HomeMy WebLinkAboutPermit Plumbing 2002-09-27SPRINGFIELD
Job# 02-01166-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
Job Number: 02-01 166-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 11500
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1185 00006th St Spr
AssessorsMap#: 17032643
Lot: Block: Addition:
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crTY oF SPR7NGF7ELD, OREGOTV
Owner: Dale Cooper
Address: 1185 6th Street
Scope Of Work: Plumbing
Phone Number:
City/State/Zip:
Repair
541-
Springfield, OR97477
Value: $0
Replace 106 feet sanitary sewer
Contractor Type
Plumbing Contr
Contractor
Roto Rooter Service - Hoffman NW
445 River Ave, Eugene, OR 97404
Registration #
71162
Expiration Date
1t16t2003
Phone
541-689-171 1
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24
a.m. will be made the same working
working day.
Sanitary Sewer Line -Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:Accessory:
hour recording at726-3769. All inspections requested before 7:00
day, inspections requested after 7:00 a.m. will be made lowing
1$E
Requi
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
t0s
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Plumbing Permit Fee 09t27t2002 10745 $.00
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Job# 02-01166-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbing
State Surcharge - Plumbing
Sanitary Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
09t27t2002
09t27t2002
09t27t2002
10745
10745
10745
106
$4.13
$59.00
$4.72
$67.85
Grand Totalz/,4_$67.85
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DateSignature