HomeMy WebLinkAboutPermit Building 2000-1-5
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Job# 00-00030-01
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Page 1 of 2
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00030-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1063 Cole Way SPR
Assessors Map#: 18020524
Lot: Block: Addition:
Tax Lot #: 06900
Subdivision:
Owner: Redwood Village
Address: 888 Crest Drive
Scope Of Work: Plumbing
Phone Number: 541-431-0150
City/State/Zip: Eugene, OR 97401
New
Value: $0,00
Install new sanitary sewer line to replace existing septic system
Contractor Type
Plumbing Contr
Contractor
Jon Ankeny
X,X,X
Registration # Expiration Date
16112 01/01/2001
Phone
541-686-2667
Quad Area: 3RSC
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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 working day,
Required Inspections
Plumbing
Sanitary Sewer Line - Prior to filling trench,
Septic Tank -After septic tank has been pumped and filled. Please provide the inspector with receipt and verific
Pumped
Construction Types
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 00-00030-01
Page 2 of 2
Fee
Paid On Receipt#
Plumbing
01/05/2000 173
Value/Quantity
Minimum Plumbing Permit Fee
Septic Tank Removal or Fill
State Surcharge For Plumbing Permit
Sanitary Sewer Footage
Plumbing Administrative Fee
Total Plumbing
1
75
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
System Development
01/05/2000 173
1,080
11
1
1
1
1
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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 0' Oregon, I further state that only contractors and employees who are in compliance wilh
ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
Signature
Date
Fee Amount
$.00
$15,00
$3,85
$40,00
$1,65
$60.50
$250.56
$530,97
$491.60
$242.76
$22,05
$10,00
$77.40
$1,625.34
$1,685.84
.r /, ~."'.;.~,..,.:..<.... ':"'-"""~'~~I~GFIEL~ 1-' .
~ESIDENTIAL ~:' , ':1-1'<', '.a ,I'. ,; , , '-~tfii'.. -,","",." "'....,;:',:,.-
PERMIT APPLICATION >ffrallf.,~' ,ll'~"-';: i6i- .:~",;" 'f 'l,":' ','j
'.' ," .
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LOCATIO~ OF PROPOSED'~O~K: _/tJi6 3;,:':ikLe
is:iv'p?_;'(S:)c!:;' ,', ~4
'." N > ".
", t~.. ,:t.~'';;3L~ I ",,,'" ~'<,:. ... i,:('f.
, I ". . -BLOCK'"
I;, .,,~ Ij ''jl<
;p~)' M !()ir.f;E; : I~,
~~S ~T M','"
B..I"f!;; ,r.:.
Inspections: 726-3769
Office: 726,3759
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ASSESSORS MAP'
II)
LOT'
OWNER:
, "
ADDRESS'
CITY:
STATE: '
'?J>e
':1,...,
DESCRIBE WORK: -i/Et,,)
NEW REMODEL
'_~";~ ',f'q<f~
, 'ADDITION ".., DEMOLISH
5\hrI77C!.
,
CONTRACTOR'S NAME
OTHER
. .'..
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;'.,,,; .'~' ;(. " ,..,\.;,~ '1',...1-'1.,. ;;J
;;:;;~'~~,NUMB~~':/ 1;7i- 0
"..: 225 :f;i;th Street,. tf)iJ. ,~~ ~o '€If
, Springfield, Oregon 97477
(jQ;k(;d;Wp~ ri;4i{r\~16
<<J' .JACJ~ ~ " ,
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, "TAX U;;-r.:.l'14?-_.O~.on'-
S'UB~;~I~:C)N: ~ej~ -iM/./t;!1I,.,I
. - r,.1 t
PHON~'
'1,( / - ()/.5D' "
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ZIP: 7'7~77
':ill<
ADQRESS
CONST,
CONTRACTOR N
I~~'I )~~P~~;r
GENERAL:
.PWMBING:
MECHANICAl'
ELECTRICA' .
J/F1.{(U"l{15 CL;~
,laN~k~r
It;:o/ /~
.
,,\...~. .,", '"
"..--,. ,)\ !"", . .1 i .
,.... ," LAND USE:
. .... '\1
''::t,. -... i"',:' t'".'
\' 1/ OF UNITS-
. .'t.......
. CONSTR: TYPE:
. . ~;"~\.: ,....'. .
:H'EAT SOURCE:
'~ }~.!'Ki~" .. ,,':.\ ,\ .', ','
QUAD AREA:
i': ':,-:', ,',
. OF BLDGS:
~~~~:'b."'r.-S~v. '''-'',:.. 'j., 'I'
OCCY GROUP" .
'~.,,..: ~;,!:~'. ~,': ':..~,. . ~h. ~'~.~'-. .
· OF'STOflIES:', " "
~ . \ "{.. .4"-"~\'.
WATE~'H'EATER'" .'\," , ',' .
\,,~~,' ..;:" ',' ,'';<0. ~,- .:. '" .' ,,,,,,t\.
e.,>
. yi';','
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- OFFICE USE -
.
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RANG": '
~~;~ ...... ~ .:.~ '\
EXPIRES
t'.,',
{.
'1'.;1' , ('.::
..- -/..;~~-...,..~_?'
';'0 61,1 1_
,FLOOD PLAIN'
ZONING 'CODE:' ,::
",'
. . 1.)~)'_
.'
-:~,OF BDRMS'
SECONDARY, HEAT'
SQUARE, FO,OTAG E:
. , ~ ''''. ,. '. .'
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To request an Inspection. 'you Il1uS.l:c:all 726:3769, This Is a 24 hour recording, All Inspections requested before 7:00 a,m, will be ,
. \.. ;., .J, ',. . ~'. ".~ ~_' .~" . " '__. ~ ..
made the same working daY,lnspectlons requested' after 7:00 a.m. wllLbe made the following work day.", oJ' <~l..."--I,,..
,'0;'_:;;.:..,,; ~~' <:':-~'~E6'ljjRED iNSP.EiCTIONS' :. ,', ai"!,, ",
D Ten:-porary Electric
o Site Inspection - To be mado"
after excavation, but prior to
setting forms.
D Underslab Plumblng/Eleclrlcal/
Mechanical - Prior to cover. .
, '
D Fooling - After trenches, a"~, ,..
excavated. . . ,...' \ .1,
", ...l
,"
D Masonry - Steel ,location, ,bond ..
, .beams, grou~lng." .'.:.'
I 'l~
o Foundatlon'- After forms 'are'
erected'but prior to concrete
placement. I
D Rough Mechanical ;';~Prlor to
cover. .' ....'......
"'0 Rough"Electrlcal - Prlor'to
cover, :
D'!E'ectr'cal Ser~lce - Must be
.-,,'approved to obtain permanent
'", elect,~I,ca! power.
. ,r ......., :'
D Fireplace - Prior to facing
materlal~ and framing Insp.
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'0 Flnal,Plumblng - When'sll"""
plumbing W9rl< Is complete.
, , "
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. . "I._~_~' ... ""-'1>",,,"'" .,... ~..-..\
o Final, Eleg,tr,lca! . ~ 'When. all
electrical work Is complete.
'.J.
D Final Mechanical ..,.,,\t>Il:Ien all,
mechanical work Is ,complete.
. f;l~ , " .)\l
D Final BUlldlng.-,When all,
required Inspections have. been
approved and bulldlng}s., ,,'
completed, ..
0' Framing '- Prior to cover. :'S81tt'n ,,.' -, . '.JLni
,,,,,..:, '..''''' ' , ~Other - , , ?'-' nl"nuJIf..-
D:...-. ~~illc'elllng insulation _ Prior to. " J.' cr1//_i ~'.JI. I" "
. 'lCOVer:,I".J. , '~'IJ.,.
",
D Underground Plumbing - Prior '
to filling trench, 0 DrYwall - Prl'or to taping,
'. ,. "..;'.. ,. . ,
D UnderUoor Plumbing/Mechanical " ',', ,. " "..-'
_ Prior to Insulation or decking. ,I I D Wood,S,tove - After Installallon.
" :'0
D Post and a'eam - Prior .to floor
Insulation or decking. .
D Floor Insulation - Prior to .
decking,
("*
I '. .
D Insert - After fireplace approval
and Installallon of unit, .
,,' I
D 'Curbcut & Al,proach - After
- forms are erected but prior to
placer:nont of ~oncrete.
~senltary Sewer - Prior to filling
trench. :
;;, .. -, ,'..,.. B Sidewalk & Drlvew3Y - After
D-Storm Sewer - Prior to filling exc~vatlo~ Is. complete. f~rms
~,~tr.!:rf~h. . , . ~n.d. s~~~ase material I~ plac~.
:-~~L.""':J ..' ~. . . .' ~ .
D1~w LillO., - Prior to' filling..: .'1 0 F~:ce:'~ 'Wh~n'cbmPleted:.
....;;trench. <J: .
.~~~ .~, . ~,~,--,,,,",...... .,' 'j'
.,:r::: .
D~~~u'g!'.:.~(..inblng - Prior to
.~coyer. \:"': 0:: . ~ . ,
~~'-"'iCt>-.... .
l---.t .:, "--w t""_. .~I"', "l
I' '4>
, ,,'
.,,~ D'l$,~ree~..Tree& - 'wh~n.all r~qulred
.' trees ~re. plan~ed., "...~.' .
.nijlil, \1/"
MOBILE HOME.INSP'ECrIONS
;'\ "r::
'I" 1 .' ,4. J" '.
.........,. ...;....l '. .
, " "..1.; .
D Blocking and Set'Ui>'~ When all
blocking Is compl~,t~.. I~l'.j . h;Jr.
D Plumbing Connections""; When'
home has been connected to
water and sewer."'-. .._~: .;O~I:\"",' JI' ;';
, . '
'of" H' .._.:' Ju', u..1
o Electrlcel Connection - When
, blocking. set,up. and plumbing <1
Inspections have been,approved
and the home Is connected '.to.:~
the service p~nel. T , ,,(, "
.. ~' . { , I. _ .
I .....~.......~~';...-
o Flnal- Afte[,!!lUe,q..I;~,dl' " 'v,,
.......... I~spectlons,are"ap~roved<and .._,\ojl,
..': porches, sklrllng, decks; and I ,.-:
.. Iventlng have'bee.n' In'st~lIed!A,hJI' l ,-
: .. 'J. "} J t."l':' '>it} .~J ...j . '"J
, .. ---- -. '~f
h, '" '''~ ,'. "","'d[..:i'j;i~, ,l.~"~' "";. ' ' " ' .
, ". "~]~l,,'\nr'~"'~'i"lft',.:,~.:J~..~~J_,\.,t!i~.... :," 1''\.
'.. . '1,/" :~!':? ~ . ....:~.;A:. A. ':i'.~..~_:. ~,. ...' ..:.:.::>._,!,,' '/':' .;'_.';'~ ....._..........,..
---1.::... ,LOtlype, ';"",;f~"'~j,,' ..Setback'...."..'.;'..:1.. ,.' l IS THE PROPOSED WORK IN THE'! '
:' , '" ~'::.PP.L: 'HSE I GAR ,ACC\ ''''HISTOIOiICAL DISTRICT, OR ON I
',_, "':'~"""':"'.",~""'.,.'.',~':~:j'ri~erlor "" 'f-
" "':'/"''1'"'''''' ," . '.. " '",,' THE HISTORICAL REGISTER?
Lot ~o~erage ': ,..)",~ ;'''',:1, -,.Corner ;<~:";':I N "::',' - "':",:" 11 yes, ,thl. appllcallon must be signed
. ...;. ,'" ..(:t~,p::(.. \:..H'~nl~.'. ~:\;.'. 'is'.:~ ". + -i~</:~l::l ' and approved by the Historical
To.POg,rap~y, ~"., '." I':; " pa~h,andl~ I.w', Coordinator prior to permit Issuance,
Total height. ~",,:~","'I'.', t. ;,<I_-~~,:""i.,:.;i.';lr" ~CU,~.::t~i.sac . <';1 E' ',it.. fl~'::J't..'.'-1
'" 'n <> ,.., "",' ,r:,.,'APPRO)lED:
-...... . k ., '. ".1. '1 oi ..~I'.' '.~. . "" ,'';1;'- roh,) '11:
BUILDING;PER~'IT '~,;~~r, ~;', ,I;", BUllDIr:rG,~i::i!/E,~tAN CHE,CK
~-i':EM . ' ;:. sa, h " ['$/80.' FT. - VALUE AND' E!lJ!LD!tJ,G PE~J!'1.IT
Lot faces
',,'i
Lot, sq. f,t'g.,
- -~-- -..".......--...
Main
Garage
CarpQrl. .
"
, Thl,s perml.l is granted on the express, condition that the said
con'structlo'ri'snall, In all respects, conform to the Ordinance
adopted by the' City 01 Springfield, Including the
Dovelopmeiit'Code, regulating the construction and use of
buildings, and may be suspenciec;:t or ~evoked at any time
upon violation of any provisions of said ordinances.
.~:.: :)-~ ,..... :'~.~" h.~I~Jt...che:c~ F~~:
Date Paid:
Total Value
"~-Bullalrig' Perinlt Fee'
. I ,.; .
State 'Surcharge
,. . ,Total F,fo
(A),
SYSTEMs DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
Sanl.lary S!'wer
,N'
. ..
FT..
t7e:r
-1-0.~
Water
FT"
';,'.
Storm Sewer , FT.
Mobile Home'"
~E;l7>(,_' eLV
-. -. I
'f;l,
,--I.tp
.c;'" ~
. $', #'0
t:;;''5.-
Plumbing Permit
State ,Surcharge'
.. . .Hl'~h,),;} .:i
Total Charge
,,' 3ft! -r-/~~
~ . '. .} . . j . .
(C)
MECHANICAC~ERMiT,
Furnace
Exhaust Hood !' '.y':"i'"., ",..d'"
, "~j~l'~':j:" .... l"
Vent Fan' NO
P.. " ,....'1..:._ ' . '. ::. _:: i.' (
Wood $tove/lnserl/Flreplace Unit
"Y.I ., ..J;..! . : . .
Dryer Ve"lt').IH)j;..., lo.j\!';
>. i"'-
..-\,;' ,.:~', .
Mechanical Pei-nile,.
., \. .....:. ".:
Issuance .~ r
-,
..~ .'.
State Surcharge
Total Permlt",,-. II ,'Mr (D)
MISCELLANEOUS PERMITS
Mobile Home. ,
, " ,.' -. ".,.,:..,,- 'H1 ..:.:~
State Issuance I, :.:
Stat~,Surcharg~,., ,~/ ,;, "I
. pOI ;!.l'_,-
Sidewalk .ft ,
Curbcut It
:i.n':.
" ,"\
'''' "':',1,
Demolition
:;. ,J.,; ':
. '\" ... , . :' '.~' . '.- 11 j. .-"
State Surcharge' ~Ir.!,
C,/71-! ,1A i.. ," "
I. . \ , _' '
Total' Mfse'JI-,~~e9~.~:~p~fm! t!l: t.'. ! (E)
jt.2.I?,3J
.' ~.: .,:{t;;t"~ '. .::" :_' tlt!"'.. , . '
\ ;: !()TAl AM,C?UNT, ..DUE (eXCIUdln, 9 elect,rlCal)
,\1. ' (A, B.S.P, ~~d 5.o<'::~,!,~!~e<!)_-...._,..... ,_
..,
Jip.f{),H
. '
, , '1\ \
Receipt Number'
Received By:"
, ,....:
.. ......
.,''',
'.. ~ t
t.:
','
Plans Rovle~ed ey, '..
.... .
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
-rjff3 ')?~ Tlrl)/( )~d M....l!tI~E()
"1, .,
(ZAf~ ~4lir/~ J"-?.,77C- 5.~/f.A'
o;y- ~~) ~ PtllHj)IN~' ,
TtJ ~ly). T~ ~ ~ TA;f2,P
J:jf1trtt. 7JfCt..) ~ ~)) ~
~ f ptV/t: rzH& At! ,R'~l
0/ (JIIt,J ~~ (J1' ,"'~' ,JI"/~
, .. /D'jIlD:T'o) /<~ei'./4i'M
(":., ".... . +
By slgnatu~e, I state and agree, that ~ have carefully examined
the completed application and do hereby certify that all
Info"rmatlon hereon Is true and correct, and I further certify
that any a.nd ali-work performed shall be done In accordance
wlth,the Ordinances of the City of Sprlngficld, 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 Building Safety Division,
I further c~rtlfy that only contractors and employees who
are In c'ompllance with ORS 701,055 will be used on this
,....
project.
" '
I further agreeJto ensure that all required Inspections are
requested at the proP!3r,t.l,me, 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 1I curing constructlf"
Signature ' ~
Date ,/'J <<-;/;; 0
r Y"F"
:D
=l
,
,
VALIDATION: '
RECEIPT NUMBER /7 3
--l
::0 t:l ;:0
ITl :I> :I>
C"J --l :z
t:ln1~
C"J 1'0.;)"-<"
:I> :I> 0
CC' x.a ""?" ........
:x: I
........ C")t-' 00
Il ~':Ii "'8
":Z01'o.;)0
(;:;q:~l . 0 t-'
....~. .,-",,--
,.... '-.........:...;r.
DATE PAID
, ,~
A'MOUNi':REcEIVED
R~C~IV~~BY -~-":V~
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNALORJOBNUMBER 991418 Dt> OQ010~1
NAME OR COMPANY: REDWOOD VILLAGE INC
LOCATION: 4312 COLE WAY
TAX LOT NUMBER 18020524-06900
DEVELOPMENT TYPE: SEWER HOOKUP
BUILDING SIZE:
LOT SIZE
1. STORM DRAINAGE
IMPERVIOUS SQ, FT.
1080,0
x
$0,232 PER SQ, FT.
$250.56 I
2, SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
II
x
$48,27 PER PFU '
, $530,97 I
3, TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486,73 PER TRIP
x $486,73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0,00
$491.60 I
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242,76
PER FEU
$242,76 I
B, IMPROVEMENT COST:
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
$22,05 I
$0,00 I
$10,00 I
$274,81 I
$1,547,94 I
NUMBER OF FEU's
x
$22,05 PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0,05
$77.40 I
>
~ -:r' d -=--UA ~ /p4" ~
SDC Cl,ORDINATOR ---- DA Tft ~ ,
TOTAL SDC CHARGES I $1,625.331
.
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE, FOR REMOOELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
'iNTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC,
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALUW ALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
1
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
I
6
4
,
,
.' ,.
,
,
PLUMBING
FIXTURE
UNITS
2
o
o
o
o
2
o
o
o
o
o
o
2
o
1
o
4
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 11
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $4.47 1989 $2,18
1980 $4,38 1990 $ 1.75
1981 $4,32 1991 $ 1.35
1982 $4,20 1992 $1.17
1983 $4,03 1993 $1.03
1984 $3,88 1994 $0,86
1985 $3.68 1995 $0,71
1986 $3,38 1996 $0,57
1987 $3,03 1997 $0,39,
1988 $2,62 1998 $0,18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE l' $0:00 I
IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0.00 I
CREDIT TOTAL $0,00