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HomeMy WebLinkAboutPermit Plumbing 2002-9-27 Job# 02-01165-01 Page 1 of 2 ~ .\ 225 Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Buildi~g Safety TRANS#:01-0010744 DATE:SEF' 27 2002 AMi RECD:2 $ 67,85 CHANGE: CASHIER: 061 Job Number: 02-01165-01 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 611 Centennial Blvd Spr Assessors Map#: 17032643 lot: Block: Addition: Tax lot #: 11300 Subdivision: Owner: Address: Arlo Jaranger 611 Centennial Blvd Phone Number: 541- - City/State/Zip: Springfield, OR 97477 Repair Value: $0 Scope Of Work: Plumbing Replace 85 feet of sanitary sewer Contractor Type Plumbing Contr Contractor Roto Rooter Service - Hoffman NW 445 River Ave, Eugene, OR 97404 Registration # 71162 Expiration Date 1/16/2003 Phone 541-689-1711 Office Use \ Quad Area: land Use: # Ofauildin s: # Of Units: Zoning Code: Occu oup: Constr. Type: Bedrooms: <t\~"\ ~~~. Water Heater: Range: . ~jS>\~\t~'d~ . c."~\'''' ,'(\\,;;J C\~\.~ To request an inspection call the 24 hour recording at 7~~~~~~1'{1sp~?<ftst!:~~Ted before 7:00 a.m. will be made the same working day, inspections r~~~~\~~~(\~~wth'be made the following working day. \~~\\\\)~~c,~~'-l~~~~\)~' Required I~~~~~~\f. Plumbi~~'\ \ - I I - Prior to filling trench. ~,\O 'Ot::; ~O '\)~~~ ~"\ 0.'0''( 0<:'- ,.\0:,\, ~ '(0 O'(e~ 'f..'o t::;'O ;z:~o 'O~ ~ \'0- '0 '0- oJ:) ~ '!>.'O~O '0'\ ~ '(,s..'Ot::;O'i(-.<?- '0 '(,s.0 ~'O ~\"9 ~el> 0t::;0 t'\~ 1\ ~ <\~O . 0<:'- 0'.... oO~ -'\'(': 0'O~ 0 ~0Y. ~ <'~~'\'\ ~?J. ~'O,\. ~.;s.~ .;..,'Ot::; '0,\0 ~,v ",\~ \~e .'O~ ~'\. cOY '.~ ~O # Of Stories: ",'\ ~dlil~i99t~fejt~ ~\'(}-<:'- \~O\~ \~~~ robtl>.)' . LO'\: .~ .nXI ,0 ~ ~ ^V n,'l) Current Umts: \ ,;\~~ro~osed\'~mts!O' nO" do" '0"" ~-:.J '\' 0"- '0':1 ,;,) Census Code: Does not apiflly O~ -{0'O ~'OO eP\,f6f0CJ \'(\~~~~ ~,~~ ~ \0'( ~e'\c:, Total: v ~o'O (F~<;' ^'\>' Sanitary Sewer Line, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: Fee Paid On Receipt# Plumbing 09/27/2002 10744 ' Value/Quantity Fee Amount . Minimum Plumbing Permit Fee $.00 Fee Job# 02-01165-01 I Paid On Receipt# Plumbing 09/27/2002 10744 09/27/2002 10744 09/27/2002 10744 State Surcharge - Plumbing Sanitary Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing Grand Total . ~gL_ Signature " Page 2 of 2 Value/Quantity Fee Amount $4.13 85 $59.00 $4.72 $67.85 $67.85 , 9-27-0'2- Date