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0518_001Permit# ,P)LPZO(9 �-k 01. l'v'ri J 51 Address: Home Owner: 11"".2 V/W Contractor: %�.tl��� (--- This form may be used to help establish the percentage of demolition work performed to an existing home in the course of a remodel. Once demolition has met or exceeded 75% of the value of the existing home's replacement cost, the structure will be required to be rebuilt to the standards of new construction. p a Cl Replacement cost of existing home $ How was the value determined? Component Value of Existing Component Percentage removed Replacement cost of removed component Notes Foundation Floor Framing j' D� u� Floor Insulation d Imp / d o Jo C) Wall Framing Wall Insulation 2X� d �/ ®ct ,O -�"D jU0 6 v d� Sidin,,C j c- �, S-a o v O Roof 'raming d 00 d 0;V -/D d� �` _; / D ad _0 � d D _ d -0 Attic-msulation Windows ed�' .�d 1 ode -— Doors 6, 0 LI p j Plumbing Electrical {a0-rl a HVAC 0,0 6 Drywall Cabinets ® 0 ®v ;�J--�- .� �p— ��YJJ �/D o v U Deck Other V�ve V Total Z /� �e Ora of total removed D Percentage of Removed equals 'Total of Column 4 divided by Full Replacement cost' equals__/ Owner :.'�� �f/y ;,�./�P Date 26� Contractor /r��v/ '� A�d�'P,rr `e � 5 Date X 11'