HomeMy WebLinkAboutPermit Plumbing 1999-02-16SPRII{G :IELE,
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NOTICE:
THIS PERMIT SHALL EXPIHE IFTHE WORK
AUTHORIZED U NDEffi6I,E&II/TBWBSIION DEvIcE PERHIT APPLICATIo :
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225 FIFTH STREETspnrncrip::,0-d[-gzazz rNsp'crrc itllfil: llt.llZ?,
JOB L0CATI0N: 1570 Mohartrk Btvd.
ASSESSORS MAP $z 11 Zzsll TAx Lor , 22fti<t
OIJNER: Eve reen Land Title Co.
ADDRESS:1570 aruk BIvd.PHONB *z tq1-1981
cIrY: q^.i nsri a, rr, or stetu: oreoorffiffl,]?]#ffifihf8lffiili,
BA.KFL., pERHrr rs g1s.00 + s.7s (srArE suRcHARGr, ["3H$iffiiffiffi;U'r"dff;?:t"r1:
0090. You may obtain cbpies of the rules by
calling the center. (Note: the telephone
Notificationc0NrR40r0Pi:
ADDRESSs or I \r ar-r cc f-
CITY: Sprinqfield, Or ST ATE: Oreqofi
FOR OFFICE USB
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Center is 1-800-332
PHONB *: 726=6329
C0NSTRUCIION CONTRACT0RS REGISTRATION *z 126075
BY SIGNING THIS PERMIT/APPLICATI0N, I AGRBB T0 CALL FOR AN IN: ?ECTION ONCII TtlE
DACKTLOV PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE : )R INSPECTI()N
(726-3769>. r ALSo STATE TUAT ALL TNFoRHATToN 0N T[rS PERHTT IPPLTCATroN rS
CORRECT.
-_ZTP. 97 477
1XPIRDS: 1 1-05-00
2-16-99DT_
DATE OF /.PPLICATION:
RECEIPT I':o3zr?^
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ISSUED BY:
TOTAL Ail(IUNT COLLECTBD:0u
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