HomeMy WebLinkAboutPermit Plumbing 1998-7-13
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BACKFLOY PREVENTION DEVICE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 FIFTH STREET' ~~~f-\<. 726-3759
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JOB LOCATION: /2 q(. ./-/4Af/-j7""b])\S\,,~I.l~'\),.<'_~I>.~~'\)O~e
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, 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:
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ADDRESS:
PHONE lI:
CITY:
STATE:
ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION lI:
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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
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FOR OFFICE USE
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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 . '
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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 ,
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wrJifam p;t;;man, President
Oregon Drywall S>,~~,,,.s, Inc.
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t/.fack Brandon
Jack Brandon Homes