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HomeMy WebLinkAboutPermit Plumbing 2001-08-02Job# 01-00831-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 o'12 EPRIf,GFIELD n..- l-r - Ai U!-1 lL-'ni I M\LL,i-J ttalt_ !-1 lr1ilUL''J, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1504 00007th St Spr AssessorsMap#: 17032642 Lot: Block: Addition: Job Number: 01 -00831 -01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 01400 Subdivision: ctTY oF SPR7NGF7ELD, OREGOTV Owner: Cathy Fleming-Tentinger Address: 1504 7th Street Scope Of Work: Plumbing Phone Number: City/State/Zip: New 541-746-2920 Springfield, OR97477 Vatue: $O Sanitary sewer repair Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: (\n "ttO 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 lnspections PIumb Sanitary Sewer Line -Prior to filling trench. Construction Types: Occupancy Groups:\r toR# Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: Fee Accessory $\1 os $Ns Total 's09O1^nhl ,C9g: Paid On Receipt# Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge - Plumbing Sanitary Sewer Footage 0810212001 08t0212001 081021200'l 6333 6333 6333 $.00 $4.13 $59.0060 u.Jo.u,o.litl rO # Of Stories: Current Gensus Code:Does Fee 01-00831-01 Page? of 2 Paid On Receipt#Value/Quantity Fee Amount Administrative Fee - Plumbing TotalPlumbing 0810212001 6333 $4.t2 $67.85 Grand Total By sign ature, I state and agree that I have carefully examined the comPleted aPPl ication and do hereby certify that all information herein is true and correct, and I further certifY that any and allwork performed shall be done in accordance with the Ord inances of the CitY of Springfield and the Laws of the State of Oregon. .055 will be I further state that only contractors and employees who are in compliance with oRS 701 used on th lfurther agree to ensure that all req uired inspections are requested at the ProPer time and address is readable from the street. $67-8s o/