HomeMy WebLinkAboutPermit Plumbing 2001-11-6
.
....
Job# 01-01233-01
Page 1 of 1
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
TRANBf!: ~ 01-0007191
D~iTE ~ NOt) 06 2001
AtviT REeD: 2 $ 67 ~85
CHANGE~
CASHIEi;~ ~ 003
Job Number: 01-01233-01
225 North Fifth Street
, Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 610 Centennial Blvd Spr
Assessors Map#: 17032643
Lot: Block: ' Addition:
Tax Lot #: 11200
Subdivision: '
Owner:
Address:
. Mona Henry
610 Centennial Blvd
Phone Number: 541-741-4359
City/State/Zip: Springfield,OR97477
Repair Value: $0
Scope Of Work: Plumbing
. Replacement Sanitary Sewer line.
Contractor Type
Plumbing Contr
Contractor '
Roto Rooter Service
445 River Ave, Eugene, OR 97404
Registration # Expiration Date
Phone ,
541-689-1711 '
/
Quad Area:
# Of Units:
Constr. Type: '
Water Heater:
Office Use '
Land Use:
Zoning Code:
Bedrooms:
, Range:
# Of Buildings:
Occupancy Group:
'Heat Source:
Sq. F~otage:
To request an inspection call the 24 hour recordingat 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.
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
11/06/2001 7191
11/06/2001 7191
11/06/2001 7191
11/06/2001 7191
Value/Quantity
Fee Amount,
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Grand Total
75
$.00
$4.13
, $59.00
$4.72
$67.85
$67.85