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HomeMy WebLinkAboutPermit Plumbing 2001-01-18SPRINGFIELD Job# 01-00045-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRf;l'lSf :01-il004163 0ftTE:if,N lE ?001- At'lT RE[0:I $ 44.00 IHAtlEEr IAEHIER:061 Job Number: 01 -00045-01 Office: 726-3759 !nspection Line: 726-3769 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1370 00005th St Spr AssessorsMap#: 17032631 Lot: Block: Addition: P"'\ Tax Lot#: 01900 Subdivision: ctTY oF sPR rvGFtELD, OREGON Owner: Dave Green Address: 603 Gear St Scope Of Work: Plumbing replace sewer line Phone Number: City/State/Zip: New Reno, NV 89503 Value: $O Contractor Type General Contr Gontractor Registration # M & A Construction lnc BB92B 916 Prescott Lane, Springfield, OR97477 Expiration Date 2t11t2001 Phone 541-747-6504 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 a1726-3769. 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. Required Inspections Plumbi Sanitary Sewer Line -Prior to filling trench. Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory # Of Stories: Height (feet): Current Units: Proposed Units Census Code: Does not apply Total Fee Paid On Receipt# Value/Quantity Fee Amount Minimum Plumbing Permit Fee 0111812001 4263 $.00 TISNOl FOR rcron t-ltiiitY i are setforth )Afr952-001- ,f the rulos bY telePhone I'lotification r,a4). Job# 01-00045-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing State Surcharge - Plumbing Sanitary Sewer Footage Administrative Fee - Plumbing Total Plumbing 01t18t2001 0111812001 0111812001 4263 4263 4263 67 $2.80 $40.00 $1.20 $44.00 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 req at the proper time and that the project address is readable from the street. Date $44.00 lBl-