HomeMy WebLinkAboutPermit Plumbing 2002-10-14
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City of Springfield
Plumbing Permit
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:
PLM2002-00104
10/14/2002
10/14/2002
4/14/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO,:
PROJECT DESCRIPTION:
637 CENTENNIAL BLVD
1703264312100
One fixture
Sprinefield
TYPE OF WORK:
TYPE OF USE:
Alteration
Residential
OWNER/APPLICANT:
PLUMBING CONTRACTOR:
SPECIALTY P~ING CO
2650 COI.IMtr~~0.\m
E~~~~ \~ 1 OR 97401
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\fV~. ~ <o'(.~~<(,~ 1~~~974 EXPIRES: 11/21/200~
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Amoun1i.~1>d ,\)~L:::D~~W\\)\) ReceiDt Num ber Cashier
3.~\~~<(,~\7~z;02 1200200000000000057 dib
3.6~~...~ \~~ 10/14/2002 1200200000000000057 dib
14.00 ~\'l 10/14/2002 1200200000000000057 dib
31.00 10/14/2002 1200200000000000057 O\) \O...J dib
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:0 Re~uest an inspection call the 24 ho.ur recording at 726-3:69, All .inspection~re'~L\@~~&~~~~ca~~~Q,~ ~~~~e working day,
InspectIOns requested after 7 :00 a.m. will be made the folloWIng workIng day;,(\",~ ~eS ~ ~et.. f;)~'(0 }..eS 0 \e\e~. r:flJ-~0{\
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Reouired Insnections: \0 ~~\c'8- 9~?;'S ~'i O'O'IJ ~:~O U\~\~'?>~".
~O ~~ ~~, _t>,:~\0 ~O{\ ~'2:c.-
1 Rough Plumbing: Prior to cover and including required tes\t\Q.~:-{o ~ev- 00'(0 fO~(j'rs
2 Final Plumbing: When all plumbing work is complete. Of:)9J ~~\'(\(}; ~,o'(~ ~\S \,
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By Signature, I state and agree, that I have carefully examined the comp~~d a~ication 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 of Oregon pertaining to the work described herein. I
further certify 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, 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.
ROB RITZDORF
88041 TIKI LANE
SPRINGFIELD OR 97478
541-747-8239
541-686-4191
DescriDtion
+ 7% State Surcharge
+ 8% Administrative Fee
Fixture
Minimum! Adjustment Plumbing
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Owner or Contractors Signature
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Date