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HomeMy WebLinkAboutPermit Plumbing 2000-2-18 \ ~,,- \ 1. . JObtro-O-O-O-296-01 Page 1 of2 TRANS#:01-00006 DATE:FEB 18 20! AMT RECD:2 $ 27.J CHANGE CASHIER: Q( ~~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00296-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4824 High Banks Rd Spr Assessors Map#: 17022900 Lot: Block: Addition: Tax Lot #: 02800 Subdivision: Owner: Harold Rice Phone Number: 541-746-6867 City/StatelZip: Springfield, OR 97478 Repair Value: $0 Address: 4824 High Banks Rd. Scope Of Work: Plumbing Contractor Type Plumbing Contr Contractor At Home Excavation inc PO Box 50176, Eugene, OR 97405 Registration # Expiration Date Phone 541-683-2884 ~ Sewer extension to replacement septic system. Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Storm Sewer Line Required Inspections I Plumbing - Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 jArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# r--- Plumbing 02118/2000 659 02/18/2000 659 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit $.00 $1.75 ;j /' \. .. Fee Sanitary Sewer Footage Plumbing Administrative Fee Total Plumbing Gril~ Signature . Job# 00-00296-01 I Paid On Receipt# Plumbing 02/18/2000 659 02/18/2000 659 . Page 2 of2 Value/Quantity Fee Amount 15 $25.00 $.75 $27.50 $27.50 2~/8-u-,) Date