HomeMy WebLinkAboutPermit Building 2008-2-13
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00212
ISSUED: 02/13/2008
APPLIED: 02/12/2008
EXPIRES: 08/1312008
VALUE: $ 121,695.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1555 S 57TH PL
ASSESSOR'S PARCEL NO.: 1802030007200
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - SAME AS COM2008-00140 1633 S 58th
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor License
HA YDEN ENTERPRISES 92208
M & W ELECTRIC INCORPORATED 67362
PACIFIC AIR COMFORT INC 39237
DENNIS SCOTT EGGERS 142776
All t:1\lIIUN: yr~~~tnON II
follow rules ad~~::::~
, Notification Center. T~~~ies are set forth
#ofUmts: inOAR95~-001-0010 Pt>lE fifm-001. 1
Primary Occupancy Group: 0090. Y~ay obtain f#S l'iUti\.bv .16.00
Secondary Occupancy Group: calling tUe center. (ilJ~:'\ tAtephoneo,.ced AIr Gas
Primary Construction Type numbefMr the OregOllavtnffirNOtification Gas
Secondary Construction Type: Center is 1-8<J91832~~J.
# of Bedrooms: 2 Energy Path:
Sprinkled Building
Contractor Type
General
Electrical
Mechanical
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
18.00 Overlay Dist:
12.60 # Street Trees Rqd:
10.00 Paved Drive Rqd:
23.20 % of Lot Coverage:
O'~OTICE:
THIS P6M!. "-"":'" .-~j,Jt\" ~n:\\'ORV;
AUTH IS NOT
COMMENCED OR IS ABANDONED FO~idewalk Type:
ANY 180 DAY PERIOD. DownspoutsfDrains:
No final occupancy approval shall be granted prior-to Public Works approval for pump station
Path 1
, nla
I DEVELOPMENT INFORMATION I
Notes: Stormwater routed to public storm pipe.
Pa2e 1 of 4
Residential
Phone Number: 541-228-6935
Expiration Date
07/29/2009
06/19/2011
03/25/2010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
Lot Size:
Sq Ft 1st Floor: 1,031
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport 480
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
2
2
Yes
25.40
Total:
Handicapped:
Compact:
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00212
ISSUED: 02/13/2008
APPLIED: 02/12/2008
EXPIRES: 08/13/2008
VALUE: $ 121,695.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl!s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
1,031.00
480.00
Value
Date Calculated
Description
Total Value of Project
$108,255.00
$13,440.00
$121,695.00
02/12/2008
02/1212008
~
Fee Description Amount Paid Date Paid Receipt Number
~Mech Iss 2+ Appliances~ $40.00 2/13/08 1200800000000000128
+ 10% Administrative Fee $135.12 2/13/08 1200800000000000128
+ 12% State Surcharge $153.07 2/13/08 1200800000000000128
+ 5% Technology Fee $80.53 2/13/08 1200800000000000128
2 Baths One or Two Family $280.00 2/13/08 1200800000000000128
Addressing Assignment $35.00 2/13/08 1200800000000000128
Appliance Vent $7.00 2/13/08 1200800000000000128
Building Permit $701.60 2/13/08 1200800000000000128
Curbcut Permit $85.00 2/13/08 1200800000000000128
Dryer Vent $7.00 2/13/08 1200800000000000128
Exhaust Hoods $10.00 2/13/08 1200800000000000128
Fire SF Fee - Residential $75.55 2/13/08 1200800000000000128
Furnace - up to 100,000 btu $14.00 2/13/08 1200800000000000128
Gas Outlets 1-4 $5.00 2/13/08 1200800000000000128
Plan Review Major - Planning $205.00 2/13/08 1200800000000000128
Plan Review Same As $220.00 2/13/08 1200800000000000128
PW Disc - 2nd Permit $-40.00 2/13/08 1200800000000000128
Residence Wiring 1000 Sq Ft $117.00 2/13/08 1200800000000000128
Residence Wiring Ea Addtl 500 $42.00 2/13/08 1200800000000000128
Sanitary Sewer - Improvement $469.29 2/13/08 1200800000000000128
Sanitary Sewer - Reimbursement $617.17 2/13/08 1200800000000000128
SDC MWMC Administration $10.00 2/13/08 1200800000000000128
SDC MWMC Improvement $990.39 2/13/08 1200800000000000128
SDC MWMC Reimbursement $95.35 2/13/08 1200800000000000128
SDC SanitarylStorm Admin $122.21 2/13/08 1200800000000000128
SDC Transpo Improvement $862.25 2/13/08 1200800000000000128
SDC Transpo Reimbursement $195.48 2/13/08 1200800000000000128
Sidewalk Permit $85.00 2/13/08 1200800000000000128
Storm Drainage Impervious Area $673.36 2/13/08 1200800000000000128
Storm Sewer Each Addtll00' $16.00 2/13/08 1200800000000000128
Temp Power 200 amps or less $55.00 2/13/08 1200800000000000128
Vent Fan $21.00 2/13/08 1200800000000000128
WiIlamalane Single Family $2,513.00 2/13/08 1200800000000000128
Total Amount Paid $8,898.37
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00212
ISSUED: 02/13/2008
APPLIED: 02/1212008
EXPIRES: 08/13/2008
VALUE: $ 121,695.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannin2 Review
02/12/2008
I Plan Reviews I
02/1212008 APP
TAJ
approximate location of street trees
shown on plot plan.
Stormwater routed to public storm
system.
Approved as noted on the plans.
Public Works Review
02/1212008
02/12/2008 APP
TSS
Structural Review
0211212008
02112/2008 APP
DLM
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~e(]uiredJnsnections .
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete,
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
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.
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00212
ISSUED: 02/13/2008
APPLIED: 02/12/2008
EXPIRES: 08/1312008
VALUE: $ 121,695.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 pertaming 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.
- /
--Z /2/A~// ~
e.- ~ .;.. - ,
J-/3-0?5
Owner or Contractors Signature
Date
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
COM2008-00212
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000128
Date: 02/13/2008
DescriptIOn
Plan Review Same As
Sidewalk Permit
Curbcut PermIt
PW 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 SanItarylStorm Admin
Plan RevIew Major - PlannIng
BuIlding Permit
AddreSSing Assignment
Wlllamalane Single FamIly
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
~Mech Iss 2+ Apphances~
ReSIdence Wmng 1000 Sq Ft
ReSidence Wmng Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
HAYDEN ENTERPRISES
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How ReceIVed
dJb 023949 In Person
Payment Total:
Page I of 1
9:14:56AM
Amount Due
220 00
8500
8500
(40 00)
673 36
61717
469 29
195 48
862 25
9535
990 39
10 00
122 21
205 00
70160
3500
2,513 00
28000
1600
1400
2100
700
10 00
700
500
4000
11700
4200
5500
7555
8053
15307
135 12
$8,898.37
Amount Paid
$8,89837
$8,898.37
2/13/2008
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(FAX)15417412572
P 001/002
--..... iij ZON LdV
f Aa ---- INrIlALs ()M -:-:
~ ~ DA'1'E Z -I \...0 K
~ .." SOURCE ~.sf'~ .
12.'1 FlFI1:I STRF;EJ' .. SPJlINGF1ELJ>.OR97477 .. J>II:(541)726-37s.1 . FAX: (541~
EU.....lKlCAL PERMIT APPLlCA170N
City Job Number -C.dUt ~I!:J - Ot"J,,2-/ 2-
3. J(€?Xf' ,
Date
Scrviec Ineluded
1000 sq. ft. or less
Each additional 500 sq. ft. or
ponion thereof
.Each Manufitct'd Home or
Modular Dwelling Service or
Feeder
L-/ $117.00
Z $2J.00
//7
f~
LEGAL DESCRIPTION:
/ f';,tJ 2- <"'-7 68 ~ 72.OV
I
lOB DESCRIPTION:
5/~/r fNHAI~1 / a~~
l>>crmits art non-transferable and expire if work is
not started within 180 days of issuance or .it work is
SUSpended for 180 day:s.
A.
$55.00
Electrical Contractor
1M ft,J ~~~
City
A\ huV\-tI
200 Amps or less
201 Amps to 400 Amps
Nq~&'1 Hw'f ~lr- . 401 Amps to 600 Amps~~'
'\' IC:;/IIIIUN: OregO"Gt~ h~OOI:
Phone 7~~~(tJ,S adoPted~f:Rr i~9M 0
Genter. T~_.::..:-~n WIlly
~~ OAR 952-001'0010t~'t%r setforth
90. You may obtai
l{.<'l/,ftI5nq the ~~nter. ~
nUmber for the Or~go "'. e ephon~ .
1..0 - 1-/ Ole; Center is 1-80~~,g&IQ~ or RelocatlOD
v288~mp#3J1ess I
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 V olls see "an above.
~ll ...'"
D. ~lB
$ 70.00
$ 83.00
, $13S~OO
. $180.00
$413.00
. $ 55.00
Address
SUpervisor License Number
E...t':,,,,,~;cn Date
Constr. CODtt. Number
(P 7 5<RL
1-1-,)w8'
$ 55.00 5S
$ 76.00
SIIO.OO
Elcpir:fI1ion Dale
Signature of Supervising Electrician
IlL-- fA---
Owners Name ./~ J ~;,
-----
New Alteration or Extension Per Pabel
One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 48.00
$ 4.00
Address
E.
City . Ph... ~ 11I'~'1Ur Pump or Urigation WORK . S 55.00
THIS PERMIT ~digTHE $55.00
OWNE~ INSTALLATION AUTHORIZED ~lftEWi.IiiiMlJJS NOT $28.00
The iIwalIation is being mlUk: on ]m>po>1y r D'"WIi'fM ENCED ~ ~R S so.oo .
"not '-.led fur sale, lease or rem. ANY 180 ~tlNiIlri. l'onok lDspedicm Foe.. $SO.oo + s.....rg..
4. "".'-~"'I,J;' ".~";' i" 2""7 J.// ~
Ownc", s;_ . . " f::L7
,2.-_ soicbarge W 1:'"
10% Administrative Fcc . ()
5% Teclmolol;Y Fee o. 'P .
Inspection Request: 726-376' TOTAL 27/ , 71J
Sbarcd Orive('r;)l8uilding FormslElcctl'lcal Pc:mut Al!plicaticn 7.CfJ doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
'. ~,
,JOURNAL OR JOB NUMBER
NAME OR COMPANY
LOCATION
TAX LOT NUMBER
DEVELOPMENT TYPE
NEW DWELLING UNITS
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S F x I COST PER S F CHARGE
I 1946 00 I $0 346 = I $673 36 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS SF I x I COST PER S F I x DISCOUNT RATE
I 0 00 I $0 346 I 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC $673.36
2008-00212
Hayden Homes
1555 S 57th Place
1802030007200
Smgle Family ReSIdence
I BUILDING SIZE (SF: 1431
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST-
o NUMBER OF DFU's I x
23 I
B IMPROVEMENT COST
NUMBER OF DFU's x
23
COST PER DFU
$26 83
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
3 TRANSPORTATION
A REIMBURSEMENT COST
, ADT TRIP RATE I x
957 I
I NUMBER OF UNITS' x
I I
B IMPROVEMENT COST
ADT TRIP RATE
957
x
I NUMBER OF UNITS x I
I I I
=,
ITEM 3 TOTAL - TRANSPORTATION SDC
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's x
I I
ICOST PER FEU
I $95 35
B IMPROVEMENT COST
NUMBER 01 F FEU's I x ICOST PER FEU
I $99039
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATNE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5 ADMINISTRATIVE FEE
I SUBTOTAL x I ADM FEE RATE 1=
I $3,913 29 I 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
= $990.39 1055
$0.00 1054
$10.00 11056
I
I
LOT SIZE (SF)
DISCOUNT
$000
$1,086.46
COST PER TRIP
2043
x I NEW TRIP FACTOR'
I 100
COST PER TRIP I x NEW TRIP FACTOR
$90 10 I I 00
$1,057.73 I
$1,095.74
$3,913.29
CHARGE
$195 66
-'".'--
----- ..
Todd Singleton
2/12/2008
TOTAL SDC CHARGES
PREPARED BY
DATE
1\
L
j 1079
$73 45 . 1078
$4,108.95 I
~
6276
$673.36
$617.17
$469.29
$195.48
$862.25
=
$95.35
12221
=,
r:n
i:LI
Q
o
u
~
~
. r:n
>-<
o
~
11070
1091
1092
I
I
1093
1094
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUNALENT UNITS
BA lHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0
LAUNDRYTUB 0 0 2 = 0
CLOTHESW ASHER I MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0
RECEPTOR FOR COM SINK I DISHWASHER I ETC 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3
SINK COMMERCIAL BAR 0 0 2 = 0
SINK WASH BASINIDOUBLE LAVATORY 0 0 2 0
SINK SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL! WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRlV ATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
*EDU (EqUIvalent Dwelhng Umt) IS a discharge eqUIvalent to a smgle famIly dwelhng urnt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$529
$529
$519
$512
$4 98
$4 80
$463
$440
$4 07
$367
$322
$273
$225
$180
$1 59
$145
$125
$109
$092
$072
$048
$028
$009
$005
IS LAND ELGlBLE FOR ANNEXATION CREDI~
(Enter ] for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX CREDI~
(Enter] for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0 00 x $5 29
= ,
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0 00 x $5 29
o
TOTAL MWMC CREDIT
$000
=
WilJamalane
Park & Recreation District
Job. No. (P>HI'2t't>$ -Ij()Z! 2-
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007
NAME.~~lk:>../ ~.:!-J PHONE:
ADDRESS' 7-~~ SW d~~ITY Jte4H1-dV? STATE:MZ1P: 9 77~ 6
_ _ ~~ .-- _ -- --- __
LOCATION OF PROPOSED BUILDING SITE:
Street Address' J L) -:-; S () # ~70-~L
Plat Name.~ )j(~ Tax Lot Number: ./802" tJ:rtrO e 72-0-0
1. DEVELOPMENT TYPE (Check appropriate dwelllng(s), Dwelling type definitions are on the
back )
A. Sinale-Famllv Detached _ 2--!> 1.3
NO. OF UNITS ~ X $~ per Unit =
$ 213/LtrU
B. Slnale-Famllv Attached
NO. OF UNITS
X $2,426 per unit =
$
C Multl-Famllv Aoartment
NO, OF UNITS
X $2,032 per unIt =
$
D Slnale Room Occuoancv
NO, OF UNITS
X $1,016 per unit =
$
E, Accessorv Dwelllna Unit
NO OF UNiTS
X$1,151,50perunlt= $
WILLAMALANE SDC
$
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval)
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
$ :2-5! ?,6-d
2 I /3'1 07
Date
I ~ I?
DevelopmeritSe-rvlcesDepartment
CIty of Spnngfleld
5