HomeMy WebLinkAboutPermit Plumbing 2000-5-8
.
I Job# 00-00662-01 I
e---
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
, Community Services Division
Building Safety
Page 1 of2
TRANS#:01-0001566
DATE:MAY 08 2000
AMT RECD:2 $ 16.50
CHANGE:
CASHIER: 059
Job Number: 00-00662-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2328
Assessors Map#: 17032511
Lot: Block:
Loch St
Spr
Addition:
Tax Lot #: 00500
Subdivision:
Owner: Ellis
Address: Loch
Scope Of Work: Backflow Device
Phone Number:
City/State/Zip: Springfield, OR 97477
Alteration Value: $0
,rO!'OW rUles a'd~~7~~'b" 'CI'''C:lj,,,,..~ jlu~ "
'Olflfcatlon r--_. . Yfhe(\r"",,,.,,,I.l
Contractor OAR 95 ,Reglstratu~nt!#(UlE~f!lra(lon (!!ate
2'U01-0010 v t:I:;dreSettor'
Landmark Irrigation Corp, '090, You may b ' through OAR 952-00' ,
1574 Coburg Road #305, Eugener0~1 [he ce~r~~'lrvcop;es of the rUles b';'
97477 ""mber tor the Or~nn~~7:,,~~e.telephone '
""..~. 1_. '.....".... _.."~' ."vlIlI(;aIlOn
Office Use '0,;" 9".<A\
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr, Type: Bedrooms: Heat Source:
Water Heater: Range: Sq, Footage: '
(VV UP-t::.
To request an inspection call the 24 hour recordingi\L~~8-3769, All inspections requested before 7:00
a,m, will be made the same working day, inspections r~qu~SllldTan~r~It>g~'!j)' will be made the following
working day, AUTHOR/ZEDU ,.. HEIF-,-, '~'"~-.,,
CO NOER THIS PE
'R JM~11='J""r:-"t"" RII/,', ,
, Kel}.ulrea InspeC ""f"ABANO"
r---'~-Joo''i'rt\rjJE~/nh, ONEO FUN
-After device is installed but before backfilling trench,
Contractor Type
Plumbing Contr
Backflow Device
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq, Feet)
_ Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbinll
05/08/2000 1566
Value/Quantity
Minimum Plumbing Permit Fee
*
Phone
541-686-9493
Fee Amount
$15,00
,
.
.,r
Fee
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Grand Total
Signature
Job# 00-00662-01
Paid On Receipt#
PlumbinQ
05/08/2000 1566
05/08/2000 1566
.
Page 2 of2
Value/Quantity
Date
Fee Amount
$1,05
$.45
$16,50
$16,50