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Home My WebLink AboutPermit Signage 2011-3-7 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00344 IVR Number: 811134838698 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/07/2011 ISSUED: APPLIED: 03/07/2011 03f04/2011 L 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 PROJECT DESCRIPTION: Signs - Five Guys Phone Number: OWNER: ADDRESS: SPRINGFIELD V llC 1420 FIFTH AVE STE 2200 SEATTLE WA 98101 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial CONTRACTOR INFORMATION ~ Lie Type cce ELECTRICAL BUilDING INFORMATION ~ # of Stories: Contractor Type Sign Contractor Electrical Contractor Contractor Name E S & A SIGN CORP ES & A SIGN & AWNING # of Units: o Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lic No 163470 20-543CLS Lie Exp 03/16/2013 07/01f2011 Phone 541-485-5546 541-485-5546 lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Re\'til!iif!i&Yil!:. Elf 1HE WORK SOillsH~t"n~~,q!'ir€d:\fl.LL EXPIR PERMII IS N01 fl.U1HORIZED UNDESR ::~~DONED fOR . COMMENCED OR \ fl.NY 180 Dfl.Y PERIOD. Springfield Building Permit Site Information ~ . \ w requireS you ,t!' ATTENTION: orego~ b~ the oregon Ut\\iWh lollow rules ad~~~e Those rules are set ~g~1' ~og~~~~~_g~~_001~ thr~ui~~ ~ft~e9(~es by ~090. YoU may obtain ~ofe: the te\ephO~e \Iing the center. ( Ut',lity NotilicatlOn ca th Oregon number lor e. 1_800-332.-2.344). center IS 3/7/2011 8:24:10AM Page 1 of4 S:~~N~. F.IE..~.~ ~~ ~OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00344 IVR Number: 811134838698 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 . Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/07/2011 ISSUED: APPLIED: 03/07/2011 03/04/2011 EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial . PROJECT DESCRIPTION: Signs ~ Five Guys Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Driv,e Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Type Unit Cost Value FEES PAID I Amount Paid $140.00 $84.00 $22.00 $15.12 $17.30 $80.00 $126.00 $484.42 Date Paid 03/07/2011 03/07/2011 --_.-_._----,_._,--- 03/07/2011 03/07/2011 ~.._--- 03/07/2011 . -~._- 03/07/2011 03/07/2611--- Reciot# Descriotion Signs: 61 -100 Square Feet ~ign Plan Review Admin fee (10% of applicable fees) State of Oregon Surcharge (12% of applicable fee~ Technolog~ fee (5% of permit total) ~~~~.~ - 35 Square Feet Sign or out~i~e lighting 2011000405 2011000405 .-".".-..--.-.-.--.-.------ 2011000405 2011000405 2011000405 2011000405 2011000405 Total Amount Paid Springfield Building Permit 317f2011 8:24:10AM Page 2 of4 CITY OF SPRINGFIELD. Building I Sign Permit PERMIT NO: 811-SPR2011-00344 IVR Number: 811134838698 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/07/2011 ISSUED: APPLIED: 03/07/2011 03/04/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Signs - Five Guys Plan Review ~ r-''''"'''if~m'''~'''''''''''''0''''^~'''~,",,''''''''''''r-';C+~..~ .~..~,..~~ ." ,'_ '.. .~-~~?'Y:_~W~~__'~~~~ is!gn,,!3~Vie;~_'V~~/!_.f!~~+~~iitf}~;~93L0t1lg0)1;j~O~!O~L2B,1:t,;'~~ Q~!g4/~9j'1:~~", Appr~-ve,q:i~',~,~'~ :.~~tt~~':7k-Q~ivj(t ~OWISDY>''r:.;l't,:;t'~F ';~jc I: ::c~ri,~eJ;'t;~~,.8:25_6\1;5~~om~~rdal;s>ig,h:D'is,tri61;~'47~ ,:~~~:'-,~~.~";:'~:t',,~ -~ ," . ~;, ,"",,}. 'rq; ;~~~ )0~y+;:~~ \~." *: f:__,F~_,~' ~~::<~, '.:' i~:$'?"t'''\~i'~::~,,:!~,>', , .,~r~~C~v~~ed~, Tti'e'F~'c4,rrrmer.6ial'S.ig~ qistri,c(~ppli~S.t ODI,X t?P~?P',~-~,i~ti~~ig,n?!e"~ ,S:C~~lJd, N9that a\e wJth!n [; :";'~A:)~' '~t~e,g~ggrf:1~11~9f:1Uy ~~9unged',~Le3l~19,g~t~do~, f\9,~p.~NO:}..::;,," :,7" '~-!)":" ';,',:~{ ""';.;',~jJ,!i::;,,t,-,+: "':'; ,_ " i't'{,,' ,',;-,.,: . '"t, \._: (.1) S,ingle' Businesses. :Eacnbusjnes's'.shallbe;pe~rmitted'a;maximum~ofthree (3) wall,signs"tota!ing~a maximum d;:5 }-::~:",~~::-,,;':.3-50:~~~d'$r~;~~eL~0j.'~lt;f??~J::;,f,:~,:;~~~:'~,;~~: :::;~,.i;,~,~~::' ":,T~~,, ': :.::': ~~:, ~{::~:~i.~:::I'~, df""'J': ',; ,~' ~',:::' _' ;",""-ut~:~~~:"" '. "./,' ,'c:",'" ,,'" .~2)fr,ee $tandi.ng'.9r,g09J;S,igns~1J~.ith~~'ohe'(1)~!ree,:st~nqingiqr,ro;ohsi9?;S,haU,be,permilted,periapproved" '\:3'i:-~"~;:; ;,geVe!6Rrn~jf?r~~:_'The ,~t?harei~se~T~ieo,~1ot)~a:c.tl]re,~;starahig;,4.ig6 ~,i\aJI,ge"19p~S9parefeet~ol,q6e}~ce,iRr,2QP' .'~ ":0' sR~a;~ fe,~tJdL1y.t9~oLfI)or~,:,f~?~" wiJ~~a,,~_a,~i~.~.rn he~ig;h~9f20,feet;?pov~jg~ade'~~,7:,ft ''i- , ^~ <:.:.:;~~<:;,t%, ,t.~"..". :', ~,.'(3)\Second;St6fY~8u-sin~~s"e's:~hd.Above:\E;;ll:hbusiness;.shaU ,pe per~itte9'two'~2)'Wall signs per business'sh~tl':be <,'" p~rmlttedwrth~a\maXimurri~,ign'di~~laY;~rea Of,t75~SqUCl~re'f~'et:~'r~, ^:' ,.,,~;,j:~?,p~7?c,. /:' " .':' ,,' ~ ~", \:,i; .:"!,oi" ^~" ~;:!';": z:;::',~:~~'(4):4~,<a:di.tj9.~~I~Er~:!~t"~~~Q~9,,;9,i~_~(,~~c~'~pp,~o'~~~_~~~IOP'P\~'~t ,are~l\nalL;be:p,e[fDhi~-d:on~~( 1);aqd.l~i?Jlal!fre~~".: :':' /~ :'t" ",,",st.aD,~L~g SI~,I]"Tn.~'~O!~I' ~rea'p~efm~tt:~;Shall :b;:200 ,s,gu~~~"fe~t!oL~De)~:c~~n?j99 ;~q~;~r~ w~t JO,r~99.~rl)"qr~f~c~s, '~~'_ L_, )w1th,a ,maxH"!:!u,fI1,bE!!,g~,t-,9.f~6~f~,~t;atJ,qY7 'Qraq~" Th~aa,dlt;l~nalfreE!'.stan_dlng',~!gn;t~at :ls,over:100,!}q~areJ~e~, shall, be ''';; ;~0'- in~,t~lled,',,~~ ?JnlQjb1Y~P!;~.9"fe~~t,*:~~i~h!-trini1Jr~d.e t6;thE!;P?tt0[l1~'~flh~~!grk;,,,,: "'::"'~J0;"~""'l;': .". -. ,))"':, ;,~',. .;, ,F'l' :';~ -;'-' t'~, ~(5)'Logoslare'allovyed Ini<ldgltlonJo th~p~rm[tt~g:"'Yall slgns.!lsted abovep~ovlde9:the'logo Is'tbe 10Qoofthe .. .. ~'-:J ',J.:: " 'j. ',,~?: j<_business,re~idirig 'onJ!1e .premisest and p1rovlded lhe'totalrsquare,footage'ofthe pe'rinitted;wal1 signs;and.the ~10gos'dc;'notV- " ~ :~;i, ;~,:' ",". .:~' 4, '~~b~ed .~a.:2om~i~ci,9} ~,(e~a ~ or ~~Q,sq'u.a !~Jee,~for i)'~~lesf~*rY J)uiin~ss~s ,.and;_1? ~,:~q U ~r~': fe'~Q~r:: ~e9o~,d; ~toiY ~bysip~sses;., -, :~; ~> ~.. (:'\"2.. __ j.{;A permlt.ls reqUl~edfor each_logo that-Is beIng ,In?talled:ba~ed on the square footage of the ,proposed logo. . ';'. . . L~' '{~:~:r~.~ "', 1 ," $.>>: ."k;.- ?(6)'I!IU~jn'?~qD'fr9rT]'s~g~i:9,Q~~q~..F3.est9~.n~i?I,~r,"ope~y :;E~~~r~a,I'~IU!11in~ti6r) sh~1lge;sh[e!,ded so.th~!. ttfelight ' . .: i ~'f:';:.i'.;:~1~:~;;~,q,~5:.~~e,I;~n:~~,!~~(~'~wt$r;9_tlX11c~~J:~':~\:J~T:p~b~ertY'J~, ~ir~Aj~t;~~~k~gri~1!J~c~~~Jj~S~nJJ$19r~~,~J~~~~~\r;~~t;fro}~,~1~~',~~ ..', -,.~. \~ 1" -,,',. '",:_~p.LQRertY;ln.the;non~resldentlal:zone;~'.0!1'-~+'r~,1'_""_~,-,i-,:\'",:.. .:'" '" _:,.I',";,__V_, .. '.. ";':~"""'"'."r"'i',. .,'.", ""'. _,.. ~ "-",-0'1 Permit Issuance' 03/04/2011 03/04/2011 03/07/2011 Issued Nancy Machado Deoartment Application Acceptance Received 03104/2011 Result Application Accepted Due Date 0310412011 Comoleted 03104/2011 Reviewer David Bowlsby ~~:t:l :;1 INSPECTIONS REQUIRED ~ Inspections 6940 Sign Attachment 6950 Electrical - Sign 6999 Final Sign Sign Electrical: After connection is ma~e but prior to energizing Sign Final: After all required inspections are conducted and approved and the sign installation is completed. Springfield Building Permit 3nt2011 824:10AM Page 3 of 4 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00344 IVR Number: 811134838698 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/07/2011 ISSUED: APPLIED: 03/07/2011 03/04/2011 EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Signs - Five Guys 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 or 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 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 cons ction. 3'7-/1 Date Springfield Building Permit 31712011 B:24:10AM Page 4 of 4 Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Streett Springfield, OR 97477.PH(541)726~3753. FAX(54 1)726*3689 DEPARTMENT USE ONLY [':::0 4'11 ... 'IV P~I~,'!f'I. CO 'Sl/'f This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. lOCAL GOVERNMENT APPROVAL Zoning approval verified" DYes DNa CATEGORY OF CONSTRUCTION D Residential D Govemment IE Commercial JOB SITE INFORMATION AND lOCATION Job site address: City.. Reference: ZIP: Name: Address: City: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: & Address: Print name of signing supervisor: Signature of signing supervisor: ~ \\ ~~ j~ 440-2584-) (9/08/COM) 7 FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or fceder (2) Services or feeders: installation. alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 [0 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or fceders: installation. alteratioll, relocatio/1 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration. extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 S Miscellaneous fees: service orfeeder not included Each pump or irrigation circle (2) . $ 63.00 S Each sign or outline lighting (2) Z 1$ S 63.00 ~I Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees ~ (Minimum Permit Fcc $58.00) $/g~,D (B) Enter 12% surcharge (.12 x [A]) $ z'kf,f (C) Technology Fee (5% of [A]) $ #. tit;; TOTAL fees and surcharges (A through C): W/./;. I ~I ~ '1~ IS!] ,,'. ~ ;'!!: A e'.. ~, 2~; FIF~H STREE~'~ SP~~;I~~~,'OR'974;7":' PH (541)726.3753 . FAX (541)726.3689 Q. CltyJobNumbe. 5 P/LZ.OIf-OO ~ljl.{ OR; tJ,' . Assessors Map ~, Owner: tl Address: "1:::1, City ~~ Business Name, Finn, etc. ~'( Description of Proposed Sign(s): (Please check and complete all appropriate information) A...' L Wall . ~ Single Face Double Face <" " '. Square Footage: It, 3. f Total He4t~bO~e ~rade: . Vertical Dimension of Sign or Enclosure: '/2.. ' Dimension fro~ Grade to Bottom of Sign Enclosure _ .~.I.cGF/'"'-I r IU. tJ7<f7 7 . 02/0 Z. ",.... Tax Lot: It.L- Phone: State It) /I Zip 1flol G (L'j s. I Freestanding Marquee Projecting Roof Billboard /5' /0" Other 9/1 S" Horizontal Width of Sign or Enclosure: / a. . . {J. Material Sign is Constructed of: ;1t!,eYLI <! I o A .JJ2GtU .S/S4J ' ElectricaIInstallation:..LYes _No , (If yes additional electrical permit required) Ai..ttlklllltUh Value of Sign: ~SD.~ @ ~.. ~ M q::::j '00 List ALL existing signage and attach a photograph of each sign: (a) Type ItJlIllJ (c) Type FA-~rMJ,()IV6 Sq. Ftg, / Ii, Sq, Ftg, /5'0 (b) Type (d) Type Sq. Ftg, Sq, Ftg. Contractor/Installer: E%.;:6',~1 Address:fl/197S LC: ~tJ. City: f.l1lS~'J~ Construction Contractors Registration Number: /t:; <.f7o Phone:S'I/.I.(fS -~~Cf(e, tJe. Zip: tf 70/'02.. State: Expires: Sign District: -1- 5" OFFICE USE CC)_- cc.. Zoning: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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, 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 project 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 hmes durir:;ng t stallahon o~~s), SIgnature ~~ ~ Date ;t- 2. 2.. -II Shared Dnve[T )'BuLldmg Forms/Sign PermltApphcanonl-02 doc ~. o Ir:j ~ @ g: o~ F=1 ~ ~ < ~ o~ ~ ~ ~ eIJ oFi rJ1 ::.~t);{,;~'1~~l-~~~~;~~..;..A~~."'""" :_~~'T,.:.v~~.,~~~~1r:lF~.::~~t!lgU~I~~~J:~;:!?7~~~r~;>._,-~.~:, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 City Job Numbe. S f(L ZO tI .00 '3l( l( Site Address: 31.(,1/0 G4~ f..rV-- .~.ct;P/GUl r lJi. /10322Zo S P(L\""S~E,J . Address: 1'12.0 Ht::71I /k!b _ .51'(;; 2-2.00 . City ~<.G', W" Business Name, Firm, etc. 111 "1Ti!~s 5 ,liAtV / A I 17<f77 . 02/02.. \,.-/ Assessors Map Tax Lot: Owner: v LLC Phone: State It) I'f 5 - G<<fc: Zip flf/ol Description of Proposed Sign(s): ~ Wall . :( (Please check and complete all appropriate information) Freestanding Projecting Roof Marquee Double Face Billboard Other Square Footage: Total Height~uv... O~udt: 5'- b" IS'- b ,. Vertical Dimension of Sign or Enclosure: Horizontal Width of Sigil or Enclosure: Dimension from Grade to Bottom of Sign Enclosure Electrical Installation:...L..Yes _No .. <P.res additional electrical permit required) Material Sign is Constructed of: Ac (L.{ '- / A L.tA.\II,;\., ~iU- """"'" Value of Sign: Alllrc.{r "'0 e-;,ntWV c~IIINh List ALL existing signage and attach a photograph of each sign: 11(, 150 (a) Type IIJ4AJ Sq. FIg. (c) Type FllfYGSrMJtJfA)(j Sq. FIg. (b) Type (d) Type Sq. Ftg. Sq. Ftg. contractor/InStallerEl/;';;.tG~~ . Addressf]/i97S I G- _(j. City: f.Ll L;<;;-.d~ / Construction Contractors Registration Number: /;; ~ t./70 Phone: S<fl- Ws -~<f(o tK. Zip: tJ7~02.. State: Expires: OFFICE USE Sign District: :r::-~ Co """""'--...... CL Zoning: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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. 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 project address is readable from the street, that the pe it card is located at the front of the property, and the approved set of plans will remain on the site at all times during stallation of 81 s). Signature Date ;(-2.2..-/1 i Shared Drive(T:)JBuilding Fonus/Sign PermitApplicationl-{)2.doc www.ci.springfleld.or.us 811-SPR2011-00344 3266 GATEWAY ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 !l41-726-3753 TRANSACTION RECEIPT permitcenter@ci.springfield.or.us RECEIPT NO: 2011000405 RECORD NO: 811-SPR2011-00344 DATE: 03/07/2011 [bESC-RI~TION~~'.~';:-:i-t~,;Y;~~'0z;..:.~~'-~:~,fr:-:;'~'7;~~'Jiffit'i>:~',,_:i. 'KtAC.c.6JjN;Ec.()bE~i~;:ot~;\,j,"~~:":k0: f!.MoONjjjUEl:.::iAf:<'--' ~1 Admin fee (10% of applicable fees) __ Sign Plan Review Sign or outline lighting Signs: 0 - 35 Square Feet Signs: 61 - 100 Square Feet State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) 224-00000-426605 224-00000-425602 224-00000-426102 224-00000-425602 224-00000-425602 821-00000-215004 100-00000-425605 TOTAL DUE: 22.00 84.00 126.00 80.00 140.00 15.12 17.30 484.42 UP.A.'[NfEN:r:..D:eE~~- <;":eAX:OR:::c_~~ErER::~M!\.9:.~i\~(K:. .";";"'~.9_QMM~I:j'rS;' \ ;" Credit Card E S & A SIGN CORP 007122 _ 4 '_~':')'7ti'",,_,;;j,:>'o?jl:AMOUNTPAID_; ~''':.I~. .,~""f'>;'?_X?,1 .,-~. ,~.."'~~.~\~~........""....................'_. . . 0" .___ 484.42 TOTAL PAID: 484.42