HomeMy WebLinkAboutPermit Plumbing 2000-9-12
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I Job# 00-01382-01 I
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TRANS#:01-0003198
DATE:SEP 12 2000
AMT RECD:2 $ 37.50
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01382-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 528 Janus St Spr
Assessors Map#: 17033412
Lot: Block: Addition:
Tax Lot #: 00500
Subdivision:
Owner:
Address:
Jennifer Patterson
528 Janus St
Phone Number:
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Plumbing
storm sewer replace/repair
Contractor Type
Plumbing Contr
Contractor
Roto Rooter Service
457 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. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspecticJiGTd~'Ssted before 7:00
a.mk. willdbe made the same working day, inspections requested after 7:00 a:fllil~~J~r,rIl~ii!,~,~tt.tg1~,YiiW1IFTHEWORK
wor '"g ay.
AUTHORIZED UNDER THIS PERMIT IS NOT
Required Inspections l;UIVIlVIt:I\ll;t:UUH I::iAI:lANUUNI:U rUH
Plumbi"!l ANY 180 DAY PERIOD.
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- Prior to filling trench.
Storm Sewer Line
Public Works
Sidewalk
Total:
",,11 EI\II IUN:Uregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are setfortt,
H.l!is!l.~U'9!}001-0010through OAR 952-001.
p"r~~obtain copies of the rules by
oaUlng the center. (Note: the telephone
l1YI11b&rforthe Oregon Utility Notification
~o",,,. ~f' .. .Q"t'l.'1~_~)~
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
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Job# 00-01382-01
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Page 2 of2
Fee
Paid On Receipt#
Plumbin~
09/12/2000 3198
09/12/2000 3198
09/12/2000 3198
09/12/2000 3198
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
46
$,00
$1.75
$25.00
$.75
$27.50
Sidewalk Repair
Total Public Works
Grand Total
Public Works
09/12/2000 3198
1
$10.00
$10.00
$37.50
By signature. I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used his project. I further agree to ensure that all required inspections are
rested t the prorJ ti a d that the project address is readable from the street.
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