HomeMy WebLinkAboutPermit Plumbing 2000-2-22
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I Job# OO~0299~1 I
Page 1 of2
TRANS#:01-0000671
DATE:FEB 22 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00299-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769 ~
Tax Lot#: 07400 ~
Subdivision:
Location Of Proposed Site: 414 Main St Spr
Assessors Map#: 17033531
Lot: Block: Addition:
Owner: McNutt Group
Address: 400 Country Club Road
Scope Of Work: Plumbing
Phone Number: 541-484-1900
Clty/StatelZip: Eugene, OR 97401
Alteration Value: $0
Contractor Type
Plumbing Contr
Contractor
Vos Plumbing Inc
Po Box 2189, Eugene, OR 97402-0061
Registration #
41805
Expiration Date
4/4/00
Phone
541-485-0551
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,
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#
Plumbing
02/22/2000 668
02/22/2000 668
ValuelQuantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
$5,00
$1,05
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../ Fee
Job# OO~0299~1 I
Paid On Receipt#
Plumbing
02/22/2000 668
02/22/2000 668
Page 2 of2
Value/Quantity Fee Amount
Backflow Prevention Device
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 701,055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
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$10,00
$.45
$16,50
$16.50
Signature
Date