/31/2004 . . 11:17:S4AM Amount Paid Item Total: 3.00 4.62 6.60 63.00 9.00 5.04 7.20 50.00 3.00 3.71 5.30 63.00 $123.47 . How Received In Person In Person Payment Total: Amount Paid $224.80 ($1.33) $113.47 . Amount Paid Item Total: 3.00 4.62 6,60 63.00 9.00 5.04 7.20 50.00 3.00 3.71 5.30 63.00 $113.47 . How Received In Person In Person Payment Total: Amount Paid $224.80 ($1.33) $ZZ3.47 ' (f)) Ern " A~~'E # V E1/)"iI . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA-X: (541)726-i68~ ,:JR 01200. y 1 ELECTRICALPERMITAPPLICATION. _. ,CliERRY '3 U Ciry Job Numher Co~Zool(-oC3)L Date 3-~1-t()a4 _C/TYELEt.,/j('lf 1. 1B.€r,<i.ifjjialfl7if1'if'..fj$iSti"'"'ir-;rr#ii'ii'.j@N~ 3, ~{j)1Pji?fi'i/fjJilJ;JE''F:,'Tsfi!'ij;j;DlK''f!EffrF!i'li.;''''''": " - . . ....."-.~~" """'~ Iii ~r~.n~ fI!iii ~ li. . _ _.."...:'._:.", __ _ -S'S:s {f\~ ~'"'. . ' 01)0 7 (n~-kJ )A.s~.%~~rrrtf~~-tf'~~ JOB DESCRIPTION I t 88 submitted riOOllll491!l!"ilPQess -r . S _' T:dt:1I0e~J~~:~ot require spel1!!iml'll1lliJlf8nal 500 sq. ft or I ~ "'" .~ <> (~ ( "\ l ~ 'i9l'1 ~;;,~ ~ ( i . (-'l.- (I !;:;.of?JtJhereo~ Permits are non-tra~ferable and expire lItJIlIIIllk, J> ach Manufac::'d Home or not started within 180 days of iss~'!.Y.l'e or if w"," ,. ~' cr?t ,\,oQuJar Dwelling Service or Suspended for 180 days. '_ """..".- . , . ~'ri:zed Signature . ~' ,JJ~"i- ""';IlOC.."I.'I", .:_I~".I~I!..I~~ . \.~"'~I"."I' ..w.~' 'l~,~_~"~ IJaI ~lIt;l~"!..,l""~l'I.>i~~!E_).'~!"AMI~1 2 <!;CfJi!!'r)lliE.'ME@P~JN!iEi1A'1J:J, _ '-,,'---..J!li..: ',B.,. Se .= '>rb'eiili '= 1i'lliijjf@""~"'r",,"~, o""",un_ . '> !:I.1Iiiiiiilii lfr.:.4CJ II J ~lfi II _____ Electrical Contractor CL- '< t"(" ~ C:t~ t: ]'i?:,;t,; C. Address \5<1& ~C~J ~-tr~j SC 9 '73~(Phone (5':)3 );3 "9 -76\l1 LEGAL DESCRIPTION /707. s> 4 L( $106.00 $ 19.00 $50.00 . City Stl \~_ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 6,Ol Amps to 1000 AInps Over 1000 AmpsN olts Reconnect Only $ 63,00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Supervisor License Number \38~-S C. i mkM.~.rt~~i1A"'rlUe~;'3' li~' E~piration Date \ 0 - \ - c.'O rJ A Constr. Contr. Numbet CO\ \ 66 8 Expiration Date 1-~ (1)--,((:J1J5 Installation, Alteration or Relocation , 200 Amps or less , 201 Amps to 400 Amps 401 Amps to 600 Amps 5()~ $ 50,00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. ~.~~=~ ){fI5WdD!<N.itJI 3fl/d 3QNn 03ZIHn41rN13.00 Each Additional CirMa,1Wits llWflVd S/H'~ "< ~ Service or Feeder Permit ._1,:J. 3.00 ., I.J. '3J'lO~1 .' . TfJL"<f nt.." / E ~ld"";"."" ''''~'''' ",..I,'"H, '~""''''''''',-'''-,''' ~"'I"';a'~~l~' ""'l\i"4iWo),llol' ''"1 I~"" j 0 V ~ u- . hWCclliweou -,'ecleeuer';:llotUnc ueuy _.:!lwi9'.dlS~aHa: on .:.:.. ,f; ,,~,~ iird ,il ..... """ --..:-- '1 O egon law reqUl Phone ATTENTION: r d'B'fItW8@igagCSlfl Utility $ 50.00 follow rules adoPte-m~@\ltliJ1l$T~~RtJii!lt forti $ 50.00 , OWNER INSTALLATION lotification ce~~1 d-ilW~gin~IR~~~W , $ 25.00 ' . '~n AR 952-001" '." . ", 1M rulest _ The installation is being made on prope 'q!nay obtaibrti~ergy/<:''()=ercIal $ 4),00 . . . ..f1\J'~' ~e telepnone . IS not mtended for sale, lease or rent. II'ng the cEM1R{mIlIli, 'c ic.P.er,mi~In"~tion Fee is $45.00 + Surcharaes " ca , 0 "n" II Y r~UUIT<itttl<JfN-. b . numberforthe ~." '-'''-~' ~__'.,'" .1,." .' t:"8Q~ Owners SIgnature: . _....__4., ~.:..:...~, .11 @' '. U __ . , 3."11 v ;::'.A-<F- S'J,7' (f,~ (;;;1..0:>' ~' Signature of Supervising Electrician 1<~W~~ Owners Name O~OI Address 4/t <;A-LC::'l-VI City 7% Stat~ Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)JBuilding Forms/Electrical Pennit Application l-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00352 ISSUED: 03/31/2004 APPLIED: 03/31/2004 EXPIRES: 09/30/2004 VALUE: SITE ADDRESS: 5655 Main St ASSESSOR'S PARCEL NO,: 1702334401307 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Temporary signal service Owner: OR DEPT OF TRANSPORTATION Address: 411 TRANSPORTATION BLDG ATTN LTD LEASE #45045 SALEM OR " Contractor Type Electrical I CONTRACTOR INFORMATION I Contractor MORROW MEADOWS CORP Phone 503-399-7609 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: " . SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A vaiJable: Special Instruction: Notes: ~. Description Type of Construction License 91668 Expiration Date 07/20/2005 BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: ~ ~ ~"> ., ~ ...~_ .A I DEVELOPMEI:'lTlJIIFQRMATION I ,,~ f)'- ~W S" ~ REQUIRED PARKING or1f.Q?~iSf~.i;>O ^-~ Total: ,,\;,';., '0 '" - ;i:;'" "-~ \0 .,# S9'ee~rees/Rqa~ HandicaJ'qed:. ':1.'1 .&i.Ve8~!Ji~Rqd: COroJlll'ef: ~ 0\~~o<i.\ ~ ).'>- "" ~00\ Q;O 0\' .. ~<:$ &,o.of'l,.ot Coverage: ~ \~'>ll 0 O~e -a.~e s Z~O , ~:"'b,?O ~~ _ \.O~e~~c 'Q'I:: ~\}\0~I>-~ :~\},e'" ~ 'b'-l~,rp-l:lBi:~c IMPROVEMENTS .\~~"'\'~~ -a.COV;~.",\'0~'(\~O\}~~", 0' ~~e9~~~\\O~ <:::,~ . ~ ' p. ~ ,:l Sl~:"Cf:~ :f~~ ~~ C09 . \'(\0 ~O\\\~ 'Y ~'V \0"0. ~\~"S:,tf :o'...-a.\ \.~o\e' ~~\~ b.b.,\o -t: ,0\\,\cR~-i?s~'l1iis~f,ai'ns\-.o~ 0 ().,??~ O~ -lO\} 0 ce O~eiY> "".n... \~ ,,0. ,,\~ 1(\0 ..9- 00'" ~\\~'!J \O~" ,'.- c'lf. 0~ .... ~'O r' ~\): Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Page 1 of2 . . CITY OF SPRIrlitd'lJ<.LU Building/Combination Permit PERMIT NO: COM2004-00352 ISSUED: 03/31/2004 APPLIED: 03/31/2004 EXPIRES: 09/30/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line "'\I" I Fpp~ tlWlJ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.30 $3.71 $3.00 $50.00 3/31/04 3/31/04 3/31/04 3/31/04 2200400000000000303 2200400000000000303 2200400000000000303 2200400000000000303 Total Amount Paid $62.01 I Plan Reviews , 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 Reollirpd Tnsopr.tions I I Temporary Electric: Approval required prior to Utility Company energizing pole. 2 Rough Electric: Prior to Cover 3 Final Electric: When all electrical work is complete. 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 ofthe 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 all required inspections are requested at the proper time, tbat each address is readable from the street, tbat 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. '"'1... Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00353 COM2004-00353 COM2004-00353 COM2004-00351 COM2004-0035I COM2004-0035I COM2004-0035I COM2004-00352 COM2004-00352 COM2004-00352 COM2004-00352 COM2004-00353 Payments: Type of Payment Check Change Job/Journal Number COM2004-00353 COM2004-00353 COM2004-00353 COM2004-0035I COM2004-0035I COM2004-0035I COM2004-0035I COM2004-00352 COM2004-00352 COM2004-00352 COM2004-00352 COM2004-00353 Payments: Type of Payment Check Change !;l '"!""N.j......GF.IIl&.D._ .:. ..~..... A 11&:., '. ...-. . .. i', ., '-J ..'...~: :,_ i '-, .'-"'''',''' . " Receipt #: 2200400000000000303 Description Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Paid By MORROW MEADOWS MORROW MEADOWS Received By djb djb Description Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcbarge + 10% Administrative Fee Perm Serv/Fdr 200 amps or less Paid By MORROW MEADOWS MORROW MEADOWS Reeelved By djb djb Check Number Batch Number Authorization Number 17618 l:heck Number Batch Number Authorization Number 17618 City of Spriil'gfield Official R~ceipt . Development Services Department Public Works Department ~I Date: 03/31/2004 1l:17:S4AM Amount Paid , Item Total: 3.00 4.62 6.60 63.00 9,00 5,04 7.20 50.00 3.00 3.71 5.30 63.00 $223.47 . How Received In Person In Person Payment Total: Amount Paid $224.80 ($1.33) $223.47 Amount Paid Item Total: 3.00 4.62 6.60 63.00 9.00 5.04 120 50,00 3.00 3.71 5.30 63.00 $113.47 . How Received In Person In Person Payment Total: Amount Paid $224.80 ($1.33) $113.47 .