HomeMy WebLinkAboutPermit Plumbing 1996-11-12
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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
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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,
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Job Number: 961114A
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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.
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Date
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Date Paid:
--- VALIDATION
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Receipt Number:
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Received By:
Amount Received:
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