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HomeMy WebLinkAboutPermit Plumbing 2000-2-22 . . " , 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 . . ../ 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. /fl>t/1,~41iiii27 2-c22-{)() 1 $10,00 $.45 $16,50 $16.50 Signature Date