HomeMy WebLinkAboutPermit Plumbing 2000-10-30
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I Job# 00-01602-01 I
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TRANS#:01-0003644
DA TE : OCT 30 2000
ANT RECD:2 $ 16.50
CHANGE:
CASHIER:059
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
INDUSTRIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01602-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1485 Glenwood Blvd Spr
Assessors Map#: 17033432
Lot: Block: Addition:
Tax Lot #: 00600
Subdivision:
Owner:
Masons Supply Company
1485 Glenwood Blvd
Phone Number: 541-744-6696
City/State/Zip: Eugene, OR
New Value: $0
Address:
Scope Of Work: Backflow Device
Contractor Type
Plumbing Contr
Contractor
Kent Oakley
PO BOx 42046, Eugene, OR
Registration # Expiration Date
Phone
541-461-4375
NOTICE:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use TLJ~:: ~:~M1T SHALL EXPIRE IF THE WORK
Land Use: AUTHORIZED UNDER #/Of. BLiildiiillS: NOT
Zoning Code: COMMENCED OR IS AI9c:C!lP-!I!lI1YIQ.!'RuP:
Bedrooms: ANY 180 DAY PERIOD. Heat Source:
Range: 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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq, r ,,1)
I Main: Accessory:
Required InspectionS': ~.:'I\j~'-II ;Q"~ ICYU~IC~ yuu t\.<
I PIUr1fI~n'rv ,.u;"'': ,!ldopted by the Oregon Utility
-After device is installed but b~~1If\l?6aek'tiliiiiIPi~'n;r~ose rules are set fortt
In uAR ~t>i!-UU ,-OU1O through OAR 952-00'1.
0090. You may obtain copies of the rules by
calling the center. (Note: '(he telephone
numberfo;.the Oregon Utility Notification
Centf!ri, i -"'\1)-"11".')844).
Height (feet):
Proposed Units:
.,
# Of Stories:
Current Units:
Census Code: Does not apply
Backflow Device
Total:
Fee
Paid On , Receipt# Value/Quantity
I' Plumbing I
10/30/2000 3644
Fee Amount
Minimum Plumbing Permit Fee
$5.00
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Job# 00-01602-01
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Page 2 of 2
Fee
Paid On Receipt#
Plumbing
10/30/2000 3644
10/30/2000 3644
10/30/2000 3644
Value/Quantity
Fee Amount
State Surcharge For Plumbing Permit
Backflow Prevention Device
Plumbing Administrative Fee
Total Plumbing
Grand Total
By signing this permiUapplication, I agree to call for an inspection once the backflow prevention
device h'7' been installed and is visible for inspection (726-3769). I also state that all information on
this permit apPlica~tion i~tr~nd correct.
// ~ //-:2J'-CJO
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Si9n~ture Date
U
1
$1.05
$10.00
$.45
$16.50
$16.50