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1003 Boston Hill Rd Use BLUE or BLACK In f ce I For Office Use Permit D_ City of Eap I I Permit Fee; 3830 Pilot Knob Road I Date Received: Eagan MN 55122 AUG 31 10 I - Phone: (651) 675-5675 1 Fax: (651) 675-5694 Staff: 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: Out_ &Y-0- Tenant: Suite - _ Phone: RESIDENT OWNE Name: - Address / City / Zip: gori 9 CONTRACTOR Name: License Address: City: State: M Zip: -L~---- Phone: _r `~~-1----- Contact: _(1&---------__-_-- Email: TYPE OF WORK New ✓ eplacement Additional Alteration Demolition A& Description of work: ~ AC ANO J)&f kkIM b ~ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE /Furnace New Construction Interior Improvement ,/Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value x 1% $50.50 Minimum (includes State Surcharge) _ $Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). $TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City Eagan; that I unde~rst is is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in.accordan with the ap _plff ahe cas of work whi re es a review and approval of plans. Applicants Printed -Nafn% Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required inspections: ---Under Ground Rough In ___Air Test _--Gas Service Test ___In-floor Heat ---Final REQUEST FOR ELECTRICAL INSPECTION EB-0_0001-07 ► See instructions for completing this form on back of yellow copy= " Below Work Covered by This Request G 0 0 0.3 X New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Se rvice Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 1 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. r I, the Electrical Inspector, hereby Rough-in Date a y certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from CITY OF EAGAN N0- 17389 r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $93, 000 Date DEC 15 , tg$g Site Address 1003 BOSTON HILL RD Lot 19 Block 3 Sec/Sub. SQ 4TH OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning PD R-1 W Name GREENWALDT CONSTRUCTION (Actual) Const -K--N Bldg. Permit 608.00 o Address BOX 125 (Allowable) V -N Surcharge 46.50 City BERTHA Phone (218) 924-4147 # of Stories Length 46' Plan Review 304.00 zr~°- Name SAME Depth 50' SAC, City 100.00 Address S.F. Total W SAC, MCWCC 575.00 ~ City Phone S.F. Footprints On Site Sewage Water Conn 580.00 w W Name On Site Well Water Meter 90.00 iz Address MWCC System -XX_ aw City Phone City Water XX Acct. Deposit 30.00 PRV Required S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes anMCa,,an Or antes. Treatment PI 9 9A _ nn Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: GREENWALDT CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota esota Statutes and City i f Eagan Ordinances. Bldg. Off. Copies 0 Building Official I Variance TOTAL 2,922.5 t !y CITY OF EAGAN 4006 17389 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT, Receipt # _ To be used for SF /"R Est. Value $93, OW Date DEC 15 1949- Site Address 1003 ]IMflSTON HILL RTT3 19 LEXINGT OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy R-3 M-1 FEES Zoning PIS R•»I W Name CREMAWT dDYS'TR1.'C"f2 (Aotuat) Const -Y- _ Bldg. Permit 6060 Address 100)r 125 (Allowable) V-P3 City BEI / Phone (218) 924-4147 # of Stories Surcharge Length t1(LI Plan Review Zo Name sox Depth" SAC, City COQ! pO Address S.F.Total SAC, MCWCC 3750t?(3 City Phone S.F. Footprints On Site Sewage Water Conn 5W.00 0 W Name On Site Well Water Meter + t=i3 Address MWCC System _ Q W City Phone City Water Acct. Deposit PRV Required SiW Permit 20*00 I hereby acknowlege that I have read this application and state that the Booster Pump S>W Surcharge 1*0 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 2290 Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: GREZWAI= CDNBT Planner Park Ded, on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and,City of Eagan Ordinances. Bldg. Off. Copies ` Building Official Variance TOTAL 22922"50 , /Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING r HN.A.C, ELECTRIC Inspection G'Date Insp. Comments Footings I Z 8 F9 ®r- L~ G,)Z r ? ~f Y26 + all- Foundation Framing;'. PD Roofing Rough Plbg. J 3f tf` 'NOW r Rough Htg. , Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 111-L1,lNUSINVA IREFIMiIT For Off~¢e 1 ` CITY OF EAGAN PERL41T # ~ CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # _ C _ PRICE PHONE 454-8100 DATE: °ef Site Ad r ss oy&0 3 SAW BLDG, TYPE WORK DESOW-1 ~t Lot BI k Sec/b Res. New Mult. Add-ors Namd~ Comm, Repatr u~ Other m Address 1 ~ /Ltr 1 r ` , 2 City /1"V Phone d+ ~ R ES. PLI ONLY -COMPLETE THE FOLLOWING: NO. FIXTURES TAL =Tubs -$3.00 $ Name Bath ;Tubs - $3.00 Address - Lavatory - $3.00 City Phone Shower - $3.00 Kitchen Sink - $3.00 UrinaUBtdet - $3.00 SEES Laundry Tray -$3.00 COMM./IND. FEE - 1°k OF CONTRACT FEE Floor Drains - $1.50. APT. BLDGS. - COMM. FATE APPLIES Water Head -$1,50 " TOWNHOUSE & CONDO - RES, RATE APLLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL' FEE $12.00 _ Gas Piping Outlets - $1.50 MINIMUM - COMM.IND,/FEE (M[I*EN JM -1 PER PEWT) STATE SURCHARGE PER PERMIT ,50 Solemner - $5.00 (ADD /C PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Qisp. -$10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE 'U. G., Sprinkler System -$12.00; PERMIT FIE: STATES FOR: CITY OF EAGAN SIC: GRAN'? TOTAL: ; ~ ~ aftptyar~ 1Fm ,~Y H a ` ~'~4~y',N .~ap..z.•R9~..: ,_r:-~.r.(~` +~~~.x-.,+-. ~ a f y ✓ ~OCJ ! c a PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: 9Q 3830 PILOT KNO13 ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE 54-8100 For Office Use Only: :i Site Address BLDG. TYPE WORK La Blo Sec/Sub Res. New E M ulL Add-on_ Nache Z° ~v m Comm. Repair y~~Address ~y'% sr G. Other c city Phone i FEES~ Name RES. HVAC 0-100 M BTU -$24.00 6.00 C Address ADDITIONAL 50 M BTU 3 (RES. HVAC INCLUDES A/C ON NEW C. Phone Q tY CONSTRUCTION) _ GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE Forced Air t' ~M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 1I2.0 Unit Heater M BTU o MINIMUM COMMERCIAL FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent: CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: } SIGNATURE OF PERMITTEE S/C: TOTAL 4 FOR: CITY OF EAGAN SEWER & WATER PERMIT OFFICE USE ONLY 12/27/89' aN, OF EAGAN METER # PERMIT DATE 3830 Pilot Knob Rd. cralP 1J i ~-l 3 13919 PERMIT # J? C. 11161 Eagan, MN 55122-1897 S25U METER SIZE ~1 8 RECEIPT # ^5250 a 1, - f {1 ISSUE DATE p 190 B.P. RECEIPT DATE 12/26/89 DATE G PRV - BOOSTER PUMP SITE DDRESS O a'3' A PERMIT REQUESTED 'Al LOT 47-BLOCK I_SEC/SUB - 4 1 SEWER- WATER TAPS WDDRES A COMM/IND A RESIDENTIAL A 4 S~ ADDRES: CITY, STAT r 2L NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER:. - Ahead of Domestic Meters on Water Line. ADDRESS: • - Credit WILL NOT be given for Dedwct Meters. f CITY, STATE Zlp 55122 PHONE: Cif ~al.efr'J/'1 "i AGREE TO COMPLY WITH CITY OF OWNER: FAG ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED ' PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTION& IN 8"~.iRM SEWER PERMITS, CO AC,T VEER ',i r CAIH Rt !•10T N CITY OF EAGAN 3830 PILOT KNOB ROAD r EAGAN, MINNESOTA 55122 , DATE 19 j DECEIVED Mom ~ . AMOIJN $ ' } t { & DOLLARS ~w 0 CASH )(CHECK i FOR_ t J '71119 d Ike FUND OBJECT AMOUNT f Thank You BY C Vftw-Peym Cape YsHow-PoWng Copy P+nk--File Copy 1 Request Date Fire No. Rou -in Inspection R fired? ❑ Ready Now Will Notify Inspector Yes ❑ No When Ready? I Xlicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City _ Section No. Township Name or No. Range No. Coun '4~~ Occupant (PRINT) Phone No. Power Supplier Address , Electrical Contractor (Company Name) Contractor's License No. C, ~ Mailing Address (Contractor or Owner Making Installation) - Sow Authorized Sipatujis (Con trac er ak n lation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 12/27/89 DATE: 1003 BOSTON HILL RD.. L19, 83 LEXINGTON SQUARE 4TH RE: Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR, PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons:' Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ` 12/23/89 DATE: 1003 BOSTON HILL BD., L19, B3, LBXINGTON SQUARE 4TH RE XX - Your Sewer & Water Permit for the above property has been completed. It will be held at the 4 Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Birk House (Plumbing Inspectors - 454-81,00) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES = TELEPHONE, ELECTRIC, GAS, ETC. REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. r Secretary, Building Inspections Dept. ~~er#i#tr~~~_u~ (~rr~~ttnr~ Citp of Cagan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following. ; Use Classification SP DWIGAR. Bldg. F rmit No. 17389 Occupancy Type R3/141 Zoning District PD/R) type Conk Owner of Building ~ryQ(109 J Address M; 1 I MMM 4IH, Building Address _JS6[, E311, ROAD Locality L19, B3, UMMUM l+I SMW G~ 'M~ Date: FMCM 1990 Bud' ng Offl.'AV POST IN A CONSPICUOUS PLACE 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~Jq),-76 CITY OF EACAN 3830 PILOT_ KNOB RD - 55122 651-681-4675 Now Construction ReW s registered sNa a v ys showing sq tk of W, sq. ft. of house 2 copies of pig and al roofed areas QM ma imu n lot coverage diowedy i set of energy calculations for heated oddiflons > 2 copies of plays (show beam & window sires; poured Ind. design; etc.) 1 site survey for exterior additions a decks > 1 set of energy calculations > 2 copies of tree preservation plan ff lot plotted after 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: QF-f-- OLD IV STREET ADDRESS: 003 1)1~& -~yj- Lb ez, LOT! ' BLOCK: SUBD./P.I.D. t e- ` y Name: 1i1/ ~C Phone VU PROPERTY Last Fist OWNER / Street Addr ss•-~f/ o CNy State• -Zip: rte-' Company., Phone (area re 1 J _ code) CONTRACTOR Street Address: ' License #I 2DI Exp. City Cyr u[l State: LL&L Zip: r! 1 ARCHITECT/ ENGINEER Company; Name: Telephone Street Address: Registration City State: Zip: Sewertwater licensed plumber (if installing sewer/waterPhone I reby acknowledge that i have read this application, state that the hfomtatien , and to with d applicable Staff 6Mesota Stakdes and City of Eagan Ordinances. Signature of Applicant. -11 OFFICE USE ONLY Certificates of Survey Received vv~ Yes No FEB Z 8 Tree Preservation Plan Received Yes No Not Required P T,Y.,OF- EAL r CASHIER-. .?S T[--RM N.AL NO% 043 DATE- 02/29/00 TIME- 11:08:13 ILA INC. NAME." TITAN CONSTRUCTION 32iC 9001 1003, BQSTN'HLL f39.25 Total. Receipt. Amount '142.75 CR123389 !.USER ID: JAN f 1989 BUILDING PERMIT APPLICATION CITY OF EAG q59 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ""T-3 OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL =ISTERED SITE SURVEYS REGISTERED SITE SURVEYS - i STRUCTURAL PLANS I SET OF ENERGY CALLS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SST OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS _ # OF UNITS _ NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER !MUST DESIGNATE IWRICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT 13 ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS is TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. UEC~ 1989 To Be Used For: Valuation: Dates - Address p 7-gjV d{ OFFICE USE ONLY s Lot ZI Block Occupancy R' M- FEES M1 Zoning D -l Parcel/Sub Actual Const Bldg. Permit 0 Allowable Surcharge Q Owner # of stories Plan Review O a Length SAC, City 100,0 Address Ld4 4Xr Depth 95C)l SAC, MWCC 5 q5, Oct j V S.F. Total Water Conn ~$c~,oJ City/Zip CodeA2,t-L J r,& X516 ,/,S°? Footprint S.F. Water Meter 70 Acet. Deposit 0.00 Phone cCl- q~~ yf On site sewage S/W Permit 20-00 On site well S/W Surcharge 00 atractor MWCC System y' Treatment Pl. 22 City water ✓ Road Unit -940, Address PRV required Part Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone -j Plate TOTAL Council Arch. /Engr . Bldg. Off. Address Variance V,15 f Al' City/Zip Code Phone # 3 VALUA-VtOS3 G ARAG z2-A = 4E4 X72(Pd 6S MT, 4L, x z8 - 128® 1333 x 14 = 1862 1 err- FrLOo x SMfi 1199 1X22 132 ~ =dGyoo t Z 322-' 0,* 603.00+ 46. 50+ 30'x' 00 + 1 )964.00 2,922.50 603.00" 46. 50+ 304 00.1- 19964.00+ 29922.50 + t Cet:`,ific-ate For Book /Jr Page 7S Greenwaldt Const. DELMAR H. SCHWANZ LAND SURVEYORS. INC. R•oht«.e UAdWL*" Or rW sul. a Ir n! 14750 SOUTH ROBERT TRAIL ROSEMOUNT• MINNESOTA SUN 912/423.1769 SURVEYOR'S CERTIFICATE I N S$~'D ~5"OO-'~i r~ {~'$gq'~ Scale 1 Inch = 30 Feet `i O.Denotes iron monument i 0 Denotes set wood hub I ~,'3 Denotes existing elevations FL C.)1- f Y~(~)Denotes proposed elevations from development plan. 46.00 PF005 ED 'ac r, p tEou5E 15.50 p Proposed garage floor elev. ?a4~4 GAR. Tod' Nv~ = qd 3.3 M2.7 gal-. d 10 yol r O HO 5 T(V J H ILL K C? A i. Description: - °A Lot 19, Block 3, LEXINGTON SQUARE FOURTH ADDITION, according to the recorded plat thereof,Dakota County, Minnesota. I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that 1 am a duly Registered Land Surveyor under the laws of the State of Minnesota. 08-21-89 Delmar H. Schwan: Dated Minnesota IllogWrNbn No. 9925 12-14-89 0 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS Ls - '7 T0R V DATE PHONE 2 CONTRACTOR cR~ o a( ( rz Determine working square footage of each. 1. Total exposed wall area . , , 2468. vd sq. ft, x ,11 ~ 7 2. Total roof/ceiling area , sq. ft, z .0 25 • v„Z'- Total exposed 4;a11 area above floor 47 e) a. Total wail window area 2- b. Total door area c, Total sliding glass door area ..$.n.Q d. Total fireplace wall area e. Total wall framing area (average 10%).,, , , , 246.s~3O f, Total net wall area above floor 1~ g. Total rim joist area "1-3 Total exposed foundation area h. Totai foundation window area..,.... i. Toal net foundation area above greA. Detemine "U" value of each Nall segment, a. L3 Z u" =5 _ 4 8 7 b, X „v LL_ = 7, fZ C.- 86- a 4V X U_ o z 9-- 10 h X U u" 3, ....•...•...•„••...Total • Z4 r 3 If item 13 is the same as, or less than item /l, you have met the intent of S8C 6006(c)2. Total exposed roof/ceiling area _ j. Total skylight area. k. Total roof/ceiling framing area (average 10%).. _ . 1. Total net' insulated roof/ceiling area.........., L~ Determine Uvatue for each roof/ceiling segment. X ,lull s k X ,lull s 1 1j6 sZ _ X 111111 oZ~- qo_Z~e 4. Total = 40, if total of #4 is the same as, or less than #2, you have met the intent, of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and. #4 shall not be greater than the sum of items #1 aw 0.2. 1. 17(.43 + 2, 46.Z 31/,74 3. Z4l- 3 + 4. GZ~ _ ~Sls WEPIA CO. 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