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HomeMy WebLinkAboutPermit Building 2002-11-25 '. Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1750 HARBOR DR ASSESSOR'S PARCEL NO.: 1803023301400 .- CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01189 ISSUED: 11/25/2002 APPLIED: 10/03/2002 EXPIRES: 05/25/2003 VALUE: $ 3,000.00 Springfield TYPE OF Manufactured Home on Private Lot New Residential PROJECT DESCRIPTION: MH on private lot TYPE OF USE: Owner: WILLIAM FISHER Address: 90932 S STUART WAY COBURG OR 97408 Contractor License ABLE ELECTRIC 146374 HARDACKER & OLEARY 79496 WILLIAM FISHER AI f /::;/V J 'u HARDACKER & OLEARY.. fOllow rU/,,~ :':,0(79.496,,,,", ., 02/1912003 BUIIiDING.OOORM~.iioN iythe o~;~"s You to 0090 y: -vc;-UU1-001 ..vse rUles a On Utility # of.Stori!1s: may obt .0 through b'^ rEcf(;Size:tt """tn~ th am c ,.,1'1 !lfi- ' ~~i~~hl!.f, e center ,. OPt6.;0!)fth s, Ft(1~tJFloor: Type of'Heat:th'orced ~if)Electric I €'S<i/F.t~2nd Floor: _ cure ....'l"':'lee' -) Water Type:te'; gonElectric fSq:F;t:Basement: Range Type; ~ 1-80n_::EI~~iri~VotifiSq iF.t.,GaragelCarport -. ''''.:144) - . Energy Path: . Sq Ft Other: 1m pervious Surface Area: Overlay Dist: # Stref! !rees pave<f118J"f4qd: % ol/f1.f:~v!iage: ~(jiHo '1~/r en.,. 'RJ:lt-~ Sfl~/. IPUBLIC'iII)1'ilio~i~ l.XPIRe IF ' 'V 1.J4~ -11 (~ fll~~.;.:.l~ Fully Improved PeRIOD A8AN;j~~'lf1t1tr (('PtO!!/( Yes . CfM\lIiUl~'!Ifi\t9J"" Tax lot is outside of the city limits. rUR Contractor Type Electrical Manuf Home Inst Owner Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: I R-3 VNSpr SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 35.00 5.00 11.00 60.00 0.00 Stree t Storm Sewer Available: Special Instruction: Notes: I CONTRACfOR INFORMATION I Expiration Date 12/01/2003 02/19/2003 Phone 541-726-6701 54 I -895-4307 541-895-4307 6,000 1,188 3 I DEVELOPMENT INFORMATION I REQUIRED PARKING 2 Floodplain 2 Total: Handicapped: Compact: Yes 20.00 Curb and Gutler 1 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2002-01189 ISSUED: 11/25/2002 APPLIED: 10103/2002 EXPIRES: 05/25/2003 VALUE: $ 3,000.00 I Valuation Descriotion I Description Type of Construction Foundation Only Use Bid Amount Manuf Home Manufactured Home $ Per Sq Ft $1.00 $1.00 Square Footage 3,000.00 39,000.00 Value $3,000.00 $39,000.00 $42,000.00 Date Calculated 10/04/2002 10/04/2002 Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt Number Received By Plan Review Residential $34.32 10/3/02 2200200000000000014 djb + 7% State Surcharge $3.50 11/25/02 1200200000000000291 djb + 8% Administrative Fee $4.00 11/25/02 1200200000000000291 djb + 7% State Surcharge $21.20 11/25/02 1200200000000000292 djb + 80/0 Administrative Fee $24.22 11/25/02 1200200000000000292 djb Manuf Home State 1ssuanr.e $30.00 11/25/02 1200200000000000292 djb Storm Sewer - 1st 50 Feet $45.00 11/25/02 1200200000000000292 djb Manufactured Home Service $50.00 11 125/02 1200200000000000291 djb Foundation Permit $52.80 11/25/02 1200200000000000292 djb Plan Review - Planning $55.00 11/25/02 1200200000000000292 djb Manufactured Home Placement $160.00 11/25/02 1200200000000000292 djb Total Amount $480.04 Puhlic Works Review Plan Reviews I 10/04/2002 10/04/2002 APP LLH 10/04/2002 11/19/2002 APP AJD On hold pending receipt and approval of Flood Plain Overlay Permit. 10/04/2002 11/2012002 APP VRJ Replacing M H. SDC credit given for old MH, $0.00 SDC fees for applicant. Also, no PW permits associated with permit. 10/04/2002 10/17/2002 APP TCM Initial Review Planning Review Structural Review To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wiU be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~ouired Tn.nectiotU I Footing: After trenches are excavated. 2 Manuf Home Set Up: When installation of all piers or stands is complete. 3 Final l\1anuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. 2 of 3 :iti;~.,: ~, . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued PERMIT NO: COM2002-01l89 ISSUED: 11/25/2002 APPLIED: 10103/2002 EXPIRES: 05/25/2003 VALUE: $ 3,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 4 Storm Sewer Line: Prior to filling trench. 5 Manuf Home Plumbing: After home has been connected to water and sewer. 6 MH Service: Approval required prior to utility company energizing service. 7 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certity 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 certity that only contractors and employees who are in compliance with ORS 701.005 wiD be used on this project. 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the stre;!>-:~e permit ,Jrd is locate the front of the property, and the approved set of plans will remain on the site atall:!imeV' ~onsrLion. //--2 J ~ 0 Z- Owner o;Co~tors Signature - Date 3 of 3 . ,.'!>'.. """'2'2' 5 F."""" S="ET ~~ . ~ ~'ITS!O>;"I _.~ E"E&"";PE " T;' np'" 0 ,.., ".~t;, "',"'.. ",,,,'nl, ','""" rn!lt::~,~, '''cc.'l'.'). "~"~I' ".,',~, '" .."",t RM1, ."", dCATI N"l''''',,' ~ \;)~ 1_ ,~"-"-'" ",,.'.,-",',-. I"'~ ~~""-" Of...' -',;.- ...~~; f" ~T.._ "'" --, ~;;''l$ ~'~'.~.::"~"''l'i.-}~~j:v'{.,.4~~~~S~~~.,'' .;,,~ all t;; SP.RINGF,-IEU,])' QRE(,'iOIt.97{1'1i7 ~;;,~,,.' p t~~'iJ' f' "", ,"*i-i, . ",,;:,.!1-t:')'il-~:;'i'5f't""'~""t:fu~~'l""lo'"I" . 9.,>:1;'\ """,...\ :r'~ ,..:::<< l.", ,..~"','f'. '-~!:. "'., _,}f1 ~ ,,' ~: '. .,~ ~,"'l L. . ,~,~~. -. :,y".?!'.i"/.,'{>."',,., "l~c;~o.'1\if...' .,' ~c ",.- .INSPECTI0NiREQUEST,~n6;3~ 6~ "I"".~,. Cih''Joh Numhel;..,.,9~.3 "O'Z.C"ON:(;;o,~fe~" ~' ;a ~, ,~", ,.~iOF:FfGE C;Zq, 26,~i3' 7.~9l~1 ~~'t,; ~~'"~~; ~!.~. ',. 1'rilJ,,',", ',.~4ii.i i~:~'T',+~"'~~,'i~.~2"ij' :'~,"',"~<!, ~'Ri:;',''\'i\ttJi~,;<l, '~:.'lll!il'~";!;~ ~ ,..,-.' ~~ffi:..l E;; ..., 'ii.~i ,. ,r . r~ .". ,. ~. ,--' "". ~"'.< ,c,'i<n>1:Il't"v...... ,. ,r"~. ~,-" .'" ,~.i( w 1f~ b.~ i\~ ~ ..0:. ."'~"~ ~~, tj it7~G:r;FONfRg.F.rEFE.e.~~c;{I?I?~~~~~EI.:,O\V;~~tr~~~!~~li~)~ . ~', \)),.;;f I~. 1. LO.CA'W(j~~Q lNSTn.PA T~ON_ ~~ F~1 r~~1!l ~~~V ~J~~t:~3~~';;'"~;;'~'~~~~~~~"-1l~~,'I;Pj'M ~,'~.'. . .. I?":~AI$ ".A~Y:J .'I'tv':'<I j"=>' l1-<>"'N"~R'd '~I~S.l ""t'" ,,,.re~"""'~''''-~~ .j .~--lf/ ~/C,. ;c:J/e:::... ~~ Mo. en' CSt e~tlil- mgc'or" ...: :t>. ' , Ubmitted has thO tq\ltm'll~ami1v per dwelling unit. ~,,\ " . . ro'lec! as s '1' land-use . .., .. LEGAL DESCRIPTION lhetollOwlng p e not require spec11C ",en-ice Included: ;, " . , J ~0.302.)3 zo",niCjl9~s!t) l."" . _ Items Cost Sllni.'!'f. approvo' , .!1r:.:=: *,'JIi'~B ~-/~, ~ ,,_,.~_dv _ 188S'L[,!rorless $106.00 ;;q~~ note _ - ~ Eaclu,nniWlnal 500 ;~""I'~~ , 'ature - ft . '~~al~;g .~. A\JthOrlZ8.d Sign sq. or portIOn ~ ;,}!;' Pernllts are non-transferable and expire thereof $ 19.00 ~,.." ~ if ,:'ork is nil!;.tarted ':ithin 180 days Each ManuI'd Home or rf,.f~', of Issuance or,lfwork IS suspended for Modular Dwelling ,("'~'1' 180 days. 41 Service or Feeder $ 50.00 ;.$.19,) 2. CON~OR ItSTALLATIONONLY B. e ~,~ i1.!,' I'Si!~l . }~~ ~~A 'if ~ ~~. Electnc"liom$act~J;i~~ ' ,~ Address. m. . : NOnC;S!tps or less"," ~ . $i63:00, :,.~,~';~ 1~~~ pj~~4~~; THIS<fleWmftl'~CI~~ i%'. .~~?R:~?}J'g~g:~.:tat~ City i\'}!(f;W, /;<'~_/~lone .A:'?4i;;'1'i[,1.. ~ .", 'tiT.n hi, \i/ii~@[RE; _,,~~IiEiWOOR~~oo,a~~ , ',' jr-:t1,&=t. 'iff'~;;;fI, ~i~~;,j~,<F;':~'t,~:;'rcrJ~ \!'t... ~~I\WIS'PEflNJtrllS:'NfilIfi3?M)tk~ "{1,~,~, "''',5 supervisciWgice'ttse~"i,;nller ~f.A.!kllS:::",,,,,,,::$' ^t,:r;;~-~",,, V~JS;li6AND'^O:(';>>;;D''FQRc"I375.00'';Ir ;''l;g ~) ~'",-'c';;::gj'<' 'iIR ." ,". V\ .~" o:fon'n.,\,- - -..",. IN!:;!;, 0\, '.~' -, ::~, .~. t>, :its'(~)j ~'~~...j, ~ ~v;',J>~\;~ :.71-t~ , ,-~'" ~~4"~'h.... M6ewueu',~IOD.~f Jl~"'r ~f-(f;-i;:p-~".):$\f50:00 '~/'::Y 1 i~::'~~'; . . ~..J:.t>'iJ'-t:..,.~" ~~ i ~J.. qf~~': ,,~\)., :'~"',"-:~. "...w.;.,.....--:}'k...it!':"V*',:~~i':...-.;-'t'r '..~~.....l. t. ,<: ~~\J"'''.. ~"t.t~' .....~~' .....J.\;..~\A'....~~ t.''t.,,~'-~_ . EXplratlO,n:Date::;-''i}~t.;:-rq.. ~~~~t:.._ . "i-":~"i~fi'CI. $ rl>E, ~~"",l"~"",~~) . ~""~ J.:~. :!.. ~tf'.. ,:\ ,~ ':} ~:'l:.t;.~>iit. '-:':l.:l'<-;-:";',..:<, ~~.g "t\~1";": ~,.;:o';. ~'J_" '-"Z"l'."" ,""''' _ -. ,t;.:,,: ~,\"..-:<''''' ....~. . "'" .,.... """"" to",.;:.. ..,-;":'~'~'-Il;c'...''''~ ...~--I..."-~',. r!":t.I-'i"""'.!-~; t"''f ':lo. "I, - "': ,....." '~--1'. ".~t ~ ~'3V,;hj~~~X" --";\(::'~'~..:>:;(1. ~"l:-.;?:q't: ::to'!l, ::"(t~,,(}.~;rcmpQrary,Scr:\'lceSlor.~Feedej'SHt.}}~\>;~~\~" '; j '. ~ J.:~1,. )~;!.4 "..-'~ . I ..,J',,I.. ,:,..J:~. ~:'~~~''Vt.':'~:;'1~~'" \....,.:'" ......;:;.." ,,:;'.;lJ ~;:.(i:'..I,~I,.."J" ~....u;t...,.J'..'::':;Y.0:-4""".; .. _"_''''to;..,,-_...~.. ." .,,"1'. \~rp..:;<s "~,' f~r: Constr,:.<2ontr1'N!ljTIoer .:,,~tg.:f~\.~~!....J}:";~~.~.i~ Y'!,-~-;.::~ '.l~1:Ihstrini)tion,"'~lte)"htio'nlof;'Rclocation ~~o.:i~~:'". ~"1t,~~,",':,~ ~1 i t:i':l1 + ~'r.~1'"'~"'U( ~~""""'a.-""-:'--')C\v;f"~~'~~~ tr =<'-fl~.l""'i1.-$1,,;.1.-':'C'lt(..;~:l!^l'"."'j}'5~.f,~"".-\"'1.1 ""'''''~1l J, :0,:.', .' ......" .... '\""':€~~~'ir~~.""...,:", 4,'!f-:~Jc~ ~,':.f''''''~-':1:,;' i.-& \"'.,',.. .~'l''--' :" .~J\:,..:t~~~'. .....:;';f..D r\ttS~.~ r'~it,\ t.J;: Tit, ,\~h. . ...::r ~~c.~'" :;'!f'~.-o!-,l "'" ., ;l!r~,- ;c,,'1" ~ ..,....~.a..i'~~....-'j;;.- J ... .f.!: 1I~ .......-: V. ,"J - '" i). ~ $J' '\ . i;"~. ~:"~Th}~EXplratlon Date ~4...f"', ;:::..;;:.;~~':;~~..,>';.""- ~200:ainps.or;less{':~/",~(.iJ-:' + ;"l~l~t h$50:00,j(.{~~1~1"" \of\ ". ' "'~ _'...~"~ \: ~ 200.,.lr....'~1..l,,~4.0. 0'....;;. .r...'l,. ."I.M,!:;, , ~'~$6"9"'0'-0~'~""'.:J....,.1 .."fi,;':;.'/I' ^:t:.~., '1..amps.to. .-l-amp's,~~...~ .,' u""",l,,:t"~~ \,,-,,'1"''-'t:... . :""t,,'fQ.....!G..,~.p <j-I;v"."""-"~'~~" ...f....~V..~~...."\ '^ " ign,iturc of SUllel'visin2 Elcctncian Oi;ei.NJljJ,!9,600 ainps["?!::;,.\' .1;'-: ;'$100:00':;"_.1;.' ~ "Il:l\ 1{ii1i\):\1i!!'." ,~ f ..-... 'T V'~ ."','" . ~~,\' :;~~~~'j.'~~,t',1:~~~.. ~ otnver,qjl,~g'llP:ti,ov,iF~O,x~~{~ ,;'~l~'~~J:~~~~ .\,,$" . ~?h~'~'i!<01~, '. .l\,JolYl?(),!lllo}'e Op,eCf!59-tll'i'j""' ..\~1lQU'rQ~}!r;l~'(:~i.\'f ~,>t!k '.; ~~'. .. ,/_":1....../4./ ~n OAR 9'12;genter. Those rUI~ ,,,~,,~tMPML:'c~'l~j ,';kl..~~~r~1Z~~=~;';"? \J~i,?:';:P.%(M~ D. 'Br!lfi~hI5ircllin1-0010 thraualp()s:.?~~t to.4?I',~~,j,{~ '<1,'-' .J",.",," .,'",*i- ::;')9,<';f1:t'4yPj' .... / /0 lJ'ml'l'..f:l......- . lZ!'''',..'::.~..,. I"f:-!" ;w~:;.,';jl(. 'li ~~' ,.1: Owners,Namc' .,,/~'zjq.N/' , ,/-,. '1S- Cil)i,e,'jUtllerallUlI.oriJE<tjil}Slon et'l"llneliO:O01""':.>>;-'Y'k" ~',~f;i!::;'~;;';'~'''':J;!!.K~''''''<i'!!~:li1'-'~'''''''''1i'. . '~}w~ent ,jl~1.',~ I-'leso~ttJl'-'~"",i ~';~'~'.l'\*< ~tK~~? :i}\.~9.{~~i~~~~i,~i3rJi~;ru~.er nU~~~~I}~~.~o~4J8;~gheJ~~b{~~~':~l; .':l? ~~ffi11~;t0:~;",;~p?~j~.;~.r.~~tf;,P.';~.f.;~'~r:! fj ~"lE.{t1,Snb ::I::I~'ty N.ol;flciitio~~;~:;\..,~;l ff"<:f~i~j'fCii;'?~B.iI<p<?~"i":;'Phiiiii'bf;.?g --40,{ :3 Eacn Additi1irialCirc~it'or'wltli'SerVice''t'>\i';?:,'.4i>'::i';'~.':;' &'''-,~'~' """'""T M'l';;' :-&;.4l>'; - 1: ''''';'~''.~ <"'f I .t3~ji....:t.~ . . .::1',.... .~...~...~'~.. t '::-\..k..'~.a" '.....1 ,l;'\""y..:~,.. t1;!':~'1\.~'" ... ~~;-';.'},.:;.f.,~ .,:,"~i~'}<~~)~/:?fi,f{;,~;w,lt:'t;:...;tl..>... or Feeder.'Penmt,!~ < .t .~ ~~ $'3.0Q"s.::'. ,,1\)": :';.,~\ ;"'2" 1"" . '";"' .,~....... - .il-1..'""" -"'?: -...."'.1-..... .'...~N... .\:' ;;J~~~-~'!:f~'f::"~ti ~ ,.....1 ~:~'::'~:'''f5t~,..t ~"~. ,,"'~""'.,'lo;.OWNER INSTALLATION '''\:'~'/!~'''' ":,-,;",~"""""""",,,, ," k ",,;-. 'I;>\t""""'\-''''''''i';l",';' ~p.1 it'~"li;t.';;~, -.-..:" '"1h~.., n r.. "'0::--.. '\,,\--\ ,~....q.::::'~ l' ..,.-,,...~.,~ '~1 :.," ,,~,.,.' ~';f..." ''''~''<f.1It\ '~~""\:i;" ~'-" ~"~;' ::;~~;...i~T!~~ i~~~~}J-t!~?ii:~~~\~eibg~~lad~ EW~1~. E. I\'1is,,~~ll,~~~Q9~;~(~.cl"vt~~/J.~~d~r not includ~~~),$:,l~~}~l~':. ):\:~<'; .r .: ~:.: :ll~~~p'rop~.rty,I1I:2.{~~'~~~~!~~7~ J~~.1!.o't .i~ten~~4'~:~ .t i:~a'~N.i.l1s!al}a~~?h.i:j:?~;r~ c_, '~?:ri~\_~%ff~'. :,~'~i:., ,."'~1'-.~"~'iIf:t'I":,o.:. 1".-~'I-'."'\,'''--''-:~'~}:''''i,,,~,~,.p:L,~''.fJ ~,p:r,~..t"'<:'" ..{, . ~:-r~"f",'; .~.. .1:..$-0'00'" .~'""t.. .;:,. "':'..~:.', },A10, rsa e,A ease.o"r.';ren, L,,~1,;i,~.,':., ,;',jj.t,'l,~.~..,l'<:;,'t~l":tf '. .um, p':orlrngatI"on,,"!_~"""': ~. "If, ). .' : ~:lr'':'' '; ~'~")"(.,''''''*I;. "~:"l""Ji::""-:-"\,,,"'~~':):;'''''~~''h,;,,"''\'':':'''q'W'''~-::-'' '. ."'~'~' ".j.,.",'. ','l),!,~ ~r -, -.; )h,~. ~ .:~t.:.,t~,j,i'~'l~~~;:t::qL,i"~4~~ r';ji:t!,(~~:,,'{~~:s;~;,.:i1'\1F-,.~": ";:~~~~ ~i!~)~:~:~ :: S igi1l0utliiie'-L i,ghtiifgt" ;..~'. '$50.00;/. ' JfI~J~,',': ~'. "d:~~5J~::") ""\""-"""~I~~...,..f"""_'-J;.-;1i\"c~..; ':\ifr~''!' 1.~"","!:~1";' - . .....,. .".":' -,~ ".;"'.'1:'..... .',' ',~,-.', :~.i~: !{!:::..~N).~qwncl~_s..S~giI'Jtu_fe~~I,i~~~~t'i:' 1.:,;;_:>' ..'" ',,:.>~ ~: Lini.ited:Erie'rgyfR'es~~.~, :~~ $25.00,_. .: _ I:~" :,'~X>,;~t\,',;f;~~~~M~, .'~' ;4>-',.t<;;'ii, ;-'L,',ih,'lite,d-E"ne~gy,' ICo!i~,'n;", $45.00<':', ......I..::~.,. <~:':i.~~~~5~~~~~ .,,~~- ..'..~~'\~;.~f3. ~:~~~';;!: /;;~;;;.~.<< ~j~~~~i . 7.l.{T7: ~:~::~5~~~11:Jt~S,: -;:, :1~~~~;:..:'<~~~~rt.,:"'~~;'~~:-;;4';~~\~~;~:'J~~i r\linimu'~~ Ele~ct~if~~el~~ii:I'~~;p'cction Fec is 545.00 + S~i:cli'a;'gcs ~ ~;..'t;.:. l:h'J~'~,1 i\.~.t..t'~~~.. f~~.~~:~;'~f~r. < .~ ~ -:"ojt~~ '/~~'P'.. '.;:.;.;r ,," ;.:"~..:';t(-'\.'~d~'}: ;11.:' ". . 7" ..; 1t':~ :t'l.. ~ .1iS}.~t'fl:...~.,'it~~:&::q:?i: :::;;: --:':-)-:~'.i:' '.-!:~~~t;tr:;)!.:;1~lU.""!:1l,. t"?i' ~"1~): !\~~>k~ ; _~.~~~., r-r'\'~_, +_~~"' .:.:.:i\!.'..{-i"..:1:....~~.~.>.~~t l4.:-:;-:.";,,'~'" I!.:,\,.....;'"T.l.;:l;J,.:\. :.:flt;"r~"*'~': '-it 4 SUBTOT'L:'OF.ABOVE ::> ~.,\. .,~ol,.. ~;"""" T~"'}'~'''~(''-- ~~.f(.-,~.,~~.ht",,:.;.,;~.;r,.;.;)f.-.,.. ."'\... - . :'.:.l....:i().J$;-;~,~t,.'f'\i'.~ua: B~'~.'t~\f.".l.~~..i.,.'1:......:.l1Ji~):.!~'...,'.J.~l\}~..'.W . :;",";~.'.:"" .;,:. ' ~.:,'~ ?.r-r--. '~!:l)": ;";'-f'~"";ir'.i- ~.....,.... '\ ~s.,~~~"'.);:';: '~~''V'~'~7.d~''''',",~:'_ ~i'...";.I.I:...".f'1 ;r.-.:..... 70/0 State,Surchargc' .'. ~? -..' :,~,.~p~Tl'{ .,....,;."i!. ,.~,,""~~_~~/"';J....,..'--1- v~~~-;er.:~...jl',..~.:..'" "'J -1;.' .-.... ''":t :~~' : .; "~~,,,;':-'~ - if.' _f; _~~~:;" :::::.r;V'::: ~ :...-: ,,~).~~...,\~*;>.:}-<~,~, 80/0 A drrii nist ra tive' F eCf.' Lf O' <J '. ;..~~...,\..:~.....~. ~. _."".;:!t';,..., :'"~f:t~":..~ . >- , ~~1rlf:.;t,~~~!. . .~,' .-~',,' , ~. .1' 1<'1;:'; l.';r~-< -,-~''''i'fl'~il'''-'4~'''~'''''' t~ ,.1-li(o\- ~."i"~S"~~ . " f....f. ': j.,:~r.~I~,]..!~~"',~~,h' '-~>>Ji,.~;'''''f::; .-.f;;':;.;::;';"\.'.:;:,il ..:.:.# '.f.~fl:tt..u}.~l ' .. """0 "1 '-(')'i"1:1~>t ">!'~J',:J""'-Y . .~.., '-l't! \.~~7.t'..."., r7,' \; )~~~.,,~....;'.t'.(.., :':0:.. ..~~-.~~.~>+, ~;1il .:~" 'i'!'fM'~"_ ~:'.'.,."\ ''''l_~e,~''''~.i:''::'&> TOTAL ~ :. ._; :.':;t'f:.);-~\.f~t~1\q:fli ~~~~~."~' :' ~~.:/:~~~, . Y::"i,~;t1Li'~~~,,~/4'.J1:~>f,/~~;( JOjl.,DESCRIPTION , -.75Zk'vl/'.C: