HomeMy WebLinkAboutPermit Building 2002-5-9
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I Job# 02-00443-01
Page 1 of4
TRANS#:01-0008931
DATE:t1AY 09 2002
AMT RECD:2 $ 6036.30
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00443-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Address:
Tax Lot #: 13500
Addition: 2nd Subdivision: Levi Landing
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P.h'onil\Number: 541-344-9181
!:>'\ ,,'-" ....0",.
~,0 ",CitytSt~telZip':
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Scope Of Work: Single Family Residence ,;i' 0CNftw ~Oj ,~'li ~0
'J' ~'S' ,~'<J O'?' "$'0 ~o ~o~
~'lJ~ /)'Q !:>0 ~ d- 0-0~s..'v'l>
SFR .....,;>.~~,'li ",~~~0\j;..,0C;,_,^0'1':"0~_
,- 'b-" ~0~ ,\,) CJv' 0....~ nPr1
Contractor <..-<?"~0C;, cl\:<::!;<::!; 'is-~ ~o'l ,,'1~fgistration #
,<.. "'~~~ \:)<::!; <r> ,. o~ ,,"::J
Covert Enterp~l~~,%,!ng."rz: A'I>~ _0<i>-~,0~<>.<::,<;:!' 82272
Po Box 2620~G~r~.PJ,9~~Q2.:g,464
~- :!J' '~-..J 'v ~'(J
, ':.pOJ v~'~ <o~O.!!iae Use
Quad Area: 4RNE La~ Use: Single Family Dwelling # Of Buildings: 1
# Of Units: 1 Zoning Code: LDR Occupancy Group: Dwelling
Constr. Type: (VN) Wood Frame Bedrooms: 3 Heat Source: Forced Air Electric
Water Heater: Electric Range: Electric Sq. Footage: 1959
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To request an inspection call the 24 hour recording at 726-3769. All inspections re~~~~efore 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wil...~ ~~ the following
working day, ~ # ~r$'
R . dl t. ~~'~$~
equlre nspec Ions " ... - &,y
I Building ~ ,~~
-Install ground rod at footing, and call for ~~~~~cOnjUction with footing andlor foundation ir
-After trenches are excavated. .(,r'.. ~ ~~ ~ Q'
-After forms are erected but~r'~~~~~~~nt.
-Prior to floor insulation or d ,~ {P -A q,
-Prior to decking. .....~ t..~-~ ~"tl
-Prior to cover. $' ~. ~
-Before covering sheathing with ffn~~~rials.
-Prior to cover. ~
-Prior to Cover
- Prior to taping.
- When all required inspections have been approved and the building is complete.
Location Of Proposed Site: 6745
Assessors Map#: 17023411
Lot: 101 Block:
Jacob Ln Spr
Owner:
Marce Fast
3642 Berkshire Street
Eugene, OR 97401
Value: $164,016
Contractor Type
General Contr
Expiration Date
2/5/2003
Phone
541-345-0703
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Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Underfloor Plumbing
I Electrical I
-Approval required prior to SUB energizing pole.
I Plumbing
- Prior to insulation or decking.
Temporary Power
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
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Job# 02-00443-01
Required Inspections
I Plumbing
-Prior to cover or placement of concrete.
- Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
-When all plumbing work is complete,
I Mechanical
- Prior to insulation or decking,
- Prior to cover.
-When all mechanical work is complete,
Page 2 of4
Strtiet Improvement: Fully Improved
Curb Cut?~ Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? ~
Special Req.:
Security Required:
Bond Begin DateTime: 001001000000:00:00 '
Zoning: LDR
FloodPlain? ~ Wetlands? 0
Journal numbers
1: 1997-06-0142 2:
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
6
0010010000 00:00:00'
Curbside - 5'
o
8
To Curb and Gutter
Need over width driveway permit for 30 foot wide driveway
Types Of Warning Devices Reqd.
Overlay District: Floodplain Overlay
# of Street Trees: 5
Land Use: Single Family Dwelling
Pave Driveway? ~
Comments:City Engineer determined Floodplain - FEMA elevation Cert, requirec
3:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: See above
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1959 Accessory:912
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Private GaragelCarplStor
# Of Stories: 1 Height (feet): 25
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2871
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Job# 02-00443-01 Page 3 of 4
, Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check I
Residential Plan Check 04/1712002 8631 164,016 $504.99
Total Plan Check $504.99
Buildinq
Building Permit 05/09/2002 8931 164,016 $776.90
State Surcharge For Building Permit 05/09/2002 8931 $54,38
8% Building Administrative Fee 05/09/2002 8931 $62.15
Total Building $893.43
Electrical
Minimum Electrical Permit Fee 05/09/2002 8931 $.00
Temporary: 200 Amps or Less 05/09/2002 8931 1 $50.00
State Surcharge - Electrical 05/09/2002 8931 $3.50
8% Admin Fee - Electrical 05/09/2002 8931 $4,00
Total Electrical $57.50
Plumbinq
Minimum Plumbing Permit Fee 05/09/2002 8931 $.00
Two Bathrooms 05/09/2002 8931 1 $254.00
State Surcharge - Plumbing 05/09/2002 8931 $17.78
8% Administrative Fee - Plumbing 05/09/2002 8931 $20,32
Total Plumbing $292.10
Mechanical
Hood and Exhaust 05/09/2002 8931 1 $9.00
Minimum Mechanical Permit 05/09/2002 8931 $.00
8% Administrative Fee - Mechanical 05/09/2002 8931 $4.24
Less than 100,000 BTU 05/09/2002 8931 1 $12.00
10,000 Cubic Feet or Less 05/09/2002 8931 1 $8.00
Vent Fan to One Duct 05/09/2002 8931 3 $18.00
Dryer Vent 05/09/2002 8931 1 $6.00
Mechanical Issuance 05/09/2002 8931 $10.00
State Surcharge - Mechanical 05/09/2002 8931 $3.71
Total Mechanical $70.95
Public Works
New Sidewalk 05/09/2002 8931 180 $81.30
New Curbcut 05/09/2002 8931 1 $75,00
2nd Driveway/Overwidth Appl Fee 05/09/2002 8931 1 $35,00
Encroachment Permit - Residential 05/09/2002 8931 1 $120,00
Total Public Works $311.30
S'/stem Development
Residential- Single Family - Storm 05,09/2002 8931 4,005 $1,093.37
Residential Improvement MWMC 05/09/2002 8931 1 $34.83
MWMC Administrative Fee 05/09/2002 8931 1 $10.00
SDC Administrative Fee 05/09/2002 8931 $159.43
Residential Sanitary MWMC 05/09/2002 8931 1 $332.86
Residential - Improvement 05/09/2002 8931 1 $659,76
Residential - Reimbursement 05/09/2002 8931 1 $155.13
Sanitary Sewer SDC Reimbursement 05/09/2002 8931 24 $512.88
Sanitary Sewer SDC Improvement 05/09/2002 8931 24 $389,76
Total System Development $3,348.02
Fee
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I Job# 02-00443-01
Paid On Receipt#
Willamalane SDC
05/09/2002 8931
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Page 4 of 4
Value/Quantity
Fee Amount
SF Residence - Willamalane
Total Willamalane SDC
1
$1,000.00
$1,000.00
Planning Plan Review
Total Planning
Planning
05/09/2002 8931
1
$55,00
$55.00
Address Assignment
Total Permits w/o Srchg
Grand Total
Permits w/o Srchg
05/09/2002 8931
1
$8,00
$8.00
$6,541.29
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Dennis Ernst
04/19/2002
05/02/2002
04/26/2002
04/23/2002
FEMA Elevation Cert required.
Engineering-Res
Planning-Res
Structural-Res
Liz Miller
Tom Marx
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 pertaining 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 701.055 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.
/YJ OJ> Jt-P rf' '>.. ~!lIJ:J;
Signature
.5-' 9. 02.
Date
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225 FIFTH STFlEEr
SPRINGFIELD, OR 97477
(5411 726-3753
FAX (541) 726-3689
May 10, 2002
Marce and Marilyn Fast
3642 Berkshire Street
Eugene, Oregon 97401
Enclosed is the original temporary permit for your single family residence to be
constructed at 6745 Jacob Lane, Springfield, Ore'gon.
When you obtained your permits, we neglected to have your sign the permit. Please sign
the permit on the indicated line and return it to me in the enclosed self addressed pre
stamped envelope. I am enclosing a copy of the permit for you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Lisa Hopper
Building Safety Supervisor
cc: David Bowlsby
Enc!.
. \o\\O.r-:9,
" _225 FIFfH STREET., ~e 0 ~~
"'..; SPRINGFIELD. OREGON 97477\!A~~ \'l;~
, INSPECTION REQUEST: 726-37690S~
OFFICE: 726-3759' '1'0\e~9\\@'" ~.
\0"'\(\<) ooes
M': TIO
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T1I~~~~\V<e
L~J.,1-0
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J~B DESCRIPTION (J '1 1000 sq.f1. or less
\.0 f\Iill, ~l f ')0>1_ _tV 0 ) Each additional 500
, \ '~sq. fI or portion
Pcrmits arc non-transfer&)JkfI1Af.,pirc thereof
irwork is not started willM{ fllt\l&il~S Each Manurd Home or '..
ofissnance or if work istliiF~Mrr SHAll EXP Modldar Dwelling '...: ".';\',
ISO days, " AUTHORIZED UNO IRE IF T8li!\W0f!Jfceder ,,,;.t' ,;.:{.~ $ 50.00 -=---
',~.PMI ER THIS PER~/T IS Nn " ': -'::":.'- .
2 N~CTOR 1!\I$.~~~~{{JNJ(mt1S ABAtfbifflrn':rh'lf'Fl!l.lers ':~" '."" .~:: ",,:',:t "
'. . . /'" fso DAY PERIOD lliM!lllation, Alte....tions or,:: ..';\~: ;~:~."". '
El . C' ,.... . R I t" : ... _' ,.<1-;-. :."'-~'"'' ".:' '.
CClnc. onlrnctor ".' c uca IOn: ,.: ~ '_ ...~,~,: .;.:~~~. -",-;,:/.tir.:,:.\~)' :...~':..
:~~\"i" .'ii';:\~;~",,;~:~:<Ji:~~}~flt~t:.';~)!!;;., :,<.':.'
I.,.." "'>'/~'" 200 amps or less.,>".." ,..""..,,' ,..h','"~",,, $63,00",..,.
(r~,~::;;:i"', 201 'lmps to 40((~I~P~'::F:.,.;:.:l:f.J:{:':;~.i?'\\:',~hf:;\~"$,:i,\S:,(j,O,',:""" .' "
j!,(:..' :Phone ..' ' 401 amps to 600:~mpst: '::;':':;\',:;;";~" $F5:00:,--
.;;" . ",' 601 amps tci'I OOO'amps, "'/: '. '.;,:~' ,.',' ;' $1'63:00
/, . Over I OliO amps/volts ' -: :.2...:.... $375.0.0
, , '/~: . Reconnect Only' ':.>,~ $50.00
E,'plr:ltlOn Date "" , y , ",,'.' :,.",:..,...t~,,' :;.,..;, , ,..~" "'~,
,'. . "",' '/ '. '.' '. ' , c. TcmJlor,u'y.Services:or.Feedel'S.: :' :i' ",\
C~rist;';on~, NIlI~I;"; ~5\": /' lristallaiion,Altel':ltIo,lior~eloeaiion' , ", .,:
. '. ~,piration Da' ,".; . ;:::;'>'\' :. ;~~ ~~:~: i~~~i~llPS":' '\.. ~~~:~~ ;ro~
of SnJlen'ising mectl/kli:fIl::1 'J i IUN:UltlgOIl iavI fe%yr,rlh ~g~~b"amps ' "~ $100.00
follow I ules adopted by thEl:geilOOlPaYIW~r 1000 volts see
. ",' . , NotificatIOn Center. Those f'lJle~lilmset forl~' "\': '~'::>~C:;f:;;,':' "
.. ':. ,.\';,.,c','.:"'.:,, in()~li2:Q01-0010throughOAR952-00)' . ''',/"" .._."
." ril::;ie;~ :~a~iW~~~~;.,~Oi_~~~N~;~:;~~~~~~)~xtenSion Pcr ~~~~,;~~'. ~;::'::{:'" ,
, '-'l\..AlE:,r'\.!e' ~v'~uV' -forthe Oregon Ulilrtv Notlhcatlo, '. : . ',j,. '.> ,.: , .
Addrcssj"1;IJTL~:"\".')j}Jv~,\ . '?:In):' i'. ,.O(W :/.0ne'Cl~cU1t . ' ..:....!:....:./$43.00
Cit~' F ~,''(tJ '1\'0 ,<.r: ~~~~,~~~CU&L Each Additional ~i~euit or with Se~ic:' .
,~-:-,";"";";';'" ,;: or Feeder Permit ' ~$3.00
.OWNERINSTALLATION'"
The installation is being made ,on
property I own which is not iillcnded
for sale,. 1c.1se or reili. '.: '..':~:.<
~n~,'~Sjgnat1ll0. '....'~.
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ELECTRICAL PERMIT APPLICATION '
., . ", -':".:. . ~,.' . ~I....,"" .',;.~" '.
Ci. Joh Numl;~:jj&frA4.~.O'
E FEE SCHEDULE BELO',V",,'
, ',,:.
New Rcsidcntial-Singlc' or
Multi,F:.mily lieI' dwelling unit.
Service Included:
, .
~,,, .
Items Cost
sum.".
;i~1i;:!
,~:.:' .
, "
$106.00
J'.'
$ 19.0.0.
',.
Address
Citv
",'
E. M iscell:lIleous (Scrvice/feeder not inCluded)
-Each instailation'
Pump or irrigatioil, '
Sign/Oul1 ine Lighting
Li mited Encrgy/Res
Limited Energy/Comm
$50.00'_,
$50.,00
$25.00
$45.00
T90: (j3IHS!J:'
:3DN\:!H:J,
0<:'. CJ("Oo $" 7 :0:131'
... .'"_ l l.J '._~ IJ
(~003 (,() At1fi::3H:l.0
l'r "'0(' 0 Tn HrNV' 'I
...~_t:Ju J ,- 1-\_ ~'ttCl . 1:1..
lliU
Minimum Electric Permit InsJlcclion Fee is S45.00 + Surcha"gcs
,t::.f\rJJ
~1..fB
'Sl .ff)
4. SUBTOTAL OF ABOVE
'".nA, State Surcharge
81Yo Atlministl"alivc Fcc
TOTAL
~ITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
IIIGURNAL OR JOB NUMBER: 02-00443-01
NAME OR COMPANY: Marce Fast
LOCATION: 6745 Jacob Lane
TAX LOT NUMBER: 1.70234E+l2
l DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 0 SF LOT SIZE:
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
II IMPERVIOUS S.F. I 'I COST PER S,F. I,
I 4004.88 $0.273 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.F. 'xL COST PER S.F. 1'1 DlSCOUNTRATE I
II 0.00 --.J $0.273 ~ 50%
lITEM 1 TOTAL - STORM DRAINAGE SDC
2 SANITARY SEWER - CITY
I A. REIMBURSEMENT COST:
I NUMBER OF DFU's I "I COST PER OFU
1 24 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's I" I COST PER OFU I
I 24 $16.24 I
IL!TEM 2 TOTAL - CITY SANITARY SEWER SDC-
3 TRANSPORTATION
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r:/'J
I~
o
7879 SF I U
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r-<
r:/'J
......
=1 $1,093.33 0
g;l
A, REIMBURSEMENT COST:
I ADTTRIP RATE I "I NUMBER OF UNITS I xl COST PER TRIP I xlNEW TRIP FACTOR I
I 9.57 I $16.21 1.00 =1
B. IMPROVEMENT COST:
I ADT TRIP RA TEJ x I NUMBER OF UNITS I x COST PER TRIP
I 9.57 , I I $68,94
lITEM 3 TOTAL - TRANSPORTATION S~C
<!. SANITARY SEWER - MWMC
I A. REIMBURSEMENT COST:
I NUMBER OF FEU's II COST PER FEU
I I $332,86
B. IMPROVEMENT COST:
I NUMBER OF FEU's I x I COST PER FEU
I 1 I $34.83 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC AOMINlSTRA TlVE FEE
LITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I~BTOTAL (ADD ITEMS I, ~ 3, & 4)
5 ADMINISTRATIVE FEE:
SUBTOTAL 1,,1 ADM. FEE RATE
$3,188.55 ~ _ 5%
s:t- T~ 5/212002
x NEW TRIP FACTOR I
1.00 =1
=l $O.OO--.J
,/
=[ $1,093.33 J I 1070'
,m.l,,,,,,
~I
~I $389,76
=L $902.64
,/
1092'
=1
/
$155.13 I 1093
$659.76 IJ 1094 /
$814.8CJ]
=1 $332.86
=1 $34.83
~I $0.00 1055 /"
=1 $367.69
=1 $10.00 1056
=1 $377.69
=1 $3.188,55
- -
I
I
SDC COORDINATOR
DATE
=1
TOTAL SDc CHARGES =1
$159.43 I 11073
$3,347.98 II
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) x EQU~~~ENT = F~~
(2 O)x 3 6
.( 0 0) x I 0
(0 O)x 3 0
(0 O)x 3 0
.( 0 0) x 6 0
(1 0) x 2 2
(I 0) x 3 3
(0 O)x 6 0
,( 0 0) x 12 0
,( 0 0) x I 0
.( 0 0) x 3 0
(1 0) x 2 2
(0 O)x 2 0
(I 0) x 3 3
(0 O)x 2 0
(0 0) x I 0
(0 O)x 2 0
(2 0) x 1 2
(0 O)x 5 0
(0 O)x 6 0
(2 O)x 3 6
(0 0) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 24
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC.
INTERCEPTORS FOR SAND I AUTO WASH I ETC.
LAUNDRY TUB
CLOTHESW ASHER I MOP SINK
CLOTHESW ASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIG I WATER STATION I ETC.
RECEPTOR FOR COM, SINK I DISHWASHER I ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERClALIRESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL, STALL I WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS DFU TYPE NUMBER OF EDU's.
MWMc CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 I YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4,92 1990 $2,06
1980 $4,83 1991 $1.64
1981 $4,77 1992 $1.45
1982 $4.64 1993 $1.31
1983 $4,47 1994 $1.13
1984 $4.30 1995 $0.97
1985 $4.09 1996 $0,82
1986 $3,78 1997 $0,63
1987 $3.41 1998 $0.41
1988 $2,98 1999 $0,22
1989 $2.52 2000 $0,04
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
0.000 X $0.04 =1
0.000 X $0,04 =1
TOTAL MWMC CREDIT =1
$0,00 --.J~
$0.00
$0.00