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HomeMy WebLinkAboutPermit Plumbing 1998-7-13 ~ .e ....1 'f , . e BACKFLOY PREVENTION DEVICE PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 FIFTH STREET' ~~~f-\<. 726-3759 ~:~~~~:~~:~_~~_:~:~~________________~_~'n~~~_~ 6\ \~I ~~~\1.~I.C~~~~:~=:~~:- . I , / ' I'cl'\,,^~ cl'\ ,tI\ \) ~Ol'\ JOB LOCATION: /2 q(. ./-/4Af/-j7""b])\S\,,~I.l~'\),.<'_~I>.~~'\)O~e . (>,\.1\\<- \) 0\'\ Iv" { ( , ASSESSORS MAP lI: f 7()2., ~ If ) J...n cf).~\J.c~C'C., n~IilCt.OT lI: 22'1 OYNER: -;:r /k-k ~ / T (>,~'1 ,~() Of" ' 1". ADDRESS: J.2q( ~Jt~;/h"; PHONE lI: 1cf'f-9Jz3 CITY: ;5..~Jrjlf.)f.r;'C/J STATE: OIL ZIP:.9'?~n BACKFLOW PERHIT IS $15.00 + $.75 (STATE SURCHARGE) + $.45 (ADHIN. FEE) = $16,20 CONTRACTOR: S=:p.A P ADDRESS: PHONE lI: CITY: STATE: ZIP: CONSTRUCTION CONTRACTORS REGISTRATION lI: -'r''f> EXPIRES: BY SIGNING THIS PERHIT/APPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THE BACKFLOY PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION (726-3769). I ALSO STATE THAT ALL INFORMATION ON THIS PERMIT/APPLICATION IS CORRECT. SIGNATURE ot;/ J- 1'<' FOR OFFICE USE --------------------------,----------------------------------------------------- DATE OF APPLICATION: I CS/q( ---... JOB lI: 9'l O~ RECEIPT lI: (J3() 7S;l/ 'ISSUED BY: cj; -hIJ IA/'- TOTAL AHOUNT COLLECTED: .ct. I {p . .1-- 0 . ' -------------------------------------------------------------------------------- -fit .. Oregon Drywall Systems,Inc. 85270 Cher.em Road, Eugene, Oregon 97405 (503).144-3756 To Whom it May Concern: Oregon Drywall S>,~~"..s, Inc. did install the drywall at /296 HamilJon Street to exceed the requirement of the uniform building codes for one and two family dweOings. I. 5IB ceilings 2. Water board around tubs and showers. 3. 5IB entire garage 4. 1/1 walls Drywall was attm:hed at nailus mth 1 5IB " nails on perimeters and 11/4 " drywall screws at 12" on center in thejield. 1J:?!-k you, lj , ?:-.i? jV~ wrJifam p;t;;man, President Oregon Drywall S>,~~,,,.s, Inc. -, \ Chtr~a~ t/.fack Brandon Jack Brandon Homes