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HomeMy WebLinkAboutPermit Plumbing 2013-12-19 SPRINGFIELD 225 Fifth St k PhonCITY OF SPRINGFIELD Springfield,OR 97477 L e: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02709 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 12/19/2013 EXPIRES: 06/17/2014 STATUS DATE: 12/19/2013 APPLIED: 12/19/2013 SITE ADDRESS: 423 D ST,DPLX#,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703352409600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sanitary sewer installation and extension into adjacent lot to west OWNER: DOW DOUGLAS N Phone Number: ADDRESS: 3655 VINE MAPLE DR EUGENE OR 97405 CONTRACTOR INFORMATION r Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED I Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 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 or 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 certify that only contractors and employees who are in compliance with ORS 701.005 will be used on 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 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 construction. r9 Owner or Contractor Signature Date MioR Ote9on laW to preg°o0\-`1 p�N\ M�\SNO( V-) tee Setlop1 ��` RM\� SN O R���NO N�pFOR ker P�E�ue Cedtec-thoseugeOFRe5ulesbY C NOt ticatl0n p010 the tes OI to hone �N\S�R�1-�0 UN(i�S P� 952.-00 obtain cot . ine telet at1Dn PGO�N,S�D p,Qt��OD. Ga111.0 th area et. gon 33�1 4). u ao toogo. yo P��.i 1 nu C' ° {Oentet s t 600 Springfield Building Permit 12/19/201 11:01:11AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 't.∎ - 225 Fifth St tt'tip TRANSACTION RECEIPT Springfieltl,OR97477 OREGON 541-726-3753 811-S P R2013-02709 www.springfield-or.gov 423 D ST. DPLX permitcenter©springfield-or.gov RECEIPT NO: 2013002709 RECORD NO:811-SPR2013-02709 DATE: 12/19/2013 DESCRIPTION _,„._- �,-„ 1„ ._ .:._� . AC000NTCODE/TRANS CODE I,, ._,„-_AMOUNT.DUE:,} Sanitary sewer 224-00000-425603 1005 83.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.02 Technology fee(5%of permit total) 100-00000-425605 2099 4.18 TOTAL DUE: 97.70 ) PAYMENT TYPE PAYOR- L CASHIER:CCARPENTER COMMENTS . - AMOUNT PAID ' ` i Credit Card fames porter �J -- 97.70 ---_. 161912 TOTAL PAID: 97.70