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HomeMy WebLinkAboutPermit Plumbing 2002-10-22 - .-. . City of Springfield Plumbing Permit "" 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 ~~",,\rv t.~~\\ ~~\}t.l' ~'O~~\}r;j \~\~ ~(\\\\1.t.?n C'll' \S r\. ~\)\ \. ~~\J"': ?.....-t.f- 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 dib djb dib /()');)-o~ o Date'