HomeMy WebLinkAboutPermit Plumbing 2002-10-22
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City of Springfield
Plumbing Permit
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Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2002-00110
10/2212002
10/22/2002
4/22/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
1022 KELLY BLVD
1703341103800
Springfield
TYPE OF WORK:
TYPE OF USE:
Repair
Residential
Replace 50ft sanitary sewer
OWNER/APPLICANT:
SARGEANT BRADLEY C & P G
1016 KELLY BLVD
SPRINGFIELD OR 97477
PLUMBING CONTRACTOR:
JEFFREY GLEN BOWERS
33333 HOWE LANE
CRESWELL OR 97426
Phone: 541-942-1196
541-942-1196
CCB#: 103163
EXPIRES: 11I25/200~
Date Paid Receint Number Q~'lo. Casbier
10/22/2002 120020011Pqi~ ~~~\
10/22/2002 12~~ ~Q.i\l
lO/2~02 ~~~n~~wJO ~~i
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To Request an inspection call the 24 hour recording al726.3769. AlljU~\ufO:\btted before 7:00 am. w~(\lol~e the same working day,
inspections requested after 7 :00 a.m. will be made the following worki~~y. 'Oo.u\~'Os ~ u\~\" ~,'(\
.' _,'-l~ -1~(\0 h'~
0\'" av' a"'" .s::j\J'
Reouired Insoections: ~p~'OQJ 6'O':I\~ u\'OS~""'9~'& s'O':I
.,-0..1.\\0 ",o~\a osa~ O\l-~ ~u\'O
1 Sanitary Sewer Line: Prior to filling trench and inclUd\njj;re~~iI-'teiMn;~ ':rI~ouQ,'(\ 0' \'(\'0 ~o~a
l" /.\'l~ c'O~ r:::,...O" ~as '0\09. ~\o~
By Signature, I state and agree, that I have carefully examin'e<t~~l~~~ P!'~,-~,!'\)1f-d~\~y certify that all
information hereon is true and correct, and I further certifY\tDE' ~~Wdr~~~~~~ done in accordance
with the Ordinances ofthe City of Springfield and the laws of(t~ t.afIl''\ ~~lI};!il'n~t81he work described herein. I
further certify that only contractors and employees who are in ~l! ~~~_'lO,i\1J55 will be used on this project I
further agree to ensure that all required iuspections are requeste~\~i'\'~lJliJe, that each address is readable from the
street, and that the approved set of plans, if applicable, will remaiil'~n the ';itii at all times during construction.
Descrintion
Amount Paid
+ 7% State Surcharge
+ 8% Administrative Fee
Sanitary Sewer - 1st 50 Feet
3.15
3.60
45.00
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