HomeMy WebLinkAboutPermit Building 2002-11-8
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City of Springfield
Plumbing Permit
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Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2002-00113
11/8/2002
11/812002
5/8/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
250 A ST
1703353202700
Move 2 bathroom fixtures
Springfield
TYPE OF WORK:
TYPE OF USE:
Alteration
Commercial
+ 7% State Surcharge
+ 8% Administrative Fee
Fixture
MinimwnJ Adjustment Plumbing
3.15
3.60
28.00
17.00
PLUMBING CONTRAtcrrOR:
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11/08/20uz- 1200200000000000215
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OWNER! APPLI CANT:
SPRINGFIELD UTILITY BOARD
"250 N ""A'''' ST"
SPRINGFIELD OR 97477
Desc rintion
Amount Paid
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To Request an inspection call the 24 hour reoording at 726-3769. All inspections requested before 7:~~'>li:;t~~e\the same working day,
inspections requested after 7 :00 a.m. will be made the following working day. 'i:.'f,'\I'\ '\I'i:.'?' ~,'\) ,~
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Reuuired Insnections: ~~,\\'\J 'i:.~~~ ~~'\)\c;, ~'Q~
1 Rough Plumbing: Prior to cover and including reqUl~~~t'i:.l'\) '\)~ ,?-\'\)'\)'
2 Final Plumbing: When all plumbing work is complete. ~~6~~'i:.~~'\)~ '?~
By Signature, 1 state and agree, that 1 have carefully examined ~~\lpfu~leted application and do hereby certify that all
information bereon is true and correct, and I further certify th~~ny 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 pertaining to the work described herein. I
further certify that only contractors and employees who are in compliauce 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, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
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Owner or Contractors SiJ!.llature
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