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HomeMy WebLinkAboutPermit Plumbing 2002-12-16 (2) . - 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: PLM2002-00120 12/16/2002 12/16/2002 6/16/2003 SITE ADDRESS: ASSESSOR'S PARCEL NO.: PROJECT DESCRIPTION: 140 FAlRVIEWDR 1703274100101 Sewer Replacement Springfield TYPE OF WORK: TYPE OF USE: Alteration Residential OWNER! APPLI CANT: HOUSING AUTHORITY & URBAN 300 W FAIRVIEW DR SPRINGFIELD OR 97477 RENEWAL AGENCY OF LANE CO 300 W FAlRVIEW DR SPRINGFIELD OR 97477 HEAD START OF LANE COUNTY 221 B ST SPRINGFIELD OR 97477 PLUMBING CONTRACTOR: 688-7609 Phone: CCB#: 74466 EXPIRES: 09/08/200: Descrintion Amount Paid Date Paid Receiot Number Cashier + 7% State Surcharge + 8% Administrative Fee Storm Sewer - 1st 50 Feet 3.15 3.60 45.00 12/16/2002 12/16/2002 12/16/2002 1200200000000000405 1200200000000000405 1200200000000000405 NOTIr.~. To Request an inspection call the 24 hour recording at 726-3769. All inspecr~~~fH.MI~e~ i~~\!:~'ll!me working day. inspections requested after 7:00 a.m. will be made the following working da~OMM LED UNDER THIS PERMIT vRI< . " FNf'/:n fJD ,~ . - II:: MnT ANY - I v "oM/VUUNED . Reouired Insnections: 180 DAY PERIOD. FOR 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project I further agree to ,e1!su!:e,that all.req!lired'inspections are r~'quested at the proper time, that each address is readable from the street, and that ~8~~p.p.t<<!~~d,s_et .0f,phi'!Snf.il'ji'iilicabiJ!U.ilil~~main on the site at all times during construction. ~: - G8 Ion C':^ntel. Those rules are set fa O. u':'~~_0010throughOAR952.00'! In .rt~ // OS:l-J((YOU may obtain caples of the rules b~ _ / r.:o\lIinn the center. (Note: the telepho~e O n/': tra t 'S" - h\;"-' Oregol1 Uti lilY ~UUIII..Q"V" WIler or "on c ors: 19na,w~' / Cp~+e' l' 1_FI'r:.:><12.23A4). 12- (G-O& Date