HomeMy WebLinkAboutPermit Building 2005-9-23
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~ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01210
ISSUED: 09/2312005
APPLIED: 09/02/2005
EXPIRES: 03123/2006
VALUE: $ 184,400.00
e
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 591 Ethan Ct
ASSESSOR'S PARCEL NO.: 1703221206000
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION:. Single Family Residence, Lot 2 Breanne Commons.
Residential
Owner: GARY KONOLD
Address: 3169 WOLF MEADOWS
EUGENE OR 97408
Phone Number: 541-342-4819
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mecbanical
Contractor License Expiration Date
GARY KONOLD iTlCe: 527:t6 RK 03/07/2007
FARMERS ELEC PERMIT SHAll EXPII8~s\l'6 THE WO 03/24/2007
PACIFIC AIR CO ~dN~ UNOER THIS:3ijf;fiM~T IS NOT 03/2512006
ornw' - - ~f'jHWi'"" f3P.
ANY ,unMT~MlJU'. .
# of Stories: 1
Height of 24.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Patb: Path 1
Sprinkled nla
Phone
541-342-4819
541-998-6772
541-672-9510
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P-rimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
3
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,364
1,712
VB
528
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Subdivision Not Accepted
Overlay Dist: Total:
# Street Trees Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: U to
on law requIres yo .'
.......""'TION: Oreg . lj__ ("\,onnn Utihty
IPUBLIC IMMm'ElMEl'fr~""Prl"~;~sel.ules are set 1000n111
" 1. "'~R952--
Street NOII1"""'vp -. 0010Sillew.\IR . b
Fullv Improved in OAR 952-001- . copies 0 P,fi rules Y Curbside 5'
Storm Sewer Available: Yes 0090. You may oblal~l?lt~I'!lIU~t'jiliiS~e Curb and Gutter
Speclallnstruction: calling the center. on Utility Notilicatlon
number lor the.oreg _332-2344).
Notes: No hook-up to City infrastructure until Public ImprovemenOtaeeep'fed ~rhe City: Storm drainage piped to curb
face 9nJ2005 CAS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
1 of 4
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
A.C. - Reslden
Dwelllnl!s
Garal!e
Type of Construction
AC - Residential
V Wood Frame
Garal!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 htu
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement.
SDC SanltarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Wmamalane Single Family
,
Total Amount
..
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$96.00
$25.00
Square Footage
or Bid Amount
1,712.00
1,712.00
528.00
Total Value of Project
Fpp<, P."W
Amount Paid
$532.45
$10.00
$132.59
$92.81
$254.00
$31.00
$18.00
$841.90
$80.00
$6.00
$9.00
$12.00
$4.00
$150.00
$I4.79
$-30.00
$106.00
$57.00
$381.40
$501.40
$10.00
$865.31
$82.03
$119.83
$66.50
$805.70
$182.69
$80.00
$898.13
$18.00
$ I ,000.00
$7,332.53
Date Paid
9/2/05
9/23/05
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~ITYOFSPRINGFIELD .
Building/Combination Permit:
PERMIT NO: COM2005-0I210
ISSUED: 09/23/2005
APPLIED: 09/02/2005
EXPIRES: 03/23/2006
VALUE: $ 184,400.00
Value
Date Calculated
$6,848.00
$164,352.00
$13,200.00
$184,400.00
09/06/2005
09/0212005
09/0212005
Receipt Number
1200500000000001300
1200500000000001393
1200500000000001393
120050000000000I393
120050000000000I393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
I200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
120050000000000I393
1200500000000001393
1200500000000001393
1200500000000001393
1200500000000001393
120050000000000I393
120050000000000I393
I200500000000001393
1200500000000001393
120050000000000I393
120050000000000I393
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~ITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-01210
ISSUED: 09/23/2005
APPLIED: 09/02/2005
EXPIRES: 03/23/2006
VALUE: $ 184,400.00
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
09/06/2005
09/06/2005
I Plan Reviews I
09/06/2005 APP
09122/2005 APP
LLH
EMM
Survey letter included due to
minimum setbacks.
No hook-up to City infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t<
curb face 91712005 CAS Relvsed
plan no overhang into easement
9/22/2005 CAS
Approved as noted on plans
Public Works Review
09/0612005
09/07/2005 APP
CAS
Structural Review
09/06/2005
09/16/2005 APP
TCM
To Request an inspection call the 24 hour recording at 726-3769. Ail 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.
I Reouired I nsoections ,
" ,
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 and/or
foundation inspection.
Footing: After trencbes are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to Door 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 bave been requested and approved and the building is complete.
UnderDoor Plumbing: Prior to insulation or decking.
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.
3 of 4
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~ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01210
ISSUED: 09123/2005
APPLIED: 09/02/2005
EXPIRES: 03/2312006
VALUE: $ 184,400.00
Status: Issued
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.
UnderOoor Mechanical. Prior to insulation or decking and including required testing.
UnderOoor 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.
J 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.
Rougb Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mecbanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
I -
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 1 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 wiD be made ofany 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 wiD remain on the site
at all times during construction.
ownerorco~s~
Dt -'2.3,-05
Date
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.' CITY OF MIELD SYSTEMS DkELOPME~SHEET _
JOURNAL OR JOB NUMBER: C0M2005-0121O lr\. 0). 1. ~ (J J '-1~~~ ('
NAME OR COMPANY: Gary Konald -
LOCATION: 591 Ethan Ct
TAX LOT NUMBER: 1703221206000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 2681 LOT SIZE (SF):
I. STORM DRAINAGE
I~
5364
en
l.l.l
Cl
o
U
e>:
-'~
G
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
"2780.58 I 50.323 I = I, $898.13 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I 50.323 I I 50% I =
DISCOUNT
$0.00
ITEM I TOTAL - STORM DRAINAGE SDC
$898.13
$898.13
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 20 I 525.07 =, 5501.40 11091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's I x
I 20 I 519.07 $381.40 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $882.80 I
). TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRlP RATE I x 1 NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I I I 519.09 I 1.00 I 5182.69 11093
B. IMPROVEMENT COST: I
I ADT TRIP RATE 1 x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI
I 9.57 1 I I I I 584.19 I 1.00 I = $805.70 11094
ITEM 3 TOTAL - TRANSPORTATION SDC = , 5988.39 I
4. SANITARY SEWER - MWMG
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I I I I 582.03 = $82.03 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I I I 5865.31 = , $865.3\ 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) , SO.OO 1054
MWMC ADMINISTRATIVE FEE = , 510.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, S957.34
SUBTOTAL (ADD ITEMS \,2,3, & 4) = , $3,726.66
5. ADMINISTRATIVE FEF,;
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
53.726.66 , 5% I 5186.33
TOTAL SANITARY ADMINISTRATION FEE: 119.83 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: 566.50 11078
I
Cheryl Slaymaker 9/23/2005 TOTAL SDC CHARGES = , $3,912.99
PREPARED BY DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCU.!-ATlON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FlX11JRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
rBATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE lEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
rRECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
ISHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0
I SINK: COMMERCIALlRESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL/WALL 0 0 5 = 0
TOILET. PUBLIC INSTALLATION 0 0 6 = 0
:rOlLET. PRIVATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
.EDU (Equivalent DwellinJI: Unit) is a discl1arRe equivalent to a sitlRie family dwellit1l!; unit (20 DFlfs) set at 167 ~lons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
l YEAR CREDIT RATEI$I'O~
ANNEXED IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
ASSESSED VALUE
I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
I 1980 $5.19 (Enter I for Yes, 2 for No)
I 1981 $5.12 BASE YEAR 1979
I 1982 $4.98
I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.63 VALUE /1000 CREDIT RATE
f 1985 $4.40 $0.00 x $5.29 ~ , $0.00 I
1986 $4.07 I
I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.22 VALUE/1000 CREDIT RATE I
I 1989 $2.73 $0.00 x $5.29 0
I 1990 $2.25 I
I 1991 $1.80
I 1992 $1.59 TOTAL MWMC CREDIT = $0.00
I 1993 $1.45
I 1994 $1.25
I 1995 $1.09
I 1996 $0.92
I 1997 $0.72
I 1998 $0.48
I 1999 $0.28
I 2000 $0.09
,I 2001 $0.05
115 FIFTH STREET. SPIUNGFIEUJ, OR 97477 . PB:(54I)726-J7SJ . FAX: (541)726-3689 ~~
ELECTRICAL PERMIT APPLICA110N 'O\0C~:, \0 ..':
City Job Number C S ' i!:! \ 1Je . D.t~...\~~ Q ,0~
1 ;~LoaiWN;a~~","" 'riiMfjjJNir::~I.~T '::;CoMP,jj,:tiJfEi'!.~'f,:t;:.~,~., 'f:>.. '.
. "t5cx..C.... "~. "?\,.,':".,,,.:-., 3. '~"'~~".:". ~""",,,;.~.^;o 'i~~ ..-,.~ ~~~ ~ .
L'11l0"S O~' ' VA, ~~~7~~i'j~~i~~'''';''1~1&1~7fd~in~~lG~;;~'
.." Q \'::.r....<.:...';!,~r..:"':'....I.'.; ~"\.~.;;,~r...~ ..~a...:;:r..,V/1-:'1r:.... '.~ .~.~.,_...\.'~_.1(~,.:.......":o....\
.. . \; .""
SenicelnclDded ,.' 1 "'f _ rCt)
JOB DESCJUJ>T\~N n^:: 1L~() loOt;~q. tt.'o;less O' I $106.00 ~.
_<\tf\7\QOI~~f},~O.D- :.,:;~;'d~~:~5oosq.f\.or ?J $19.00 5"Jpa
~.tnlnsre"'ble and ..pi~work is ~ 'Each ]\.I.nur.CI'd Hom. or
not started within 180 day. ofiss..nce or ifwork i. Modular DwellinB Servioc or
Suspended for IBO day.. .'Feeder
7263676
CITY OF SPRINGFIELD
. B9/B6/2BBS 13: B7
,..
550.00
.
~~:ol~~~fj'i;jj\TiONCNF~t ~ B ~~~'f.;:~~j"~~'~~~iit\Th'(alt~~~~:~:<I~~';':R~~~W
1. ~~'!!~~'.~~;:-X~~f,-\':.~oi.t~l;:.....'i::~~t'r.-:;>::;>d~' . ~'1~'~"if.~.':;'e:1""":''''''-;':''''o4i''~~~i:sI'~':r'~~1tv.':.''.:.rrOl:yt..::..~~:
Electrical Contractor rOlYiY'\e,v' 's aed- ;tWl.Al;lE&fMlf SHAll" ~ $ 63.00
,. f),n ~~fall r:^Pl~E I~ TU~
Address <::;1'2J1s h 'J, t~ / d 1'1 0 fUI [jJcJ . G\l~ ,fR THIS P~qMiT .
. '. p~' fl. ~~'f)~1 ~ ABANDONES F .W
City~ t{Vl' 111_\.f--1 hone 't:Ft<((. h 77 7.- Over 1000 Amps . 00., 5.00
. Reconnect Only $ SO.oo
'?O t' c.., S
Supervisor LiceI1$e Number I {~j
Eapiration D.te . I Ii -- I ~- o' b
C ;~""'_'"~.'''''''''''''.ifj::;;'<'"~''':''''''''!t~~~'M-:''''''=''''''.''"'''''
. ~'t...~..~";'-tr.~~.~.~;.,"!~~I}~."",t".t~~?1l!~;~~~~~~'l~j~~~~
Expirmion Dale
''] .-2- Lf -Q. L-
V"
Instan.tion, Alteration or Relocltioa
200 Amps or less
20! Amps to 400 Amps
401 Amps to 600 Amps
Over 600 AmDs or 1000Vo!tl.....B".bovt.
D. ..~-ic!ll""Cl~;~~~.":lill:>.~:,.~~~~"~'"I~'l$;~m..
W~............~,:.........A_,q..."':i<;lI!'l1\~~~u~.;t..~~~~~l.,,~
New Alteration or ExteDsion Per Panel
One Circuit
Each Addirional Circ\.lit or with
Service or Feeder Penni!
1Y
Con$U'. Conlt. Numb.,.Q9?o p r..
$ 50.00
S 69.00
$100.00
$ 43.00
$ 3.00
"""".,~~....;;.~,..~ ~ ..............".._~-'" -.........,..
. ~~M~la'eO~~~... .~~er;i)tiD~i~.'~~~~lhiDlti1Taairi;
.:.y.:.: ...,~~. ......t. "_:~..$.:.'V'~;';uu.:::."I'~:~"" ~" ~....~~...e,~...i1,..!,l;I~.:l'lo:.""'>:1\i
5 50.00
$ 50.00
is not intended for sale. lease or rent.
009" '~~'L~ .,,L, ''''<<'UU1-
Mlnlm.~",.];jIean'II1e'J,!j,!J~!~~I\~~5'J~~5.00 + Surcharces
calhn!; ','l.> ""rJmtm"~;Lf'Th'.&:m:u=,;;ii;:r;"'I#~:'~ 'LD~ cP
nun1,e~~~ QlC'A:BlJV..e''''';;'''~'''' .,,".J
I '-": >.n~IWtijitylN'diiilt~tf6~ .~;;. \',~. .
'ill~'"'''''0i0'l32.344J. \ ~ 1f
10% Admini.""tivc Fee \
TOTAL \ C\ .
Own... Signature:
In.peetlon Request: 726-3769
Shsn:d Drivc(T:)lDuildin, Fonu;1EIcctrical Permit A.ppliCAtion l.o3.dnc
(
:1
225 Fifth. Street
. 10 ,_ ~
Springfield, Oregon 97477
541-726-3759 Phone
.~
.. ~.-.--~..~....l
~.~.~ ~
_~f Springfield Official Receipt
"opment Services Department
Public Works Department
" RECEIPT #: 1200500000000001393 Date: 09/23/2005 1:40:IOPM
J.i./JOIIrrud Number Description Amoo nt Due
CbM2005.0121O Plan Review Residential 14,79
.,
COM2005-0121O Addressing Assignment 31.00
COM2005-0121O Willamalane Single Family 1,000,00
COM2005-0121O Sidewalk Permit 80.00
COM2005.01210 Curbcut Permit 80,00
COM2005-0121O PW Disc - 2nd Permit (Street) (30,00)
. COM2005-0121O Sanitary Sewer - Reimbursement 501.40
COM2005-01210 Sanitary Sewer - Improvement 381.40
C.OM2005-01210 SDC Transpo Reimbursement 182,69
COM2005-01210 SDC Transpo Improvement 805.70
COM2005.01210 SDC MWMC Reimbursement 82.03
COM2005-01210 SDC MWMC Improvement 865.31
COM2005.01210 SDC MWMC Administration 10.00
Q)M2005-01210 Building Permit 841.90.
COM2005-01210 2 Baths One or Two Family 254.00
.,
COM2005-01210 Furnace - up to 100,000 btu 12,00
,
COM2005.0121O Vent Fan 18,00
dlM2005.0121O Exhaust Hoods 9.00
"
COM2005-0121O Dryer Vent. 6,00
COM2005-01210 Gas Outlets 1-4 4.00
COM2005-01210 Appliance Not Listed 18.00
COM2005-01210 -Mechanical Issuance Fee- 10,00
COM2005-0121O Plan Review Major - Planning 150.00
COM2005-0121O Storm Drainage Impervious Area 898,13
COM2005-0121O SDC Sanitary/Storm Admin 119.83
COM2005-01210 SDC Transpo Admin 66.50
"
COM2005.01210 Residence Wiring 1000 Sq Ft 106.00
COM2005-01210 Residence Wiring Ea Addtl 500 57.00
COM2005-0 1210 + 7% State Surcharge 92.81
COM2005.0 1210 + 10% Administrative Fee 132.59
I~ Item Total: $6,800.08
payments: Check Number Autllortzatlon
TyPe of Payment Paid By Received By Balch Number Number How Received Amount Paid
CreditCard GARY KONOLD djb 266960 In Person $6,800.08
"
:,1 Payment Total: $6,800,08
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9123/2005
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