HomeMy WebLinkAboutPermit Plumbing 2003-02-18City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Sheet
Springfiel( Oregon 91 477
541-726-3759 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2003-00010
2n8t2003
2n8t2003
8/18/2003
SITE ADDRESS:
ASSESSOR'S PARCELNO,:
PROJECT DESCRIPTION:
752 9TH ST
1703351208400
Replace 25 feet sanitary sewer
Springfield
TYPE OF WORK:
TYPEOF USE:
Repair
Residential
OWI\ERYAPPLICANT:
HATHORN TRALVE M & LYNDA L
2249 ARTHUR DR
REEDSPORT OP.97467
PLT]MBING CONTRACTOR:
READY ROOTER DRAIN CLEANN
88608 ERMI BEE RD
SPRINGFIELD OR 97478
Phone: 541-744-7991
CCB#: 92524 E)GIRES: 021181200:
541-744-7991
Description
+ l0% Administrative Fee
+ 7Yo State Surcharge
Sanitary Sewer - lst 50 Feet
To Request an inryection call ttre 24 hour
inryections rquested after 7:00 a.m. will
1 Sanitary
By Signature, I state and
information hereon is true
with the Ordinances of the
Amount Paid
4.50
3. l5
45.00
*
trench and including required testing.
have carefully examined the completed
and I further certiff that any and all
of Springfield and the laws of the State of
Date Paid
02/18t2003
1812003
1812003
All inspections requested before 7:00 a,m. will be made the same working day,
working day
\o
Receint Number
I 2002000000000007 I 7
I 2002000000000007 l 7
I 2002000000000007 I 7
q$
e9'l_
that all
accor dance
ed herein. I
project I
{lom the
\€
or
-{o$
o
aallrar&E
further certify that only contractors and employees who are in
further agree to ensure that all required inspections are
street, and that the approved set of plans, if applicable, will
$e
2/18/2003
2:14:25PM
City of Springfield
Development Seryices Department
Public Works Department
Official Receipt
225Eifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
Receipt #: 12002000000000 007 17
Date: 0211812003
Line Items:
Job/Journal Number Description Amount Paid
PLM2003-00010
PLM2003-000r0
PLM2003-00010
PLM2003-0001l
PLM2003-0001l
PLM2003-0001I
Sanitary Sewer - lst 50 Feet
+ l0o/o Administrative Fee
+ 7%o State Surcharge
Water Line - lst 50 Feet
+ l0o/o Administrative Fee
+ 7Yo State Surcharge
Payments
45.00
4.50
3.15
45.00
4.50
3. l5
Line Item Total:$10s.30
Tlpe ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid
Cash
Change
READY ROOTER
RADYROOTER
djb
djb
In Person
In Person
I10.00
(4.70)
Total:$105.30
Page I of2 cReceipt.rpt
2n8/2003
2:14:25PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541:126-3759 Phone
Receipt #z 12002000000000007 17
Date: 0211812003
Job/Journal Number Description Amount Paid
PLM2003-00010
PLM2003-00010
PLM2003-00010
PLM2003-00011
PLM2003-0001l
PLM2003-0001I
Sanitary Sewer - lst 50 Feet
+ llYo Administrative Fee
+ lYo State Surcharge
Water Line - lst 50 Feet
+ l0oh Administrative Fee
+ 1oh State Surcharge
Payments:
45.00
4.50
3.15
45.00
4.50
3.15
Line Item Total:$10s.30
Type ofPayment Paid By Received By CheckNumber ConfirmNo How Received Amount Paid
Cash
Change
READY ROOTER
RADYROOTER
djb
djb
In Person
In Person
I10.00
(4.70)
Total:$105.30
Page2 of2 cReceipt.rpt
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