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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 iiti"run onF e52-t 0090. vc callitti t? rlrles Di ephone )trtication 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