HomeMy WebLinkAboutPermit Building 2000-3-16
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I Job# 00-00408-01 I
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Page 1 of 2
TRANS#:01-0000950
DATE:MAR 16 2000
AMT RECD:2 $ 44.00
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00408-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1067 a St Spr
Assessors Map#: 17033541
Lot: Block: Addition:
Tax Lot #: 02900
Subdivision:
Owner:
Elmer Grace
1067 A Street
Phone Number: 541-746-5500
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
Address:
Scope Of Work: Plumbing
Office Use
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: " re"Heat,Ss"rce:
\1 jt:..I"'l.ul'll.VI~YUjlld.W ~ilC::ij O'h.
Range: toll ow rules adopted by the ~~i9e\;19':
'Iotitlcatlon (jenter, I nose rUles are sellOn, I
To request an inspection call the 24 hour recording a~ C?R~!l!l~.OOijjOllR~oll!Jl\l@A81e.l5006re 7:00
a.m, will be made the same working day, inspectionsJOOlY.~rf!g9rooOOrtldtlpro~ t:lfJllti@~&1J3tf9110wing
working day. calling the center. (Note: the telephone
Re uirijH'1lllrP:Jeli~ nrAnnn Utility Notification
q t _on,e.~:c 1 Sl("ln_~q?_?~44\.
1--- Plumbing I '
- Prior to filling trench.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Sanitary Sewer Line
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
I Area (Sq. Feet)
I Main: Accessory:
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
# Of Stories COMMENCED OR~i~I~f8~lrED FOR
Current UnitAN.Y 180 DAY PER!OB~osed Units:
Census Code:'Does not apply
Total:
Fee
Paid On Receipt#
Plumbing
03/16/2000 950
03/16/2000 950
03/16/2000 950
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Sanitary Sewer Footage
75
$,00
$2,80
$40.00
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Job# 00-00408-01
Paid On Receipt#
Plumbing
03/16/2000 950
Value/Quantity
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Page 2 of2
Fee Amount
.r Fee
Plumbing Administrative Fee
Total Plumbing
Grand Total
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 the proper time and that the project address is readable from the street
~~r,\'I\ <i. \\{\l,\1~ 3-1 h-OO
Signature "~ Date
$1.20
$44.00
$44.00