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HomeMy WebLinkAboutPermit Plumbing 2002-04-15SPRINGFIELD Job# 02-00450-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number: 02-00450-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 00300 Subdivision: 225 Ftfth Street Springfield, OR97477 Location Of Proposed Site: 1519 00001st St Spr AssessorsMap#: 17032632 Lot: Block: Addition: ctTY oF SPRTNGFIELD, OREGON Owner: Lane County Housing Authority Address: 300 West Fairview Dr Scope Of Work: Plumbing Replacing 20 feet of sewer line Phone Number: City/State/Zip: Repair 541-682-2573 Springfield, OR97477 Value: $o Contractor Type Plumbing Contr Contractor Hoffman Northwest lnc 23311Madero St, Mission Viejo, CA 92691 Registration # 71162 Expiration Date 1t16t2003 Phone 949-689-1 71 1 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # tollow inOAR To request an inspection callthe 24hour recording at726-3769. All inspectio a.m. will be made the same working day, inspections requested after 7:00 a.m working day. Plumbing Sanitary Sewer Line - Prior to filling trench Construction Types: Occupancy Groups: trU I tlrg: rrr.1.,r./ ;;-,. ; -,r suluL EXPIRE lFrt'rF \^'nou s " I d$,$Yrlt$ PAY P EHI 0D Proposed Units: .,j. it:fi !'.r '- -;'i "r f, r llr,\r.-ii;viisl iUn # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory # Of Stories: Current Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plumbin Minimum Plumbing Permit Fee 04t18t2002 8650 $.00 Required lnspections Job# 02-00450-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Plumbing Sanitary Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing 04t18t2002 04118t2002 04118t2002 8650 8650 8650 20 $3.1 5 $45.00 $3.60 $51.75 Grand Total $51.75/-6-oz,.zz .2.,-, DateSignature