HomeMy WebLinkAboutPermit Plumbing 1998-06-26SPRINGFIELD
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SPRINGFIEL) OR 97477 IN
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OI;FICE:
SPECTION LINE:
726-3759
726-3769
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ADDRE SS:fn o har^-rL<-PHoNB *, 741- l35c
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BACKF:OV I'IRMIT rS $15.00 + $.75 (STATE SURCHARGE) + $.45 (ADMIN. FEE) = $16.20
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ADDRESS, ?q Bqn L?-\O \PHoNB*,393-il3?
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CONSTRUCTICN CONTRACTORS REGISTRATION #:EXPIRES:
BY SIGNING THIS PERMIT/APPLICATION, I AGRBB TO CALL FOR AN INSPBCTION ONCE THE
BACKFLOW i'R.EVBNTION DEVICB HAS BEBN INSTALLBD AND IS VISIBLE FOR INSPECTION(726-3769). I ALSO STATE THAT ALL INFORMATION ON THIS PBRMIT/APPLICATION IS
CORRTICT.
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