Loading...
HomeMy WebLinkAboutPermit Electrical 2011-7-28 JUL-28-2011 08:29 .AM ALL.CURRENT.ELECRIC.INC Elem1eai Peniiit A" .. ikatkm 22< .1fth_,~.OIl'J'/,m'.P8\"')'l264fltl..JJf(Sll)1:lol4Oll!l 541 582 1291 P.01 ~.......... ., ,. .. , . .... ........ . . .. .'.' Dale: t1ds.perIIIU;.io.-.lmlderOAA!l18._ VenuiJI-_ ~ ~ppire 11.._4_ BiatWwlf/IID 110 dayscor_....lf.......Io....~,."..ll8-daJo. . Name: AlIc:rr-: Cd. ~ .~~2tS.;~"_ . Phone<. - - 'E-mIlil: : 'n;,s ;ns1llllatlon is being mad. l)D lt$idtJttlild (It t1lnn piopetly owned by me '" .1ll8mbot of mv immedialB familV. This (llllplO:ty is.1IUt. illlllllllllll.fN....<l.Xl.'!llllll!<I..I=-. Qf renl, 0A1I 419.S40(1)ami 47'J56O(J). ... ... . .. : SigJlll/Wll; ""ldM'lfhlII ~ uaIr, senit.e tadadfd: I.ooo-"l. fI. ...10.. {.} ; ''Ejlcblldditiolllll ~OOoq. ft orpollion 'lb::reor ,., ;....__ '~,....!......'Ci.li.l'" ;:'7,"'--- ~liRltoIl"""'lll".l~~..,"""""~""""""'" ... ....... Eacb J''-II,J~QnA hamc'M'modutar. dwcIling""".......-m SOnl...... feeden: 11II1<IIknIM. .....11I.... ,,1<<o~M 200 amI'" ..-less (2) $ 81.00 S 26n1i4l>>~2y......_._m_- ;....-. "'1&116" \f 40Ita600....P"(2) $1_ $ (~ 10 1,000...pi (2) $2M00 $ O"".r 1,000 WIlpJl<lnalt<(;I) S-.oo $ 'Rc<:<lmIecI only (2) $ 63.00 $ 1'enIpc\rv, """""'" In: &ede<c: itv<IaIlQ/KI.. """,,,,11m. ",I""",,,,,, 200 "'"1'0 .._(2) S U!!!! _ S 211110400_(21 $87.80 $ 4111 to (,(lO $IlJlI (~) SUll.OIl S QIoer 000: amp;. or t~(l(IO voltsj If.e se.rW:ei. or!eedem sedion above .........draDtar....; ai_ion; _..f....p'r_r .. fee fo<bJM>Clio_will1...._."!~~""-'.tl!.~J.~. &':;b b_b cilOuil S 8.00 b:.~~'i.twlllo,_~l.U~ij('i.~~cit~ stM.Gt t $ U1III $ $U.OO s Fimlbmoobcitalit(2) $ ~~m S .__l\llulCI>ein:nfl S8.ClO $ Mio<rD~..ba,"""'""'-"'~IID/./tfJ'lrJtkd. &.:;h_()fimaDIiOll<ill:le(1) $- ti:l<I"lp or oml\nl; lIabtbl8 (Zl $ lWIII iliaool """WI'" a 1iJIIItod.eJlcr lJlIllCl, oIloftIlio!t..."".,,.,,,,,,m _.............IIospcEilam(l) $ S $ lllUlll $ ~~8:i\~. ~.~~ MO<2SIlH~KlllKXllll). ~ ~ {A} ~nl>lelalof""'llle. .~ ~ (Mh>I..- _F..1I58.OO) & (Il)Jmt.,I1%~(.U'IAJ) (C) T<<hoOlogyJl..,(Sl(ooffAj} A "".................._a ff( $ t $- .. ,~ " ,~ . ~ ~:. 4,'\ " '1'1 ~ Jl , .j, " .. " ;.j.l 19'b~ .'l.~ S.\S '1/b .~ \ www.cLspringfield.or.us TRANSACTION RECEIPT 811-5PR2011-01839 885 5 42ND 5T CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011002132 RECORD NO: 811-SPR2011-01839 DATE: 07/28/2011 ~DE:;SJ;RiJtTIQN~i;.:..i.t,I.' 'I .l......: . "':(":II'JIlII~!lIt!!!!l!!!_~C_GP_DijJIC:o.QEr!~ll'!!:.'0!"::II!1111'!':l:AMlQUNifiDJJj;liiJllili:ruliiir':.rlJ State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 7.56 Technology fee (5% of penn it total) 100-00000-425605 3.15 Temp services 200 amps or less 224-00000-426102 63.00 TOTAL DUE: 73.71 Lii!\yj,iE~1:]'~f:E:~RI:lrrPAy'6RimcASHlERm:HOi1~~.cOMnmusllll_I_._.~M~ONifl.l?~ID_tl!!!~~:;'!inl Credit Card All 2 Current Electric Inc 73.71 8881Z TOTAL PAID: 73.71