HomeMy WebLinkAboutPermit Plumbing 2000-12-07SPBINGFIELD
Job# 00-01763-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
h,
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 212 0001Oth St Spr
AssessorsMap#: 17033542
Lot: Block: Addition
Job Number: 00-01 763-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 03600
Subdivision:
l
ctTY oF SPRiNGFTELD, OREGOTV
Owner: Raye Boals
Address: 462 S 41st St
Scope Of Work: Plumbing
replace sewer line
Phone Number:
City/State/Zip:
New
541-726-0685
Springfield, OR 97478
Value: $O
Contractor Type
Plumbing Contr
Contractor
Crane Plumbing Co
BB5 S. 42nd St, Springfield, OR 97478
Registration #
122285
Expiration Date
3t2512001
Phone
541-744-0300
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 lnspections
Plu
Storm Sewer Line - Prior to filling trench
Construction Types:
Occupancy Groups:
r
# Of Buildings:
# Of Bedrooms:
Handicap Access?
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apPly
Area (Sq
Main:Accessory:Total:
Fee Paid On Receipt#Value/Quantity Fee Amount
Plumbi
Minimum Plumbing Permit Fee 12t07t2000 39BB $.00
2
ISODAY PERIOD
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Job# 00-01 763-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Plumbing
12t07t2000
1210712000
1210712000
39BB
3988
3988
50
$1.75
$25.00
$.zs
$27.s0
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 will used on roject. I further agree to ensure that all required inspections are
requ at the project address is readable from the street.
Date
$27.s0
/ z- 7-dD