HomeMy WebLinkAboutPermit Plumbing 2001-1-24
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I Job# 01-00067-01 I
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, Page 1 of 2
TRANS#:01-0004308
DATE:JAN 24 2001
AMT RECD:2 $ 44.00
CHANGE:
CASHIER:Q03
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00067-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1605 Carter Ln Spr
Assessors Map#: 17032532
Lot: Block: Addition:
Tax Lot #: 17900
Subdivision:
Owner:
Milt Cunningham
1605 Carter Lane
Phone Number: 541-746-4185
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Plumbing
Replacing existing sewer line
Contractor Type
Plumbing Contr
Contractor
Garys Rooter Service
PO Box 25033, Eugene, OR 97402
Registration # Expiration Date Phone
541-463-7566
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections 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
working day.
Sanitary Sewer Line
Required Inspections
I Plumbing
-Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbing
01/24/2001 4308
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$.00
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Job# 01-00067-01
Paid On Receipt#
I ' , Plumbing
01/24/2001 4308
01/24/2001 4308
01/24/2001 4308
Page 2 of 2
Value/Quantity Fee Amount
Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Grand Total
55
$2.80
$40.00
$1.20
$44.00
$44.00
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state 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 all required inspections are
requested at t.~e, p prrooppeerr ~ ti e and that the project address is readable from the street.
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Signature
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Date