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HomeMy WebLinkAboutPermit Plumbing 2001-11-13 " -", ' '.' . Job# 01-01256-01 .. Page 1 of2 TRANS#:01-0007243 DA TE : NOV 13 2001 AMT RECD:2 $ 103.50 CHANGE: CASHIER: 032 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01256-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1625 Henderson Ave Eug Assessors Map#: 17033443 Lot: Block: Addition: Tax Lot #: 13302 Subdivision: Owner: Commercial Property Mgmt 718 BlackOak Drive, Suite A Phone Number: Address: City/State/Zip: Medford" OR 97504 Addition Value: $0 Scope Of Work: Plumbing Contractor Type Plumbing Contr Contractor Roto Rooter Service -44'; "T j _: ,We;-E~~.:..-.v. ::If: ~ Registration # Expiration Date Phone -,11101- l- \ 1o-0~ ,64196111711 '\~- 30C>- 41 b/ 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. Water Line Final Plumbing Required Inspection~v 11l;/:: I Plumbing TJ.!ISPERMITSHALLEXPIRE/FTHEWORK - Prior to filling trench. AUTH -When all plumbing work is complete. ORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Height (feet): Current Units: ProRosed Units: I '.. .. "W ,~ A"~-r-t:.ri n....'l\l:llregon aw reqU1!'~5 'JUt.! l.... Census Code: Does not apply folioV'. rules aoopted by the Oregon U:::ity I Not'ication Center. Those rules are set forth Total: il. -CAR 952-001-0010 through OAR 952-001- . . .. r _ '-.. l.;U~U. YOU 1I1i:1}1 VUlalo. ...vfJ"..........., ....... '-.---J calling the C,,'ltCi'. (NO:3: th_~ telephone nJlll:Cer', ~ . .' ') Oregcm UWity N~ iification Centdris 1-800-332-2344). ;.to 'i' . Job# 01-01256-01 . Page 2 of2 Fee Paid On Receipt# I Plumbing 11/13/2001 7243 11/13/2001 7243 11/13/2001 7243 11/13/2001 7243 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Administrative Fee - Plumbing Total Plumbing Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state 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 equested at the proper time and that the project address is readable from the street. ~.Da:tl~ I !1/3-0( 50 $.00 $3.15 $45.00 $3.60 $51.75 $51.75 Date