HomeMy WebLinkAboutPermit Building 2004-7-12
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00401
ISSUED: 07/12/2004
APPLIED: 04/12/2004
EXPIRES: 01112/2005
VALUE: $ 268,184.00
"
'1
Status
Issued
I,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6807 Aster St 205 S 67th Ct
ASSESSOR'S PARCEL NO.: 1702344402900
Springfield TYPE OF WORK: Duplex
TYPE OF USE:
PROJECT DESCRIPTION: St Lucia PL lot 12 - same as COM2004-00400 lot 19
Owner: COREY DEVELOPMENT LLC
Address: 3956 MIRROR POND WAY EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor License
CONSTRUCTION CONSULTANTS LTD INC 120549
EVERYDAY ELECTRICAL SERVICE 136371
COMFORT FLOW 460
RS PLUMBING CONTRACTING ,-:n ,h03816
. -:1~ l....
AJIlmN
~l1~oN:..aftf'ded bY , afe set
# of Units: to\\O!~~"'~~~~ R952-001- ,2
Primary Occupancy Group: ~cent~et. ~~~lfU\eS bY 28.00
Secondary Occupancy Group: " 952.00\ fl~P. \e~nsI Air Gas
Primary Construction Type" oy _ Ii~p~e te ~~\CatiOl' Gas
Secondary Construction Type: ~~\l\8 Cetdflan R\:)\\\\\'/ No ~ Electric
# of Bedrooms: tot0\9Wl ,.2344,. Path 1
gentet\~1 ed Building: n/a
Contractor Type
General
Electrical
Mechanical
Plumbing
I DEVELOPMENT INFORMATION I
.~~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
28.60
5.00
21.00
0.00
New
Residential
Phone Number: 541-344-0250
Expiration Date
02/24/2006
08/1212005
06/2712005
01/04/2006
Phone
541-688-1907
541-607-6908
541-726-0100
541-461-4714
Lot Size:
Sq Ft 1st Floor: 1,386
Sq Ft 2nd Floor: 1,386
Sq Ft Basement:
Sq Ft Garage/Carport 572
Sq Ft Other:
Occupant Load:
3
Yes
32.60
REQUIRED PARKING
Total: 4
Handicapped:
Co~pact:
-f\\\
. PUBLIC OPME l E~?\RE \f lHt ~~Ol
lH\5 'l~~~~\~ \
Fully Improved t\OR\IEO UNOER ~OO'QtGfQR
Yes ~U1 ~WCEO OR \5 ~~wnspouts/Drains: Curb and Gutter
Set back on Aster Street, curbtOM\ ottfNn~t. NO SANITARY SEWER CONNECTION
OR FINAL OCCUPANCY U~ .d'6V AL OF PUBLIC IMPROVEMENT PLANS, See Ron
Sather for status of public improvement process #726-2240.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2;e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00401
ISSUED: 07/12/2004
APPLIED: 04/12/2004
EXPIRES: 01112/2005
VALUE: $ 268,184.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriution I
Dwellinl!s
Garal!e
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
2,752.00
572.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$254,284.80
$13,899.60
$268,184.40
04/12/2004
04/1212004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 4/12/04 1200400000000000457
-Mechanical Issuance Fee- $10.00 7/12/04 1200400000000001066
+ 10% Administrative Fee $184.09 7/12/04 1200400000000001066
+ 7% State Surcharge $128.86 7/12/04 1200400000000001066
2 Baths One or Two Family $254.00 7/12/04 1200400000000001066
3 Baths One & Two Family $306.00 7/12/04 1200400000000001066
Addressing Assignment $62.00 7/12/04 1200400000000001066
Appliance Vent $12.00 7/12/04 1200400000000001066
Building Permit $1,114.90 7/12/04 1200400000000001066
Curbcut Permit $75.00 7/12/04 1200400000000001066
Dryer Vent $12.00 7/12/04 1200400000000001066
Exhaust Hoods $18.00 7/12/04 1200400000000001066
Furnace - up to 100,000 btu $24.00 7/12/04 1200400000000001066
Gas Outlets 1-4 $8.00 7/12/04 1200400000000001066
Plan Review Major - Planning $103.00 7/12/04 1200400000000001066
PW Mult Disc - 2nd Permit $-30.00 7/12/04 1200400000000001066
Sanitary Sewer - Improvement $705.61 7/12/04 1200400000000001066
Sanitary Sewer - Reimbursement $928.24 7/12/04 1200400000000001066
SDC MWMC Administration $10.00 7/12/04 1200400000000001066
SDC MWMC Improvement $428.46 7/12/04 1200400000000001066
SDC MWMC Reimbursement $629.26 7/12/04 1200400000000001066
SDC Sanitary/Storm Admin $155.30 7/12/04 1200400000000001066
SDC Transpo Admin $111.55 7/12/04 1200400000000001066
SDC Transpo Improvement $1,454.83 7/12/04 1200400000000001066
SDC Transpo Reimbursement $329.78 7/12/04 1200400000000001066
Sidewalk Permit $75.00 7/12/04 1200400000000001066
Storm Drainage Impervious Area $850.72 7/12/04 1200400000000001066
Temp Power 200 amps or less $50.00 7/12/04 1200400000000001066
Vent Fan $42.00 7/12/04 1200400000000001066
WilIamalane Attached (duplex) $1,848.00 7/12/04 1200400000000001066
Total Amount Paid $10,000.60
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00401
ISSUED: 07/12/2004
APPLIED: 04/12/2004
EXPIRES: 01112/2005
VALUE: $ 268,184.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
PlanniDl!: Review
Public Works Review
06/03/2004
06/03/2004
06/07/2004
I Plan Reviews ~
06/0312004 APP
07/07/2004 APP
06/15/2004 APP
LLH
TAJ
VRJ
NO SANITARY SEWER
CONNECTION OR FINAL
OCCUPANCY UNTIL APPROVAL
OF PUBLIC IMPROVEMENT
PLANS, See Ron Sather for status oj
public improvement process
#726-2240.
Structural Review
06/03/2004
06/03/2004
APP RJB
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.
Site Inspection: To be made after excavation but prior to setting forms.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Final Electric: When all electrical work is complete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement o-f concrete.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.,
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
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.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Pal!:e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00401
ISSUED: 07/1212004
APPLIED: 04/12/2004
EXPIRES: 01112/2005
VALUE: $ 268,184.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 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 construction.
D'a Y' _.\ (S..._\
Owner or Contractors Signature
Date
'/ \\A.-\lY\
Page 4 of 4
225 Fifth Street
Springfield, Oregon 97477
. I
54~-72'6-3759 Phone
f',
Job/Journal Number
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
; COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
:',
. ':/ Payments:
Type of Payment
Check
CreditCard
7/12/2004
RECEIPT #:
1200400000000001066
Description
Sidewalk Permit
Curb cut Permit
PW Mult Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
Addressing Assignment
2 Baths One or Two Family
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
Willama1ane Attached (duplex)
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Check Number
Batch Number
Paid By
COREY DEV
DEBRA COREY
Received By
djb
djb
Page 1 of2
5066
000436
r:ty of Springfield Official Receipt
velopment Services Department
Public Works Department
Date: 07/12/2004
Item Total:
Authorization
Number
How Received
In Person
055433 In Person
Payment Total:
10:55:06AM
Amount Due
75.00
75,00
(30.00)
850.72
928,24
705.61
329.78
1,454.83
629,26
428.46
10.00
155.30
111.55
1,114.90
62.00
254.00
306.00
24.00
42.00
12.00
18.00
12.00
8.00
10,00
1,848.00
50.00
128.86
184.09
103.00
$9,900.60
Amount Paid
$1,400.60
$8,500.00
$9,900.60
JobiJo~i~aj'Number
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-00401
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
'\;j;COM2004-0040 1
^' COM2004-0040 1
COM2004-00401 '
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
COM2004-0040 1
'ii~;-COM2004-0040 1
COM2004-0040 1
Payments:,
Type of Payment
Check
CreditCard
7/12/2004
RECEIPT. 1200400000000001066
Description
Sidewalk Permit
Curb cut Permit
PW Mult Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Perinit
.Addressing Assignment
2 Baths One or Two Family
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent '
Gas Outlets 1-4
~Mechanical Issuance Fee~
Willamalane Attached (duplex)
Temp Power 200 amps or less
, + 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major -Planning
f:'':-,.!,
'. .
)ate: 07/12/2004
Item Total:
ChecR Number Authorization
Received By Batch Number Number How Received
Paid By
COREY DEV
DEBRA COREY
djb
djb
..5066
; 000436
'l..
Page 2 of2
In Person
055433 In Person
Payment Total:
10:55:06AM
Amount Due
75.00
75.00
(30.00)
850,72
928.24
705.61
329.78
1,454.83
629.26
428.46
10.00
155,30
111.55
1,114.90
62.00
254,00
306.00
24.00
42.00
12.00
18.00
12.00
8.00
10.00
1,848.00
50.00
128.86
184.09
103,00
$9,900.60
Amount Paid
$1,400.60
$8,500.00
$9,900.60
",; ',':.,~' '. 'r
'. '
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENf'LtORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00401
NAME OR COMPANY: Corey Development'
LOCA TION: 6802 Aster Street & 205, S ,67th Court ""..
TAX LOT NUMBER: 17023444 tl 500
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 2 BUILDING SIZE (SF; 3324
LOT SIZE (SF):
I. STORM DRAINAGE'
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S,F, x 1 COST PER S,F, CHARGE
2933,50 1 $0,290 = 1 $850.72 I
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S,F. 1 x COST PER S.F, x 1 DISCOUNT RATE DISCOUNT
0,00 $0,290 I 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC '$850.72
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x' COST PER DFU
1 41 $22.64
B, IMPROVEMENT COST:
I NUMBER OF DFU's x
I 41
COST PER DFU
$17.21
ITEM 2 TOTAL ~ CITY SANITARY SEWER SDC =,
3, TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADT TRIP RATE x I NUMBER OF UNITS x
1 9,57 1 2
B, IMPROVEMENT COST:
1 ADT TRIP RATE
1 9.57
$1,633.85
COST PER TRIP
$17,23
x I NUMBER OF UNITS
j 2
x I" :,OOS;fXER TRI~
i $76,01
= , $1,784.61
ITEM 3 TOTAL - TRANSPORTATION SDC
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
INUMBER OF FEU's I x COST PER FEU
I 2 I $314.63
B, IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 2 $214,23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = ,
SUBTOTAL (ADD ITEMS 1, 2,3, & 4) = ,
5, ADMINISTRATIVE FEE:
SUBTOTAL x ADM, FEE RATE 1=
$5,336,90 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$1,067.72
$5,336.90
CHARGE
$266,85
x NEW TRIP FACTOR
1.00
x 1 NEW TRIP FACTOR
1 1.00
6005
$850.72
$928.24
$705.61
$329.78
$1,454.83
= $629.26
=, $428.46
, $0.00
" $10.00
155,30
$111.55
r:/J
~
Q
o
u
p:::
~
E-<
r:/J
>--<
o
~
1070
1091
1092
1093
Ii 1094
I
1054
lOSS
1054
1056
6/14/2004
1079
/1078
I
Virginia Jurasevich
PREPARED BY
DATE
TOTAL SDC CHARGES
$5,603.75 I
-:c.J
.' ,-
DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS; CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAG~
f'.
UNIT' FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
I BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
,IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 2 0 3 = 6
CLOTHESWASHER -3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0, 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM, SINK / DISHWASHER / ETC, 0 0 3 = '0
ISHOWER, SINGLE STALL 1 ' 0 2 = 2
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6
ISINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 6 0 1 6
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 5 0 3 = 15
, MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 0
TOTAL DRAINAGE FIXTURE UNITS 41
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$5,04
$5,04
$4,95
$4,88
$4,75
$4.58
$4,41
$4,20
$3,88
$3,50
$3,07
$2,60
$2,14
$1.71
$1.52
$1.38
$1.19
$1.03
$0,87
$0,68
$0.46
$0,27 I '
$0,09 I
$0,04 I
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
o
o
1979
CREDIT FOR LAND (IF APPLICABLE)
V ALUEI 1 000 CREDIT RATE
$0,00 x $5,04
= I
$0,00
CREDIT FORIMPROVEf\1ENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.04
o
. I
TOTAL MWMCCREDIT
=
$0,00
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5J.t\~~689
~I)' ~
ELECTRICAL PERMIT APPLICATION q/J/J/"~~ ql)*II).{)/Jr. '
. (\ ....." 1\ rI'Vo.. f"'o.t'otA AI" q / (j (j, %'
City Job Number -UA' \ a(l..lJ""t..{.A.ft\.A.I Date ' 0(81) C'{ q8
- - o{ r. 8(;0
3.
200 A~S or less
f \\-\~~(&1 s to 400 Amps
. i)'t\C~~ I\\;'ll ~~~\RlO ~Rl-A\tll> ~ <to 600 Amp,
1\ \? \1 ~ ~DE~ 1t\\S? ~E.o~amps to 1000 Amps
"_~ lED U Q\\ \<; ~~~OQ Over 1000 Amps/Volts
p. N\t.~C\:.U t.~\QO. Reconnect Only
eJ\~'i \80 Of\'l ~ c.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
(\__ . """ _,' ~" "^,, r-f' Service or Feeder Permit
Owners Name \...JCC~.... \Je ~JI..'--\f ~ ,~""
Address '&~\.a ~_~~ E.
City ~~<t. Phone ~.@t'C.N1'\O~~W~ir~at8~~\- $50.00
o \O\\O'IJ tu\~Se~~~\~P~e CU\eS b1 $ 50.00
OWNER INSTALLATION Not\\\ca\\05'2._~~~N_d~~l>hOoe $ 25.00
The in,stallation is being made on property I own whMlP:: ~u ",aljtP~~e~~~{\~ $ 45.00
IS not mtended for sale, lease or rent. 00 c;aft C;1~t\. I~on Fee is $45.00 + Surcharges
(\U~ 'r-1\ CP
\..1.).
-S.SQ
~.O;J
~~
LEGAL DESCRIPTION
\'l rfL ~ 4..~ 'PO DD'60D
. "
JOB DESCRIPTION
p"~~a~~n'~~'~~
not started within 180 days of issuance or if work is
Suspended for 180 days.
City
Expiration Date
~
Expiration m'te ~
Si7 Supc,,",ing Electrician ~
Owners Signature:
~_ ) lO{1,_/
Inspection Request: 726-3769
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$ 19.00
$50,00
B.
$ 63.00
$ 75,00
$125.00
$163,00
$375,00
$ 50.00
Installation, Alteration or Relocation
\
$ 50.00
$ 69.00
$100.00
-IDfO
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 43.00
$ 3.00
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc