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HomeMy WebLinkAboutPermit Plumbing 1996-11-12 . 'i5PRINGFIELD .~) '.~ Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 961ll4A 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 2433 CORRAL DR Assessors Map #: 17032443 Lot: Block: Tax Lot #: 03500 Subdivision: Owner: MR/MRS LOWALL LONG Address: 2433 CORRAL DRIVE Phone #: 747-2439 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: STORM SEWER FROM BDRM ADDITION QUAD AREA: 5RNW OFFICE USE LAND USE: 1111 ZONING CODE: LDR To request an inspection, call the 24 hour recording at 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 work day. REQUIRED INSPECTIONS STORM SEWER LINE - Prior to filling trench, --- PLUMBING PERMIT --- Item, Storm Sewer Fee 25.00 Plumbing Permit Surcharge/Admin 25.00 2.00 TOTAL CHARGE (C) 27.00 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 27.00 . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. --- ADDITIONAL COMMENTS --- By signature, I state and agree, that I have carefully examined the completed application 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, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701,055 will be used on this project, ~, Job Number: 961114A Page 2 I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site all times during construction. ~~ Date ~1i/r: . \, Date Paid: --- VALIDATION ~ l\~x:~ Receipt Number: \ Received By: Amount Received: r'