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HomeMy WebLinkAboutPermit Plumbing 2001-1-24 - ------ aj/ f"'i I Job# 01-00067-01 I ij- , Page 1 of 2 TRANS#:01-0004308 DATE:JAN 24 2001 AMT RECD:2 $ 44.00 CHANGE: CASHIER:Q03 mam:talJ.lh'r~J.':rd 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 .- p;-~~- -, ( ,I U 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. ~~,.c-~)~~ , Signature //Zr/ZC?d I Date