HomeMy WebLinkAboutPermit Plumbing 2001-09-07rH.":SPRTNGFTELO
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Job# 01-00970-0f
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
Job Number: 01-00970-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01100
Subdivision:
I
225 North Fifth Street
SPringfi'-t '-(-'-7
Locaticn ^
Asses:.-
Lot:
' tite: 9r5 0000'1st St Spr
?522_
Llock: Addition:
X,
oF sPR
^IGFIELD,
OREGON
Owner:
Address:
ScoPe C' r^'^rr'
Nick V/edmore
513 S 4th St
[- ": ling
Phone Number:
City/State/Zip:
New
541-746-5751
Springfield, OR97477
Value:
-il\S
:r\hLL
Quad Ar^":
# Of Units:
Constr. Jlrpe:
Water ii : ":
Office Use .-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To requc I ::r
a.m. will I ,
workin3 ,
Sanitary S ^vrnr L-' - r - i-''r to filling trench
I lr'^ '1 hour recording a|726-3769. Allinspections requested before 7:00
r' "t, inspections requested after 7:00 a.m. will be made the following
Required lnspections
etumUing l
Gonstruc"'^.. -.,n. -
Occup r'
# Of Br:' :
# Of Bccl :
Handicap
;Area (S '.
LE,".
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbin
MinimLr' ''
State Sr
Sanitar;'
0910712001
09t0712001
0910712001
6629
6629
6629
$.00
$4.13
$59.00110
{\)
. co\^/or r^nlar:ement
Job# 01-00970-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Administr"at;r,o rno - Ir' ',- ir.o
Total Pl"r"' ,,
Plumbing
0910712001 6629 $4.72
$67.85
Grand T
By signat:r'.,. I ' ' ' ''ee *hrt I have carefully examined the completed application and do
hereby ci : " I '+ lrerein is true and correct, and I further certify that any and all work
performn I ' - ''rce with the Ordinances of the City of Springfield and the Laws of
the St:t', ,-, i , irat only contractors and employees who are in compliance withORST:''- ^ct. lfurtheragreetoensurethatallrequiredinspectionsare
request. : : I : , ri the project address is readable from the street.
"aa*/( e-z:A
$67.85
;4, ? crl
Signa:.Date