HomeMy WebLinkAboutPermit Plumbing 2000-1-19
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I Job# 00-00075-01 I
Page 1 of2
TRANSU:01-0000307
DATE:JAN 19 2000
AMT RECD:1 $ 16.50
CHANGE:
CASHIER: 018
SPRINQPIIILD
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00075-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 414 Main St Spr
Assessors Map#: 17033531
Lot: Block: Addition:
Tax LoU: 07400
Subdivision:
Owner:
Address:
Gary Mathews
4034 Wakefield Court
Phone Number: 541-744-2820
City/State/Zip: Eugene, OR 97404
New Value: $0
Scope Of Work: Plumbing
Quad Area: 1CNW
# 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,
Backflow Device
Required Inspections
I Plumbing I
-After device is installed but before backfilling trench,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
I' Plumbi~
01/19/2000
01/19/2000
01/19/2000
ValuelQuantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Backflow Prevention Device
1
$5,00
$1,05
$10,00
, '0
.
.
Fee
Job# 00-00075-01
Paid On Receipt#
Plumbing
01/19/2000
Page 2 of2
Value/Quantity Fee Amount
Plumbing Administrative Fee
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 701,0 5 will be used on this project. I further agree to ensure that all required inspections are
request d thert7J~~~e, and't>>t the project address is readable from the street. / /
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~Signature () Date '
$,45
$16.50
$16.50