The URL can be used to link to this page

Home My WebLink AboutPermit Building 1999-02-19CITY OF SPruNGFIEI-D, SPRINGF!ELD Owner: SCOTT CARLSON Address: 1230 E 19TH RESIDENTIAL PERMIT APPI,ICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 rTob Number: 990052 a 225 North Fifth SLreet Springfield, OR 97477 Location of ProPosed Work: 3421 PARKER LN Assessors lutap #: 1-7O2T9OO Lot : 1-2 Block: Office: Inspection Line: 726 -37 59 725 -37 69 Tax Lot # Subdlvision 03200 AMBLESIDE A ru,es 9'7 403 Describe Work: S.F. RESIDENCE for the the Contractor Generaf: Plumbing: Mechanical: Efectrical: CARLSON OO7249I 1230 E 19TH EUGENE OR 974030000 MCMICHAELS 0028832 40108 BOOTH KELLY RD SPRINGFIELD OR M.A.RSHALLS 00257 90 4110 OLYMPIC ST SPRINGFIELD OR 9747 L&EELECTRIC 0083195 ,y Phone 03 /20/99 484-9285 oe/2L/ee t2 /23 / ee 05/L7/e3 7 44 - 9099 747 -7445 480 -7 989 - - OFFICE USE QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2l2O HH,,:':;,ht0,hpe: 3":; :13ff, i, # oF BDRMsTtltg PERMIT SHALL EXPIB&EITId6&0BK pe RANGE: E AuTHoRlzHi) UNDEH THlsrmHMl?flsHorPl COI,IMENCED OR IS ABANDONED FOR To request an insPection,cafl the 24 hour recording aY 726-3759- AI1 inspections requested before 7:00 a.m. will- be made the same working day, inspections requested after 7:00 a.m. wj-ll be made the following work day. --- REQUIRED INSPECTIONS --- SITE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated. FOTNDATION - After forms are erecLed but prior Lo concrete pl-acement- IINDERFTOOR MECHAIiIICAL - Prior to insulation or decking. ITNDERFLOOR DRAIN - Pri-or to cover or placement of concrete. ITNDERFLOOR PLITMBING - Prior to insulation or decking' POST AND BEAITI - Prior to floor insulation or decking. INSULATION - Floor; prior to decking wal}/ceiling; Prior Lo cover WATER LINE - Prior to filling trench. SAI'IITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH PLI,MBING - PTiOT TO COVET. ROUGH GAS - after line is i-nstaIled and capped if not attached to an appliance ROUGH MECHANICAL - Prior to cover' ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRA.ITIING - Prior to cover. INSULATION - Floor; prior to decking wa11/Ceiling; Prior to cover DRYWALL - Prior to taPing. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. forth0090.You fiay obtain copies 10 SPFINGFTELD Job Number: 990052 CITY OF a Pag'e 2 ETECTRICAL SERVICE - Must be approved to obta in permanent Power CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excawatj-on is complete, forms and sub-base material in place. FINAL PLITMBING - When all plumbing work is complete ' FINAL ITIECHAIiIICAL - When all- mechanical work is complete ' FINAL ELECTRTCAL - When afl- efectrical work is complete ' FINAL BUILDING - When all required inspections have been approved and the building is comPlete. Lot Faces: N Topography: 2 Solar Approved: Y House Garage Lot Sq. Ft.: 5625 Total Height: 17 Lot TYPe: INTERIOR Setbacks SWE 2455 Lot Coverage: 37 % Setbk From NPL: 43 N 1B Item Mai-n Garage Total Va1ue Building Permit Fee surcharge/admin TOTAL FEE --- BUII,DING PERMIT --- Square Feet x L640 480 $/Square Feet 69 .54 18.34 (A) VaIue LL4 ,2L0 . OO 8,803.00 123, 013 .00 487.00 38.95 525 .96 --- PLIIMBING PERMIT Item Residential Bath(s) Plumbing Permit Surcharge/admin TOTAL CHARGE 2 Fee 160.00 160 L2 00 80 (c)L7 2 .80 .-- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove / Insert /Fireplace Unit Dryer Vent W/H GAS PIPE Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 2 5.00 4.50 6.00 4.50 3.00 s.00 29.04 10.00 2.32 (D)41-.32 --- MISCELLA}IEOUS PERMITS --- Surcharge/admin Sidewalk Curb Cut CITY SDC WILLAMALANE 0.00 13.50 15.40 2,258.8L 1, 000 . 00 TOTAI, MISCELLANEOUS PERMITS (E)3,287 .8L siPRINGFIELD ilob Number: 990052 CITY OF SPruNGFIEI-O, Page 3 (Excluding Elect,rical) unless otherwise noted TOTAL AMOI'NT DUE - - - (A, B, c, D, and E combined)4,027.89 --- BUII,DING VAI.UE, PLAIiI CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction sha]1, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 315.55 Date Paid Received By: Plans Reviewed By: AL WARD Date Building Site Reviewed By: LISA HOPPER 01,/1"4/ee 02/04/ee Receipt Number 32565 --- ADDITIONAI, COMMENTS --- A & T ESTIMATE ONLY FOR CITY SYSTEM DEVEL CREDITS A SEPERATE ELECTRICAL PERMIT ]S REQUIRED DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, I 6tate and agree, that f have carefully examined t.he completed application and do hereby certify that atI information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance wiLh the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaj-ning to the work described herein, and that NO OCCUPANCY will be made of any strucLure without permission of the Community Services Division, Building Safety. I furLher 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 al-f 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 constructj-on. e4/q I/ JA UdLE --- VAI,IDATION --- 0921 z\Receipt Number Date Paid Amount Received '{oz7 q Received By:L ?l CITY OF SPT?INGFIEIT', SPFINGFIELD Page 1 ENGINEERING DTVISION DEVELOPMENT PI,AN REVIEW RESIDENTIAL IMPROVED STREET Developer: SCOTT CARLSON Job No Mail Address: 1230 E 19TH EUGENE, OREGON 97403 Phone #: Tax Lot #: 1702190003200 Project Address:. 3421 PARKER LN Subdivision: AMBLESIDE LoL: L2 Blk: Eng. Rev. No-: .: 990052 484 - 9286 Book: Street Gravel 3421 PARKER LN Existing Curbcut: N EXISTING IMPROVEMENTS Ac Mat Curb FulI Imp SW Width Curbside 5 FEET 12:1 FLAIRS Setback Y ENGINEERING REQUIREMENTS Additional Right of WaY: N Improvement Agreement: N Easements: N SA}IITARY SEWER CALL THE UTII,ITIES NOTIFICATION CENTER BEFORE YOU DIG 1-8OO-332-2344 Avail-ab1e: Y Stubbed Out To Property Line: Y Depth: 4-6 Size of Line: 8 In. Tee: 5 In. Location From N, S, E, W Property Line: AS SHOialN ON DRAWING OR AS-BUILT MaKe CONNECTiON: PER PLUMBING CODE Ft STORM SEWER Avail-ab1e: Y Pi-pe DownspouLs And Drains To: STORM SEWER Pipe Parking Lot Drainage To: N/A New Curbcut Appr Sidewalk Permit: Curbcut Permit: :Y Y I SIDEWAI,K A}iID DRIVEWAY INFORI{ATION STANDARD Width: 24 Ft Flairs WidLh: 5 Ft Length: 24 Ft width: 35 Ft 6 FI ENCROACHMENT A.I{D ASSESSMENT Encroachment Permit Requi-red: N Sanitary Sewer In Lieu Of Assessment: N SPECIAI, NOTES AND REQUIRE}TENTS Al-f work within Ehe public right of way shaIl be in conformance wj-th the City of Springfj-eld standard specifications for construction. A11 existing unused curbcuts or portions thereof shalf be restored to ful-l curb height as directed by the city. The owner/developer is responsible to relocate any utilities and establish priwate or public easements when the utilities conflict witsh the development, at their expense. Revj-ewed By: MOLLY LINDBLOM Date: o1-/22/99 sEE Dp-awlNcs oN SPECIAL REQUIREMENTS FOR FURTHER IMPORTAIiIT INFORMATTON ATIACHMENT A CITY 0F SPRINUT IELD SYSTEMS DEVEL0PMI-,rf C fToos> HARGE E- I^IORKSHEET NAME oR cot'lpANy , 4- tt hnl*o>-, LOCATION ?kLt ?""k-r 1' sr0RM DRAiNAGE zrco+ @,srz+\ + @ v z(t*t'tt zoz)+ :ra iMPERViOUS SQ FT c*7b X $0.227 PER SQ. FT. S AOZT{ 2. SANITARY SEWER-CITY NO. OF PFU'S tl,X $47.14 PER PFU s 15a,2+ (See Reverse Side) 3. TRANSPORTATiON NO OF UNITS X TRIP RI E X COST PER TRIP x ,or x $475.32 $ @,o7 x $475.32 4. SANITARY SEI,./ER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S t X fl1,++PER FEU S 2:11 ,4+ B. IMPROVEMENT COST: NO. OF FEU'S X Z?,ZO PER FEU $ 25,20 t5 > DEVELOPI'1ENT TYPE:efD BUILDING SiZE ?)OT SiZ F Ml^lMC CREDIT IF APPLICABLE (SEE REVERSE) MhlMC ADMINISTRATIVE FEE SQ FT $ J!-!0_ s 3oq,+7 $Ztrt.6 $ 101 .sl2 $X TOTAL-Mt^ll'4c SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4)5. ADMINISTRATiVE FEES: BASE CHARGE (SUBTOTAL ABOVI) X .05 Ivrou SDC Coordinator ATTACH'A. I^JPD outr, tl\lld TOTAL SDC s 725(.tl lnterceptors For Grease/Oil/So1idsiEtc................. lnterceptors For Sand/Auto Wash/Etc................. Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More.... Mobile Home park Trap (1 per Trailer).............. Receptor For Refrigerator/Water Station/Etc...... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....:.... Shower, Gang........ Sink: Bar, Commercial, Residential Kitclren..... Urinal, Stall/Wall.. Wash Basin/Lavatory, Single....... Toilet, Public lnstallation. Toilet , Private... Miscellaneous: CRED IT CALCUL,ATION TABLE:Basei on assessed value TOTAL FIXTURE UNITS = Ih lf improvements occurred afte r annexation date in rable. NUMBER OF UNIT NEW FIXTURES EOUIVALENT I 2 I 2 o 2 6 6 1 2 1tH 2 2 1 6 4 (NOTE: For remodels, calculate only the NET FIXTURE TYPE Bathtub..... Drinking Fountain.... Floor Drain... "00,,,"',r]-t;'#.;"' ur rYEw rrxtures x unrt Equrvalent = l--ixture Units FIXTURE UNITS - - - - - - --4- L 2 ?) T - ?- ad -Tt- calculate credits se arates Credit for Parcet or Land Only lf Applicable lmprovement (if after aprnexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Ontyl Residential. .......... O.4 Commerical...... lndustrial....... 0,Z/x$ /< (Rate X Assessed Value)x$ (Rate X Assessed Value) o.9 o5 CREDIT TOT.AL - S Governmenta1...................... O.5 Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $ 1,000 Assessed Value 1 979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1987 1 988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1 989 1 990 1 991 1 992 1 993 1 994 1 995 't996 1 997 $1.98 1.55 1.15 0.96 0.83 o.67 o.52 o.3B o.21 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICTENT I -rr- 3,) E aGITY OF,SPR approval Date Zoning SPRINGFTELD, INSPECTION REQTIEST: oFPICE: 726-3759 DESCRTFTION D JOB ONru- Permits are non-transferable and expire if vork is not started vithin 1'80 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.,ATTON ONLY Electrical Contra crcr 1 {[ E let /n<A( Address S {GFIEL(, Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost not reguire specific land use OWq ATTENTION:Oregon law requires you to bytheOregon Utility : Those rules are set forth 1-0010through PBRHIT APPLICATION may obtain copies oAH 952-001Emcrnrcar, of the rules by center. (Note: thetelePhone ci ty Job Nurnber %oatL number the Oregon Utility Notification centeris 1-800-332-2344).couprcTE FEE SCEEDULE BELoV Ll A B c D Sum L000 sq.ft. or less t Each additional 500 sq. ft or portion ?thereof ) Each Manuf'd Home. or -Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 $ 40.00 {f 4f Ci ty Phone Supervisor License Number Li('1 rl -5 Expiration Date Expiration Date (? Signature of Supervising Electrician ovners Name f(o7f d o Address i27o f, /7 Ci ty Phone q?q-? 2tr6 OITNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Or'ners Signature: DATE: Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401- amps to 600 amps _601 amps to 1000 amps_ Over L000 amps/voIts _Reconnect OnIY Temporary Services or Feeders Installation, Alteration or Relocation $ s0.00 s 60.00 s100.00 s130.00 s300.00 $ 40.00 200 amps'"or 201 amps to 0ver 401 to 0ver 600 amp less $ 40.00 600 amos S 80.00 s or tbOOG-I-[s see trB, a566 one icircui t S 35' oo Eacht Additional .Circuit or vith Service or Feeder Permit - $ 2'00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting- Limited Energy/Res _Limited Energy/Comm Branch Circuits Nev, Alteration or Extension Per Panel SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL s $ $ $ 40 40 20 36 .00 .00 .00 .00 (^) oRECEIVED 5 )j0 Constr Contr. ltumber I O5L{15 I 'INGFIELO Ci ty Job Number LETE FEE SCEEDTILE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: I tems Cos t s 8s.00 &ft,::;[i;:{:,,3:n"jiux*,:;:j;: Zoning lHl"ffiy,n ELE TRICAL PERHIT APPLICATION225 FIFTB STREET SPPJNGFIELD, OREGON INSPECTTON REQTIEST: OFFICE: 726-3759 1. LOCATION OP INSTALLATION 4drt.I 'Qnr xrr I /) nL A oE2co Sum JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI-.ATION ONLT B. sq. ft or portion thereo f Each Manuf'd Home. or -Modular Dvelling Se vice or Feeder Se 1000 Each sq.ft. or less addi tional 500 Electrical Contractor Address 'P, O.'2.. Un4Ll Ci ty Phone 64 I - 4 <It l-0 Supervi-sor License Number 333 t J t l: Expiration Date ro lqq Constr Contr. Number 4E rqs Expiration Date s o sing Electrician Owners Name Address Ifl-qf, 0tnff,l JGfr Ci ty Phone 4 q,q -q9- OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation , z0[rD'|9 401 I rttc(oiff 2 c. /) 0090"You s 1s.00 s 40.00 requlres VOu tc., .00 $300.00s 40.00 601 a Over 1000 amps/vo Reconnect 0n1y 200 amps"or les 201 amps to 400 Over 40L to 600 Lps _000 volts ee nBtr a566 40.00 5s.00 80.00 amps s am $ $ $ s D Over 600 amps or 1 Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2-OO E Miscellaneous (Service/feeder not included -Each installation Pump or irrigation Sign/0utIine Lighti Limited Energy/Res Limi ted Energy/Comm 2*0. c'o s 40.00 s 40.00 s 20.00 s 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL Q.0 00t'00,loO LL, LzORECEIVED B Utility set fortf, Q 'r', ng- I Willamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:PHONE: ADDRESS:STATE: LOCATION OF ED BU SITE Street Addre Plat Tax Lot Number: 1. DEVELOPMENT TYPE (check ype definitions 1e on the back.) A Single-Family Detached It Single Family home'- appropriate dwelling(s). SDC calculations and dwelling t \ B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Familv Aoartment - NO. OF UNITS X $692 Per unit D. Manufactured Home Paft , NO. OF UNITS X $699 Per unit WILLAMALA,NE SDC 2. SDC CREDTT (if applicabte) SDOaayer must fumish proof of Willamalane Credit approval. See SDC Credit WotksheeL 3. TOTAL SDC ASSESSED - (if sDc a P le Manufactured home not in a Park NO. OF UNITS l x $1,ooo per unit = $ lcY]A q $ $ @$ $ $ft1 City of for Credit) Date This Side To Be Filled Out by Applicant i,rr ' ., "';s"='#{r',.i..9$,, . "-i ' i: , This permit is required for any site activity in the flood plain and everywhere site alteration consists of fifty (5O) cubic yards of material or more and/or if a drainageway is affected, within City limits and ity of Springfield,')*-2l Permit Expiration Date: ' siteAddres", /o* /2 Arrnbkgidl - <,tl,t Po*k n Lrrrz-,,springfietd, oreson Property Owner d,q citv_@tate:DrlZip. Date of Address : Phone: 4lc/ -?AtCcott Co-/54-,u Tax Lot: 3Z@No: 11- O2-- lg -OO Journal number applicable Land Use Appl ication tr uGB Tax Map E EI Su GRAD NG Oua VATIONEXCA Material Source Locationtr FILL, ouantity Supplier Address E( tr u tr tr tr I CROSS SECTIONS, SOILS & GEOLOGY PLAN, ADDITIONAL INFORMATION, REPLANTING PLAN PHONE STATE PHO crw CITY COMPANY NAME COMPANY NAME: PROJECT SUPERVISOR: ADDRESS: PROJECT SUPERVISOR: ADDRESS: PROJECT SUPERVISOR: Registration numOerz 73.\111 , , CITY: MOBILE PHONE:-, EMERGENCY PHONE: ztP Expiration Date PHON OFFICE PHONE CONTRACTOR NAME: ADDRESS: STATE: I understand that I.or my aucc€saors may have futuro plans for my property which may bc anticlpated or qnanlclpated-at this time. I understand that such future ilans may require permits and developement approvals frgm the CW of SpringJield. I understand that notwithstanding any a'pproval of this Land and Drainage Alteratlon. Permtq (DNPl,'that at ths time of application of future pormits or alprovalb'the City may review and reconsider all actions-whlch I or.my.ruccegsor-s have uhUertaken persuant to this LDAP. I understand that the City may as a condition of any -future^apProval, relj,ire the . _ - _ undoing, chinging, or modification of any actions which I hive uhdertakon as a result of the City's approval of this LDAP. Bv sisnature, I state and agree, that I hate carefully examined the completed application and do hereby certify that aU in?oriration herein is true a-nd correct, and I further'certify that any and all work performed shall be done in accordance with th6 Ordinances of the City of Springfield, applicable'CiV Standard specifications and Drbwlngi, and the laws of the Stat6 of Oregon portsining to the wdrk describeil herein. I fuither certify that only contractors and employees who are in compliance witfr'ORS 70f.055 will be used on this project The Citv mav insoect the work sit6 described in this permit at any time during a one yearperiod foilowing the receipt by ths Citv of nbticd of completion of the described woik and specify, at the Cit]/g eole deeecration, any additional rostoration work r6quired to return tlie site to a standard acceptablo to the City. The permittee will be notified in, wrhing of any work - reouired'and will have thirw (301 days from the date of the notice to completp.the worlr. Work not completod at the end of thd thirty days will be perfdrmed byihe City and the costs will be billed to tho iermtttco. Date requested the sit€ at fromatarereadableaddress iethat'projectall all6etonramarn t Signature F E' rv -r-IJJo- Zo EIF rv -i-IJJFJ IJJ U Z ET rv --o oZ oZ s CEulz =o tuFo zo TElU 5 oz 5 oFz lrJ =Io Lt- oul TE5otxtr aFztfozoo Irol-o (E zo() az 5(L LrJ EEl fL IUfrf, zga b.idJ^" Re n^rjs c# Qaoo bL a Destinationz Morn i?:-a. 4urt<-r( Project Supervisor land of and to tr tr tr tr DRAINAGE, E Storrr, O Ditch, E Culvert, O Natural WETLANDS, Description FEMA Community Panel No.: DateFLOODWAY, FEMA Community Panel No.: FLOOD PLAIN, Zone: $20.00 $30.00 $40.00 $40.00 For the first 10,000 cubic yards, plus $20100 for each additional 10,000 cubic yards or fraction thereof $220.00 For the first 100,001 cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thoroof $340 For the first 200,001 cubic yards, plus $6.00 for each additional 10,000 cubid yards or fraction thereof. $30.00 93O.OO For the first lOO cubic yards, plus $14.00 for each additional 100 cublc yards or fraction thereof. $156.00 For the first 1,000 cubic yards, plus $12.00 for each additional 1,000 cubic yards or fraction thereof. $264.00 For the first 1O,O0O cublc yards, plus $54.00 for each addhional 10,000 cubic yards or fraction thoreof $750.00 For the first 10O,0Ol cubic yards, plus $30.00 for each additional 10,000 cubic yards or fraction thoreof 5 ltulfr :}{ 100,001 To 200,000 2OO,OO1 CUBIC YARDS OR MORE 1,001 TO 10,000 cuBtc YARDS 1o,ooo ro 100,000 cuBlc YARDS 10o,oo1 To 200,000 Received by: Grading Permit fee: Received By: Estimated Volume: PLAN CHECK FEES: UP TO lOO CUBIC YARDS 101 TO l,OOO CUBIC YARDS 1,001 TO 10,000 cuBtc YARDS 10,000 To 100,000 cuBrc YARDS GRADING PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS Receipt Nor32)o7Z Date Date: tbto tq 1 -T--- T Receipt No:_ Date Date: Pran check Fee: F ZP . 0O tr tr tr tr Maintenance: Engineering Plann Date: Date Date: Date: Planning: Engineering: Builcling: Maintenance Permit Number Issued by:Date: Requirerl Final lnspeetions-. Date Date: Date Date F EI M IJJo- Zo EIF M IJJFJ IJJ U Z -I Mo oZ oZ 5 lp!{_qnQ pralnagg. activity.as outlined in this permit has been compteted in accordance withrne provrsrons ot tnls permit. hrlt$,?13dpDr6$l3ffi,trffitiyilyf&Sy,,]i"ed in this permit has not been completed in accordance tr Land and Drainage activity was performed prior to application for this permit. Accepted by: _ Date: n tr erhis Side To Be Fitteout By ciry staif ]Uo z tro [rJ TUl! ozotrozoo o TIJ E[! lJl cc. U'zotro TU(L @z trJoz F(L tuoo 1/6/1998 Building: