HomeMy WebLinkAboutPermit Plumbing 2002-08-26M/
SPRINCFIELD
Job# 02-01029-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-01029-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 10500
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 338 00014th St Spr
AssessorsMap#: 17033623
Lot: Block: Addition:
ctTY oF SPRTNGFIELD, OREGON
Owner: Alice Humphrey
Address: 338 14th Street
Scope Of Work: Plumbing
Replace 100 feet water line
Phone Number: 541-747-7893
City/State/Zip: Springfield, OR97477
Repair Value: $0
Contractor Type
Plumbing Contr
Contractor
Alice Humphrey
338 '14th Street, Springfield, OR97477
Registration # Expiration Date Phone
541-747-7893
.1r$rs$
Office Use
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning
Bed
Range:
To request an inspection call the 24 hour recording at
a.m. will be made the same working day, inspections
working day.
Required Inspections
Plumbing
Water Line - Prior to filling trench
Gonstruction Types:
Occupancy Groups:
Buildings:
Occupancy Group:
\$Heat Source:
Sq. Footage:
inspections requested
after 7:00 a.m. will be m
o$
e1
s
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
P Units:
Accessory:
Fee Paid On Receipt#Value/Quantity Fee Amount
Plumbi
Minimum Plumbing Permit Fee 08t26t2002 10427 $.00
$@
v
'€
Job# 02-01029-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge - Plumbing
Water Service Footage
8% Administrative Fee - Plumbing
Total Plumbing
08t26t2002
08t26t2002
08t26t2002
10427
10427
10427
100
$4.13
$59.00
$4.72
$67.85
Grand Total $67.85
&-aA ozfU^". Neffi-hr"
Signature Date