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Home My WebLink AboutPermit Building 2004-4-26 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line e _: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00355 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 10/26/2004 VALUE: $ 247,962.00 SITE ADDRESS: 3325 Falcon Dr ASSESSOR'S PARCEL NO.: 1702193406100 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: SFR - ambleside lot 95 TYPE OF USE: Owner: RIVER V ALLEY BUILDERS INC Address: PO BOX 2041 CORVALLIS OR 97339 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor RIVER VALLEY BUILDERS INC G & E ELECTRIC INC MIDWAY, MECHANICAL INC MIDWAY PLUMBING INC License 134566 54468 154166 4687 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .street Improvemeuts: 1 R-3 U-l VN 3 18.00 5.00 5.00 15.00 0.00 I BUILDING INFORMATION I # of Stories: 2 Height of Structure 29.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Patb 1 I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I New Residential Expiration Date 04/15/2005 09/1512007 01130/2005 07/25/2004 Phone 541-367-1618 541-967-7045 541-928-2423 541-928-7927 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 1,740 780 622 2 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 45.00 Sidewalk Type: Curbside 5' To Storm Sewer Fully Improved Storm Sewer Available: Yes Downspoutsillrains: Special Instruction: See attached 1/fE!tl'YtJpJltiis for Sanitary and Storm Sewer connections. regon laIN reQUI on Utility , Notesj>.\TEN110N:~pted bY the ore~re set lor' NOTICE: lollolN r,u\e~~l\ter.lhOse ru~e~AR 95'2-00 'iotilicatlon _oo,\_oowthrO~g sol the rules. THIS PERMIT SHALL EXPIRE IFTHE WORK' In OAR 95'2 obtain cople telephOne AUTHORIZED UNDER THIS PERMIT IS NOT 0090. :OUt~:~enter: .lNoteu\~~~ Notitication COMMENCED OR IS ABANDONED FOR calling the oregon ?,,~~t ANY 180 DAY PERIOD. number lor . _ " ~,~~ "",,,. Pa2e 1 of 4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garaee Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- 3 Baths One & Two Family Addressing Assignment Annexed 1997 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump PW Mult Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursemeut SDC Sanitary/Storm Admin SDC Transpo Admiu SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid Initial Review 04/01/2004 e . Lil t OF ;:)rKll~GFIELD Building/Combination Permit PERMIT NO: COM2004-00355 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 10/26/2004 VALUE: '$ 247,962.00 I Valuation Descrintion , $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,520.00 622.00 Value Date Calculated $232,848.00 $15,114.60 $247,962,60 03/31/2004 03/31/2004 Total Value of Project FpP~, tIiIIJ Amount Paid $680.32 $10.00 $306.00 $31.00 $-20.52 $1,046.65 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $-30.00 $447.46 $588.64 $10.00 $214.23 $314.63 $120.37 $52.49 $727.42 $164.89 $75.00 $1,010.36 $50.00 $24.00 $1,000.00 $6,955.94 ' Date Paid Receipt Number 3131/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 4/26/04 2200400000000000304 3200400000000000057 3200400000000000057 3200400000000000065 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 , 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 3200400000000000057 I Plan Reviews I 04/01/2004 APP LLH Paee 2 of4 .. - . CITY OF SrKll~u.H]!;LJJ Building/Combination Permit Status Issued PERMIT NO: COM2004-00355 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 10/26/2004 VALUE: $ 247,962.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectiou Line Plan nine Review 04/01/2004 04/1712004 APP TAJ Miuimum side setbacks require survey. Public Works Review Structural Review 04/01/2004 04/01/2004 04/09/2004 04/13/2004 APP APP VRJ RJB To Request an inspection call the 24 hour recording at 726-3769. All 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 )?pnn;rpt! Tn.,nprt.ilwiJ I Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 27 Rough Mecbanical: Prior to Cover 28 Final Mecbanical: When all mechauical work is complete. 29 Temporary Electric: Approval required prior to Utility Company energizing pole. 3 Erosion/Grading Inspection: After all erosion measures are in place. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to Door insulation or deckiug. 8 Floor Insulation: Prior to decking. 9 Sbear Wall Nailing: Before covering sbeatbing witb finish materials. 10 Framing Inspection: Prior to cover and after all rougb In inspectiuns bave been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior tu taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. IS Final Building: After all required inspections bave been requested and approved and the building is complete. 16 UnderDoor Plumbing: Prior to insulation or decking. 17 UnderDoor Drain: Prior to cover or placement of concrete. 18 Rougb Plumbing: Prior to cover and including required testing. 19 Water Line: Prior 'to filling trencb and including required testing. 20 Sanitary Sewer Line: Prior to mling trencb aud including required testing. 21 Storm Sewer Line: Prior to filling trencb. 22 Final Plumbing: Wben all plumbing work is complete. 23 UnderDoor Mechanical. Prior to insulation or decking and including required testing. 24 UnderDoor Gas: After line Is iustalled and required testing and capped if not attacbed tu an appliance. 25 ,Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 26 Gas Service: Mter line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at tbis point. Paee30f4 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 wurk 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 701.005 will be used ou 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 J'err card is loc at the front of the property, and the approved set of plans will remain on the site at all ~~/rruction. Owne~0,..6ontractors s(gnatur~ < Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line e Pa2e40f4 e CITY OF ~rlUl~u1<IELD Building/Combination Permit PERMIT NO: COM2004-00355 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 10/26/2004 VALUE: $ 247,962.00 4-7~ -04 Date ( SPR..,NGF"..ELD, ~,' :,'=11 ~~~~~ 225 FIFfH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3751lh: fo~n&5Jr!lJ6\lj;~~,\\jlmitte~~ol~~:~~~ ELECTRICAL PERMIT APPliCATION zoning, and does not require spec;I;c!landfuse - City Job Number CCM1 ZLl 0 '-{ - 00 -S ~ Date approval. LbrC. _ _w ,.~ . 1. ~LbCATloNoF,~n.lsr;'riJtTIO' -N'-i-."0,:;;:-;,"_ti n~::;;-~~r7'~."'X1-T~'-='t"'7.~...:.~~I""':~~~~~~~'-;r':="'..".71 ~ ..' . '~~'7)~,,-;....,c-!C'~",,"4"~ 3, ~~S2:&~~i!~~~S:~~B1.~g~Q~~~.;~\", ~~j , '32z <7 .;::;; k ,p"", ~c- , Authorized Signaturo LEGAL DESCRIPTION A. ~,~~;~~~;'1i;;r~~~I~g~~%fifi~~ifi,:~&"~~wm~,'~,;!:r.~ii1f2lj .'.<ll:.Az--;4.::iJ-~;k.;;x.. ,~..:,.~tj;""",~':;;J~_~':;1l;;'~'~"'.A,.j~~,'%,l~(~~;;;;<;'''~~''''~~ j 7{) Z. 193 L( oGIO 0 Service Included . ..~,;,..,>: H'crtY,dF:'5~.~qNGF~LP; OREOQ~::':" 'U ':":~ . , ' ". - - -~ -. . -..., - -, .' ,CW\~ e.i';<.-/ c-<'L.. 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof $106,00 JOB DESCRIPTION $ 19,00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $5000 Suspended for 180 days. :Oreoon law reqUires ;Ji..ee~~' ' _,_'AT:t"lllT.IP~__, ~O n~' ' t,~eoNiRA,~"~er">,,..,t&s~14}~i~'TI([jM<m1!Y~.1 reg~. ,~~ er.,\,>:i.Z~~~~j.tcF~1i~~~:ih~t~'li~'fi~ri1~AI,t~Viti~;~t\.,~:R~ici~d~:' ;"f1 ,2. hn"e'."",' ''''-:j;~T~~f~t~..tCJ:'&f\l'eS :~e q ~:~.~'" ,_..,~\1!"I.Ul""'~,.''''':'''''~, ~~.,"'.,"~tJ ElecnicaI CO!llrnctorn nAR QS2-001-0010 through 0 h 't66 Amps or less $ 63.00 , bt COP't:lS of t e ru1eS", 0090 You may 0 aln 201 Amps to 400 Amps $ 75,00 , t r (Note' the telep!lon,,' Address r.allino the cen e ' . ":'''t Notit18.1.ws to 600 Amps $125,00 , number for the, u~e~~~' ~~~IX",Il), 601 Amps to 1000 Amps $163,00 City Phone /. Over 1000 AmpsNolts $375,00 ( Reconnect Only $ 50,00 \' J:-' !i:;""-' *".""',,"''>0'+' ._~ -_.' "~>~."~"';'oi\li;~',.ogJ"~~U'''' Supervisor License Number ~ \5 ' Co ,,:r~'*por!LrY$~&!~~;!!~-,l'~e,i!eQ',"'~~'r[\"E~~~~i'W\ Expiration Date \)~ Ah" Installation, Alteration or Relocation c-0 \ r/i~ /ICt. 200 Amps or Ie~s '/ $ 50,00 ~ Constr, Contr, Num'r AU" 'S PFlf,i 201 Amps to 400 Amps $ 69,00 CO~/'fORI1/ir S/il/ 401 Amps to 600 Amps $100,00 A4'" ~F4IC O/l/va II E,fBj~ 600 Amps or 1000 Volts see "B" above. 180 ^ 1:0 Db 'ER r."Z~ ~/~i:f;lf~ifl/~<;';iil';'ri.,~'\'€ll,~f,i,;!~~";;:'X1>i'EJ",'",;].,1 Signature of Supervising E1ecnician vl/y pf.'l IS 1/0.'1#/;'8, '(Ji;:.f!lt-~.f4'l'Wi., _,.,;rr~~~~~~:i!ID"'/ "'''''', RIOD. 'I/~N~~~W{};yfr"tension Per Panel One'~'f.b. AlOr $43,00 Each Additl~aI Circuit or with Expiration Date Owners Nam6i--~ f.-.,o.../ \:'; VI Addr?):f,O{ Box 704/ Ciri Ov"VQ J J:~, Phone 7 26 -()5~O Service or Feeder Permit $ 3,00 E.lIW~~ill*~~~ri~'~~~ed~_~4e.~~iL~(ri~4):t#l~l{~~1~_l4~t~~~-" OWNER INSTALLATION Pump or irrigation Sign/Outline Lighting Limited EnergyIResidentia1 Limited Energy/Commercial $ 50.00 $ 50,00 $ 25,00 $ 45,00 The installation is being made on Y'V ..;/ lawn which is not intend d for sale, lease or 1.: Minimum Electric Permit Inspection Fee is $45,00 + Surcharges <:/ CLnature( ~ "'---'" ~ - lnspec . n Request: 726-3769 ~ ~\:<r~"T~;-_~'.'C/'~\::}":7i:1f ..j.~.-;:;to'~1 ';:r,~:~, ;':',-f..~:~.....-{jl;k:f~";i:;t.l.t::: '~';~r.,:i; 4, 'SUBTOTAL OFABOVE ,,",,',.',"'0' ""'~'WC" ,lc<4~~~""'P!:;;-~"~Jc~'.t"w _"'_~-__<<- :,''''c!~.'';~l.:i::::_-;~\.j1 7% State Surcbarge 10% Administrative Fee SO' ::>fV :>,,0 t s8? TOTAL I Shared Drive(T:)/Building Forms/Electrical Permit Application 1-D3.doc CITY OF StNGFIELD SYSTEMS DEVELOPMENloRKSHEET JOURNAL OR JOB NUMBER: Com2004-00355 NAME OR COMPANY: River Valley Builders LOCATION: 3325 Falcon Drive TAX LOT NUMBER: 17021934 t16100 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x I COST PER S,F, I I CHARGE I 3484,00 I $0,290 I = $1,010,36 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 DISCOUNT I 0,00 I $0,290 I 50% I ~ I $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER - CITY $1,010.36 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I I 26 I I COST PER DFU $22,64 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 26 I COST PER DFU $17,21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 1, TRANSPORTATION $1,036.10 A, REIMBURSEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I I 9,57 I I I I x I COST PER TRIP $17,23 x INEWTRlPFACTORI I 1.00 B. IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I I 9,57 I I I ITEM 3 TOTAL - TRANSPORTATION SDC COST PER TRIP $76,01 5892,31 x INEWTRlPFACTORI 1.00 = , 4, SANITARY SEWER - MWMC A, REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 1 I $314,63 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $214,23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I ~ I 5518,34 5225 51,010,36 5588,64 $447,46 $164.89 5727.42 = 5314,63 ilf2 10 10 I~ ~ CIl G ~ 111070 ~ 1091 1092 , 1093 1094 11054 I 1055 1054 1056 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) 53,457.11 5, ADMINISTRATIVE FEE: !SUBTOTAL I x I ADM,FEERATE 1= I $3.457,11 I I 5% I TOTAL SANITARY ADMINISTR,ATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $172.86 Virginia Jurasevich PREPARED BY 4/9/2004 TOTAL SDC CHARGES DATE = 5214,23 (520.52) 510,00 = 120,37 $52.49 $3,629.97 1079 1078 e e DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x: UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS. CAlCULATE ONLY THE NET ADDITIONAL AXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBAftiJUB - 1 0 3 3 = IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 '2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP P PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 2 0 2 = 4 SHOWER, GANG q-<UMBER OF HEADS) 0 0 2 = 0 SINK: COMMERC1AURESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 IS1NK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 26 .EDU (Equivalent DweJlinp; Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day ---- I I L- MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDITRATE/$I,OOO I ASSESSED V AWE 55,04 55,04 $4.95 S4.88 $4,75 $4.58 $4,41 $4.20 $3,88 $3,50 $3,07 $2.60 $2.14 $1.71 $1.52 $1.38 S1.l9 $1.03 $0,87 $0,68 $0,46 $0,27 $0,09 50,04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enler 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enler I for Yes, 2 for No) BASE YEAR 1997 CREDIT FOR LAND (IF APPLICABLE) V AWE / 1000 CREDIT RATE $30, I 8 x $0,68 ~ , $20,52 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V AWE / 1000 CREDIT RATE $0,00 x $0,68 TOTAL MWMC CREDIT $20,52 = I I :! 1 i' I I -.J o o , . " . 225 Fifth Street Springfield, Oregon 97477 ,541-726-3759 Phone - ~ Wir: _ of Springfield Official Receipt "elopment Services Department Public Works Department Job/Journal Number COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 "COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM2004-00355 COM20Q4-00355 " COM2004-00355 RECEIPT #: 2200400000000000408 Date: 04/26/2004 Description Plan Review - Planning Building Pennit Addressing Assignment WilIamalane Single Family 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mechanical Issuance Fee- Gas Fireplace Heat Pump Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Sidewalk Pennit Curbcut Pennit Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transpo Admin Annexed 1979 or Before PW Mult Disc - 2nd Pennit Payments: Type of Payment Paid By CreditCard RIVER V ALLEY BUILDERS Item Total: Check Number Authorization Received By Batcb Number Number How Received IIh 00365 161479 In Person Payment Total: ',j 4/26/2004 Page I of I 12:39:30PM Amount Due 71.00 1,046.65 31.00 1,000,00 306,00 12,00 24,00 9.00 6,00 4,00 \0,00 15,00 12,00 50,00 \03.93 148,47 75,00 75.00 1,0 \0,36 588.64 447.46 164.89 727.42 314.63 214,23 10,00 120.37 52.49 (20,52) (30,00) $6,599.02 Amount Paid $6,599,02 $6,599.02