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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:$105.30 Page2 of2 cReceipt.rpt a#,*lx{t$r#L#