HomeMy WebLinkAboutPermit Plumbing 2000-12-28
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I Job# 00-01835-01 I
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Page 1 of2
TRANS#:01~0004133
DATE:DEC 28 2000
AMT RECD:2 $ 27.50
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
. Building Safety
Job Number: 00-01835-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6866 Jessica St Spr
Assessors Map#: 18020223
Lot: Block: Addition:
Tax Lot #: 08800
Subdivision:
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Owner:
Ann Jones Terrell
40901 Deerhorn Drive
Address:
Scope Of Work: Plumbing
45 feet sewer line
Contractor Type
Plumbing Contr
Phone Number: 541-746-5569
City/State/Zip: Springfield, OR 97478
New Value: $0
Contractor
Cardwell Construction & Property M*
29377 Airport Rd, Eugene, OR
97402-9523
Registration #
74466
Expiration Date
9/8/2001
Phone
541-688-7609
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: NOTICE: Heat Source:
Water Heater: Range: THIS PERMIT sll?,C!.:f~R~,!g,!:IFTHEWORK
. . , LI.UTHOBIZEDUNDFRTHISPERMITISNOT
To request an inspection call the 24 hour recording at 726-3769. All inspections reguested before 7:001:
a,m. will be made the same working day, inspections requested afte'iW:'66'[[,WCWiiI(tilj' lfia^d~"th'e'fO'liliwinQJR
working day. ANY 180 DAY PERIOD.
Required Inspections
I Plumbing
-Prior to filling trench.
Sanitary Sewer Line
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r ,.1)
I Main: Accessory:
Fee
Minimum Plumbing Permit Fee
ATTENT~C":~""3~('!" !'?"" "~C~I~r9S you Tv
follow miss '1dcp'(ec: 'ClV :hf Orecon Util:ty
Notificat;on Cenl,)... Those i'ules are set 'er::".
# Of Stories: in OAR Hili'gIW(f~~ty' ihro~gh OAr1952-00,<
C t U 't 0090 Yp~1I m'lll "(Ib'U"'f.' r.OpI8S of the rules b\
urren m s: '. rop-ose mts: . I h .
c2Ihng;r.ec~llltH. ,"lutC/:!OS Ie ep one
Census Code: Does not ~R!llrberiortha Ortlgon Ltility j\lotification
I CentiJris l-E(,J<::-82-~::44).
Total:
Paid On Receipt#
I Plumbing
'12/28/2000 4133
Value/Quantity
Fee Amount
$.00
1'1
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Job# 00-01835-01
Fee
Paid On Receipt#
Plumbing
12/28/2000 4133
12/28/2000 4133
12/28/2000 4133
. Page 2 of 2
Value/Quantity Fee Amount
I
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Grand Total
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 0 this project. I further agree to ensure that all required inspections are
requested at the r' and that the project address is readable from the street.
40
$1.75
$25.00
$.75
$27.50
$27.50
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Signatuy
Date