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HomeMy WebLinkAboutPermit Building 2002-10-29 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: 02-01097-01 ISSUED: 10/29/2002 APPLIED: 09/12/2002 EXPIRES: 04/29/2003 VALUE: $ 182,827.00 SITE ADDRESS: 905 Fuchsia St ASSESSOR'S PARCEL NO.: 1703261304400 Spr TYPE OF TYPE OF USE: Single Family Residence New Residential PROJECT DESCRIPTION: Lot: 5, Subdivision: Fuchsia Gardens, Land Use: Single Family Dwelling, Zoning: LDR, Address for ADU is 905 Fuchsia, STU Owner: Gene Hiatt Address: 55868 King Road .. ATTENTION:Oregor. ,dill re.I:!!.~!!~ ~~!1',l?,er: McKenzie Bridge OR 974%llow rules adopted by the Oregon Utility I ..Vllll....a.UVll Vt:1I11CI. IlIu::se r Ult;t~ are set Ton ICONTRAl?ffiRI1NIIIORMlAtfLiONII'ough OAR 952-001- J..kJ. IJu 1I,i.y UUIClln copies of the rules bj calling the cJl,icen~eJote:Expira~ionrl)ate numberforthe Oregon Utility Notification Center is 1-800-332-2344). (541) 822-3509 Contractor Type Applicant General Electrical Mechanical Owner Plumbiug Contractor Gene Hiatt Gene Hiatt Chinook Electric Comfort Flow Heating Co Gene Hiatt Eugene Plumbing Phone (541) 822-3509 (541) 822-3509 (541) 461-2590 (541) 726-0100 (541) 822-3509 (541) 484-7440 # of Buildings: Primary Occupancy Group: Secondary Occupancy I'rimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Spec iallnstruction: Notes: I 5.00 35.00 38.00 42.00 41.00 BUILDING INFORMATION I I R-3 U-I VN # of Stories: I Lot Size: Height of 23.00 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water TY.I:e: Gas Sq Ft Basement: Range lWtll:ICE: Gas Sq Ft Garage/Carport Energy lWti:PERMIT SHAI!l!I~~IRf.SIF~~~J!K.. AUTHORIZED UNDER THIS P~'I\ltfff'~Mti'.ace Area: I ''''../....,,~- l \t1~.~ 'U:lANUUNcO FOR I DEVELOPMEN.~, ISV, J! ~, .. . . . '.,., . REQUIRED PARKING 440 14,811 1,712 3 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: I Total: Handicapped: Compact: Yes 15.00 IPUBLlC IMPROVEMENTS~ Sidewalk Type: Downspouts/Drains Fully Improved Yes Curbside 5' Curb and Gutter I of 4 " -WlE~r'~\~",'~, j,...~..._.. ~~1R . ". . ...... .i''''' . . CITY OF SPRINGFlliLlJ Building/Combination Permit PERMIT NO: 02-01097-01 ISSUED: 10/29/2002 APPLIED: 09/12/2002 EXPIRES: 04/29/2003 VALUE: $ 182,827.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Desc ription Type of Construction $ Per Sq Ft Square Footage Value Date Calculated Total Value of Project Fees Paid I Fee Description Amount Paid Date Receipt Number Received By + 7% State Surcharge $96.98 10/29/02 2200200000000000119 ddk + 8% Administrative Fee $ll 0.83 10/29/02 2200200000000000119 ddk -Mechanical Issuance Fee- $10.00 10/29/02 2200200000000000119 ddk 1 Bath One & Two Family $145.00 10/29/02 2200200000000000119 ddk 2 Baths One or Two Family $254.00 10/29/02 2200200000000000119 ddk Addressing Assignment $16.00 10/29/02 2200200000000000119 ddk Building Permit $835.40 10/29/02 2200200000000000119 ddk Curbcut Permit $75.00 10/29/02 2200200000000000119 ddk Dryer Vent $6.00 10/29/02 2200200000000000119 ddk Exhaust Hoods $18.00 10/29/02 2200200000000000119 ddk Furnace - up to 100,000 btu $24.00 10/29/02 2200200000000000119 ddk Gas Fireplace $15.00 10/29/02 2200200000000000119 ddk Gas Outlets 1-4 $8.00 10/29/02 2200200000000000119 ddk Heat Pump $12.00 10/29/02 2200200000000000119 ddk Photocopy Fees $4.75 10/29/02 2200200000000000119 ddk Planning Final Occy Inspection $55.00 10/29/02 2200200000000000119 ddk Planning Plan Review $55.00 10/29/02 2200200000000000119 ddk PW Mull Disc - 2nd Permit $-30.00 10/29/02 2200200000000000119 ddk Residential Plan Check $534.56 9/12102 10594 ddk SDC MWMC Administration $10.00 10/29/02 2200200000000000119 ddk SDC MWMC Credit $-21.98 10/29/02 2200200000000000119 ddk SDC MWMC Improvement $34.83 10/29/02 2200200000000000119 ddk SDC MWMC Reimbursement $332.86 10/29/02 2200200000000000119 ddk SDC Sanitary Improvement $386.17 10/29/02 2200200000000000119 ddk SDC Sanitary Reimbursement $508.07 10/29/02 2200200000000000119 ddk SDC Sanitary/Storm Admin $ I 06.57 10/29/02 2200200000000000119 ddk SDC Storm $993.77 10/29/02 2200200000000000119 ddk SDC Trauspo Admin $49.15 10/29/02 2200200000000000119 ddk SDC Transpo Improvement $709.81 10/29/02 2200200000000000119 ddk SDC Transpo Reimbursement $160.87 10/29/02 2200200000000000119 ddk Sidewalk Permit $75.00 10/29/02 2200200000000000119 ddk Temp Power 200 amps or less $50.00 10/29/02 2200200000000000119 ddk Vent Fan $18.00 10/29/02 2200200000000000119 ddk Willamalane Single Family $2,000.00 10/29/02 2200200000000000119 ddk Total Amount $7,658.64 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-01097-01 ISSUED: 10/29/2002 APPLIED: 09/1212002 EXPIRES: 04/29/2003 VALUE: $ 182,827.00 . -1IIr"r~~~~g,.. , ' .' '" , ~t._",~" . ", . c______ ".~ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Residential Plan Check Total Fees Paid Prior to 9/30/02 $534.56 09/12/2002 $534.56 Plan Reviews , 10/08/2002 APP VJ 09/13/2002 Appr LH 10/07/2002 APP AID Enl!ineerinl!-Res Initial Review-Res 10/07/2002 P1anninl!-Res Structural-Res 09/20/2002 Appr TM 10594 This plan review includes the single family residence and the accessory . dwelling unit Condition 1: Accessory Dwelling Unit may not be occupied prior to the occupancy of the primary dwelling. Condition 2: Applicant shall submit a copy of the recorded deed restriction to City before final occupancy of the ADU cau be given. 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. 1 Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 3 Footing: After trenches are excavated. 4 Foundation: After forms are erected but prior to concrete placement. 5 Post aud Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. 7 Shear Wall Nailing: Before coveriug sheathing with finish materials. 8 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 9 Wall Insulation: Prior to cover. 10 Ceiling Insulation: Prior to cover. 11 Drywall: Prior to taping. 12 Underfloor Plumbing: Prior to insulation or decking. 13 Rough Plumbing: Prior to cover and including required testing. 14 Water Line: Prior to filling trench aud including required testing. 15 Sanitary Sewer Line: Prior to filling trench and including required testing. 16 Storm Sewer Line: Prior to filling trench. 17 Final Plumbing: When all plumbing work is complete. 18 Underfloor Mechanical. Prior to insulation or decking and including required testing. 19 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 20 Gas Service: After line is iustalled and line has been couuected to a minimum of one appliance including required testing. Presure test done at this point. 21 Rough Mechanical: Prior to Cover 22 Final Gas: When all gas work is complete. 23 Final Mechanical: Wben all mechanical work is complete. 3 of 4 , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-01097-01 ISSUED: 10/29/2002 APPLIED: 09/12/2002 EXPIRES: 04/29/2003 VALUE: $ 182,827.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 24 Temporary Electric: Approval required prior to Utility Company energizing pole. 25 Rough Electric: Prior to Cover 26 Electric Service: Approval required prior to utility company energizing service. 27 Final Electric: When all electrical work is complete. By signature, I state and agree, tbat I have carefully examined the completed application and do hereby certity tbat all information hereon is true and correct, and I further certify that any and ail work performed shall be done in accordance with tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety. I further certity tbat only contractors and employees who are in compliance with ORS 701.005 wiD 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 atthe front of the property, and the approved set of plans will remain on the site at all times during construction. ~~ L ..le ~4..,:",- +\- Owner or contractorl Signature oJ. ;2~ 0<""'" Date 4 of 4 I I I =1 $10.00 ~ =1 $355.71 L =1 $3.114.40 I I CITY OF SPRINGFIEaYSTEMS DEVELOP~T CHA~ORKSHEET JOURNAL OR JOB NUMBER: 02-01097-01 NAME OR COMPANY: Gene Hiatt LOCATION: 905 Fuchsia Street TAX LOT NUMBER: 17032613 tl4400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: I BUILDING SIZE: 1712 SF LOT SIZE: 14811 SF I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. I x I COST PER S.F. j 3524.00 $0.282 =1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F'lxl COSTPERS.F. Jxl DISCOUNTRATE I I 0.00 $0.282 1 50% liTEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU 23 $22.09 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I COST PER DFU II 23 $16.79 lITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTAT101:'! A. REIMBURSEMENT COST: I ADTTRIPRATE IxlNUMBEROFUNITSlxl COSTPERTRIP 1..1 NEW TRIP FACTOR I I 9.57 I 1 $16.81 1.00 =1 B. IMPROVEMENT COST: I ADT TRIP RATE I '.1 NUMBER OF UNITS I 957 I liTEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: 1 NUMBER OF FEU's 1.1 COST PER FEU 1 I $332.86 B. IMPROVEMENT COST: I NUMBER OF FEU's 1,1 COST PER FEU 1 I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE l.!TEM 4 TOTAL - MWMC SANITAR.! SEWER SDC I SUBTOTAL (ADD ITEMS I. 2, 3, & 4) 5. ADMINISTRATIVE FEE; SUBTOTAL I x I' ADM. FEE RATE I $3.114.40 5% $993.77 =1 =1 $0,00 $993.77 =1 $508.07 =1 =1 $386.17 $894.24 $160.87 COST PER TRIP $74.17 1..1 NEW TRIP FACTOR I 1.00 =1 $709.81 =1$870.68 =1 $332.86 =1 =1 =1 $34.83 . ($21.98) $345.7 I =1 $155.72 TOTAL SANITARY ADMINISTRATION FEE: 110657 TOTAL TRANSPORTATION ADMINISTRATION FEE: I $49.15 Steve Templin SDC COORDINATOR TOTAL SDC CHARGES =1 $3,270.12 10/8/2002 DATE I .-J CIl ~ '18 u 0::: ~ CIl - o ~ 1070 1091 I T 1092 1093 1094 1055 1056 1079 ,1078 .I . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE II NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS II (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE ( #NEW # OLD ) UNIT FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATHTUB ( 2 0 ) x 3 = 6 DRINKING FOUNTAIN ( 0 0 ) x I = 0 FLOOR DRAIN ( 0 0 ) x 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x .3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 = 0 LAUNDRY TUB ( 0 0 ) x 2 = 0 CLOTHESW ASHER / MOP SINK ( I 0 ) x 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) ,x I = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 = 0 SHOWER, SINGLE STALL ( I 0 ) x 2 = 2 SHOWER. GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3 SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0 SINK: DOMESTIC BAR ( 0 0 ) x I = 0 WASH BASIN ( 0 0 ) x 2 = 0 LAVATORY ( 3 0 ) x 1 = 3 I URINAL, STALL / WALL ( 0 0 ) x 5 = 0 TOILET. PUBLIC INSTALLATION ( 0 0 ) x 6 = 0 TOILET, PRIVATE INSTALLATION ( 2 0 ) x 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's' ( 0 0 ) x 20 = 0 TOTAL DRAINAGE FIXTURE UNITS =1 23 I I *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 CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE. CALCULATE CREDIT SEP ARA TEL Y I YEAR CREDIT RATE PER $1.000 YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE r 197" uK\. oc.('v,,~ $4.92 1990 $2.06 I 1980 $4.83 1991 $1.64 I 1981 $4.77 1992 $1.45 I 1982 $4.64 1993 $1.31 I 1983 $4.47 1994 $1.13 I 1984 $4.30 1995 $0.97 I 1985 $4.09 1996 $0.82 I 1986 $3.78 1997 $0.63 I 1987 $3.41 1998 $0.41 I 1988 $2.98 1999 $0.22 I 1989 $2.52 2000 $0.04 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) VALUE / 1000 CREDIT RATE 4.467 x $4.92 =1 0.000 x $4,92 =1 TOTAL MWMC CREDIT =L $21.98 $0.00 $21.98 " . ""I';;;''''''"'' '"? '(!'~ EEE_CA!J-PElUVIITABPtIGA1'IOmi:"', . ..,~-~.'t::l ~t ''1"J.j.''''~ t'<;! .u ":>-'~"1A-_c:)t:P1>~,"~1:r'~~~, '..: ,t ~1i'~),,'1 'i1~~i fc~f'~ "'j ]p4;~ r1'::';\'~'a~{');~{'i~~~/?.&t'.':#.J~':f."k "~:;(~ ~ ~fCIty:~Job ~.g,w~e~\:.:, ~~., ~;;~~~::!':l-~:~~l:.~~L \t:l~~%\~~ ~>)d-;,~ . ;;:"f E;~ k..:..~.; brlf'C:"'&~~'_:~!~~:_~~"~C'~('^~~\'~~W.'~ ~.b---; GlCOMPLETE FEESCHEI:lui:E'BEL0W?U , . ';~i,~ :~~,%~ 1; 'f,<'~ r"~~ i,.' ,,::.:.j'":....i~'vI f'Ji.',,\.,,'::T~' ; t:,-:t~~,~ ,~S~~ly:tl'/:" "(.;~!,r"7~~;;Biti.~:,;~{$'~ ,,:~?~ i~,:2"i~'l [.~0;;t~~;q t',t. .::~h,,'vli';, '71,';:<(i%'<~",~' ,', ',l.;i~~,':';".'"'i,:':',j;[ih:r~"'r;' J/;:'1t;:;~;;(A ~~ ~~ e~l'~identi!;I~s'iil~i~~or::'::'U~~~~;"~~:"::::~^ '~'. ;<,?~,\~,,, ~~~.,~:~ o~\"~ Multi-Family per dwelling unit. ~~K~ LEGAL D,ti:.S~T}ON-::I.. "1\ ,<Si v~0 Service Included: '~':ffJ \ l U ~r~\() ': ~ O~N""'" '$'0,,0 Items Cost S", J.~ \ '#-=~ . Jo. '(' .,;~v tt;l~)~"t(:,..l " ~~. JO~J>ESCRIPTION (, ,jO<$' 0~~' sq. . or less $106.00 ,i'..:\!!t,t1;"," \ C\ ~~ ( " . ac ditional500 Ui;<f'~ --'\~' .~~. ft rt , 'I' ~" IV . orpo ion Permits are non-transferable an\li~'@ ,6 thereof $ 19.00 if work is ntt'!started within i~ d8Js ~ 'a::: Each Manufd Home or ",'ljo' '" ofissuance!it:ifwork is st"S~~~fq.o"\<' \0' 0 Modular Dwelling N~~ 180 days. . .,'1'1 ,,~v' Service or Feeder ,,;~'~j ~~ /P. 0 c;>'Cb >( i~~tfAf . CONT~.u..;,.9;1,; OR Iti~T ALLA~~@-~ Y B. Services or Feeders. l'I~, j~~~ . ""''-'''''''~ Ii""'>" ~"~.' / I t II r Alt f ",. cl!"""i':: ~. f ~l ,- ns a a IOn, er~..loJ(sR~,..' '~.':.~.~ii trieaI' G6ntractor:,.J. . Relocation: ~-';~!f;"rt~:l:" ri:-};,r ~~1;~~ 'j;:tiji lA' "'" elj!':.'>iltii;0,!j, 1;%.\~ it.~. "~'!l'r' / ~t(. ~ 1,i0.~~ '. :,'"'h;.f;:;,~~ ~'.;"l-~ .~i~~.~ [ __;;"._(~ /' ,:;,', :':.'" 200 amps or less.l~iJ . ~> "':." ~;'<,;t ..:f(.:::~~':~ / ....,. ," .,.l~ '~, ,,) ~r'~'?"'~ '1 '-: ~~ //, '.;", " 201 amps to 4QO amps. ',"!. ;," A:''': \ ,.$J?,OQ."'l ,...., /?,.';:'''-' ,:"l,ti 401 6'0'0~"" - j,i'P" $\"'~ l~_H r~ .',' ,.;' '~" amps t'j _. amp~" ~>'.,' o'~, I 25.?0 :: ': '~ "'~:~601 amps to!P.oo.'!l!lpS. ...' ~'~'----,,$)63:00" " . ~, 'f~e~....100Q ~lrrips/v.QliS, ,.... ;~~". .~.:: J:;;'",,' '0' ~'$,j?$.OO~:~q ,~.I , ,. . ).. /.-", . . .'., ", ," ,'<"~~ ,.~ '. ,,''-'. + ~, ,'---.,-, -- '''ReconnectOnlv,' ',,', ":,,, . .$!50:00~: <c"', .. ,. .::,~:~..'., :'.:": .' . , .t:,;:, ,~ ~.~, J\-=. ~" ..-~~~ ""';_":;..":.; ,J -~, s,;~;:,;.~<j '.,;'9:' :~,cmp~rilry'.~e.tv,ice~~~r~~ced~rs, 'J;'\'\'":,;~:~{~ :2, ~:~--.~:~-,t~ ',',.,.Installation, ,Alteration 'or Relocation ,,,;-, ~ ~ ::~, .,;/") , '.. : '~i":7,',""i6oam~l~r:i~~~"i:,:""~,~;:t),v.I",~;;~~9:o~;jiS)~ _'...~ ,.,~~c.,~~."""pJ"""-",-_,,,,~-> 'h'<"",,,,~ '-, .' ,',~', ..r.N~':'""""" ,,.... .,j ~'. 'i;,:;),2glafllPs.t~:~0~ a!"p~,:, \'.':' ':' ~ ;$69,.00:(;,'::;1 ian~lQv1'.r:40V? 6QO:,!ihp~~:,.:,'-<:~;k' c : J:WO,O,O,"".. ~ Ovef60(F~fupS~o~.tr9pOhr.61tS.:~~~~:~~~ '~'<:<'..--;: )~0~~:~': ~<~ti;~~~ .~i<i "B" b .A::..---.:......., "~;":" ,\ ... . ":' :',;'i'." a ove ~',,,:~ ,,' "'..,. ..'~ If) \;,~:( " . .~O:.' ;<::;.,,! . f,~f.,,~.. ~s,AtiJ""p..',.".;''';,1'f~'~'I+, ....;-:1< ....l .D. Branch GU:'C!l.l!S __ it!:}'j~"i'.';',~~i;:--,:>'.1~~r;,,'~1 Ne,~AIJ,eration OLE, .xtension Per, ~~AHe,'~;. 7:,:;~,.':~~,~~' .' ~~,i.;~." -- ':1 (.fA,.,---.t;.\ i':'~~ ''.j,-<;'''' .";!,~p,,.f<.:"" "':) ".' r//.f'f~"p'::;,'c i f.i~ ~~,::~~7"':~:~'<cf;li~".:};~..,:)}tf:::;' f~~ Oriefircuit:\ S:'.. ',";';;i~",- :..;$43:00:.:',1"..,.., !Jf,,;~"~~~].: ,~.:\J~;~:l \~~1>r ,::~~~~~fif/f;~;.~tf ~L~~~~~~~~.jl}.o~~.l~~t~~J~ or with S~Wif~:u~~*~r~~f{~f~~(t~ or;Feeder Permlt;;"::j~!~~t ,.;~1t ':lr'.::$ ]{OO'}'~l>~~' .:-'~ t: r~,'l.,!;:;t~~;~r ~.;S ".",'" :~~~ '~~~, r:!"~~~ ~~~;;.::;:~.~~ .;: ~ ~; ",,'iJ;~}/~', ~,jl .,.... v.t,.,:t.,,~~t,r "'~'~,;--'%~w..J'~:;'~' ,"1.!~~; E. IVIisce,Uarieous (Servi, ce/fce,ucr not includeli)~""i'i":;.,l:i"":y,,:.l\j;~,':;' ,i) ",.".' ~ -c<"','N,";'''' ,~/ "".,.....~" '....i' , '''~:l,''>>.~ ."~:'. ~~-- ~: ~--'r\". ,.,. ":.Eaclil'n" st' alla'u'on":. --;".: ,."" ~ <t:.rs>~'" ;"ft,i':.". ,~.: s~~.,,:, ~'__,__, , ,'r~', d'..~;'\7 -.:. " Vi~:r:.--(..<;::;l1~.~~__,',':-:~ ~ h-""v,:'<..~ '..' t!. "'-.;)I;"'U.'1 ,_ '"(t>:~:."...,~.. ~~" .~~,Io. ~.~ ~~i.inj:fl~r~irpgatiohi~f;~~~i :~~ __.}~~~Q:oq)':~::~:~,...:;, ~, ~ig;Ypiii}iQeJigl;ti~iil;. f: _ $5(9j~\;';';;~: \ Linuted,Ener'g)i/Res",'':' 'C $25,00'.'~": .. ',"" """"',:"",' ;,.-~~"".? . ,..~'.' ;.J,..ii)!\te(rE~~rgy/Co.mllj;' $45.00:.', : ;::'" i;:i;;F;'~';j':.'F2t~f~;~:::t. ~:l.:~;:;>. . .'.;;i~,:_,.),~. I\iinim~&.:Eli~~}i~)?~'r'~itJ~~pection Fee is 545.00 + S.~rcliargcs 4. SUB1Ut~~~i~, O~" ~ ~tp 7% Sta,~Su'i~h;!!~e:,;' . ~ ,~D 8% AdIi]Jnistrat!rcF~~.. 4lJP '":"~:i Dl.~ '0('17i.. ""'l225 FIFrH'STREET "~ ,.,'<' "*"%1 ~ IJ}.-, ~_.~ '< ><'''''./\' .;......"'..,.~~ I".... ~....'" ~,'.,.. #.:~~.~ 1.~~?;~4 'l'l ~p-~J ~';Sf!IJ:'lPr;n;;IiR, R~9.9J:1",n;lV !;i',~ :,' ;kl'>~., t-l,INSPEC"f,ION:REQUEST:,;726-3769'i\l! "1 ~~ 1['Qij<~~.C?~~,}317i,J~:,.r.,,~i C~, ~;~ !);~~1 ~,1 L~\J :, N 'i'.1 r~ ~s _~ J ~~:<.l~~ hr- ~,~ R'\ I. LOk13~"oF:iNSTAir,"\TfoN ' ~~~ ~'..)$ i.u ~"l'~S ~,tl~,Jn. ~,i t}:';~C4~' ~.;.,r~ . l~~~~ \-f~B;<ol.~ :~,,'')l~,it J\.\'l'~':I' r~:~i~J ~g"~,d\w:,',," ~'~~~'.:J ~\~,~;~ .,;</f... ~.. ~ ~,;~;...;; l',.:;..$,ti [~.{':':\~ ~5:"";.1 ~Y~>J~1 }~;-l"'" h~>:"i -~ (~ ~ :~: :)\''0. 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