HomeMy WebLinkAboutPermit Plumbing 2002-10-9
3858 LONG RIDGE DR Sprinl!field
1802061310002 TYPE OF WORK:
78 feet sanitary sewer and septic TYPE OF USE:
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",.o~O ?>\\o"'- a:\)\) 0'0" CC,B#: 'l03'1!?}' EXPIRES, 11/25/200,
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"'-~<S' 10/09/2002 1200200000000000037
10/09/2002 1200200000000000037
10/09/2002 120020000q~0037
10/09/2002 1200~"lJ 037
10/09/2002 ~t<W~~~l\Qji 0037
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To Request an inspection call the 24 hour recor~~~~~ections requested before 7:00 a.m. will be made
the same working day, inspections requested aften~~~~~de the following wOIking day.
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Reouired Insne~tions: ,.."
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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
SITE ADDRESS:
ASSESSOR:S PARCEL NO.:
PROJECT DESCRIPTION:
OWNER/APPLICANT:
SCHUMACHER MAUREEN J
3858 LONG RIDGE DR
SPRINGFIELD OR 97478
Descrintion
+ 8% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100.
Miscellaneous Plumbing
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City of Springfield
Plumbing Permit
PERMIT NO.: PLM2002-00103
ISSUED:
APPLIED:
EXPIRES:
10/912002
10/9/2002
4/9/2003
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New
Residential
541-942-1196
Receiot Num her
Cashier
5.84
5.11
45.00
14.00
14.00
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1 Sanitary Sewer Line: Prior to filling trench and including required testing.
2 Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with rece
verification from company performing pump and fill.
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City of Springfield
Plumbing Permit
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Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 PhDne
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: PLM2002-00103
ISSUED: 10/9/2002
APPLIED: 10/9/2002
EXPIRES: 419/2003
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 ensure that all required inspections are requested at the proper time, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
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dwner or ~tractors S"iinature /
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Date
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