HomeMy WebLinkAboutPermit Plumbing 2002-12-16 (2)
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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:
PLM2002-00120
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
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WIler or "on c ors: 19na,w~'
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Date