HomeMy WebLinkAboutPermit Electrical 2003-7-8
'.
225 FIFTH STREET i,o
SPRINGFIELD, OREGON 97477
INSPECTIONRE,Q~p:: 72$~3 "
OFFICE:.72Q~375;9'i~::> {. ,", r"
P, >::,:,; ~;? _ ;:~>';"J. ',:':-',", '~--~,
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, 1. LOCA1'IONQF ,.""STALL1\TION
401. -gtk~s1;;~')~" ~,-
LEGAL DESCRIPTI9d
/703 zr ,7r ()J7tJZ)
ELEL.JCAL PERlvITT APPLICATION
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.' City Job Nri~~e:;:)('~ z&.tJ 'Z', -OO>Bcr
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LETE FEESCHE " OW
Items Cost Sum
JOB DESCRIPTION 1000 sqJt. or less
UI0~casR^' "r-.)t'> L^ -,!;;\.,.JSHlCl )I('/-t' Each addi~?61illJR8
rOleet as sllbm~'ft1~reWgfMC\fue
Permits are non-transferable and expire: \O\\OW\~g Joes nol reqUirltlM-~<6p
if work is notstarted within 180 daY~~~~;\I~n ....-r1/f) Each Ma~d Hnn=or
of issuance or. if work is suspended for Zonin~ ~ular Dwellin~
180 days. 1" "6 d)!2 ~~~ orreeder
t\ate~ _ ~ -
2, CONTRACTOR INSTALLATION~Q1;%ruzeo s\gnt3~Jf'Services or Feeders
Installation, Alterations
Relocation:
$106,00
$ ] 9,00
$ 50.00
Address
City
'Constr .
ermit Inspection Fee is $45.00 + Surcharges
4. SUBTOTALOFABOVE
7% State Surcharge
,/O-&%-Adll1inistrative Fee ....___6?V
///~/\7.J~9..35-
( DJ,~
" --
-$
b 1 ' 60
4,~
c. _r- 7"'
.~../ L-.
TOTAL
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00589
COM2003-00589
COM2003-00589
COM2003-00589
Payments:
Type of Payment
Check
Cash
Job/Journal Number
COM2003-00589
COM2003-00589
COM2003-00589
COM2003-00589
Payments:
Type of Payment
Check
Cash
Receipt #: 1200200000000001723
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
WILLAMALANE
WILLAMALANE
Received By
dIm
dim
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
WILLAMALANE
WILLAMALANE
Received By
dim
dIm
Check Number
Batch Number Authorization Number
47294
Check Number
Batch Number Authorization Number
47294
City of Springfield Official Receipt .
Development Services Department
Public Works Department
Date: 07/07/2003
1:37:44PM
Amount Paid
63.00
6.00
4.83
6.90
$80.73
Item Total:
How Received
In Person
In Person
Payment Total:
Amount Paid
$79.35
$1.38
$80.73
Amount Paid
Item Total:
63.00
6.00
4.83
6.90
$80.73
How Received
In Person
In Person
Payment Total:
Amount Paid
$79.35
$1.38
$80.73