HomeMy WebLinkAboutPermit Plumbing 2002-01-25SPBINGFIELE
225 North Fifth Street
Springfleld, OR97477
Location Of ProPosed Site: 433
AssessorsMaP#: 17033514
Lot Block:
Owner: Martha Beam
Address: 43312th Street
Scope Of Work: Plumbing
RESIDENTIAL PERMIT
CitY Of SPringfield
CommunitY Services Division
Building SafetY
Page 1 of2
Job Number: 02-00095-01
Office: 726-3759
lnspection Line: 726-3769
00012th St SPr S.&'€-
Addition:
Tax Lot#: 10400
Subdivision:
Phone Number: 541-746'9917
City/State/Zip: Springfield, OR97477
Alteration Vatue: $O
Job#
CITY OF OREGON
Contractor Type
Plumbing Contr
Contractor
Mr. Rooter
P.O. Box 50154, Eugene, OR 97405 ATTENTION:Oregon law requlres you tc
Registration #
147076
Expiration Date
1t25t02
Phone
541-3434404
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code
Bedrooms:
Range:
To request an inspection call the 24 hour recording at726-3769. 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
Sanitary Sewer Line -Prior to filling trench
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
Plu
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
NOTIGE:
TUIS PTNUIT SHALL EXPIRE IF THE WORK
NUTTIORNTD UNDER THIS PERMIT IS NOT
Corrrrtrnr'rcED 0R ls ABANDoNED FoR
ANY 180 DAY PERIOD.
Height (feet):
Proposed Units:
Fee Paid On Receipt# Value/Quantity Fee Amount
PIumbi
Minimum Plumbing Permit Fee 0112512002 7879 $.00
lJ
uulilt rl
Page 2 of 2
Fee Amount5-01lob#
Fee
Paid On
01/25/2002
01/25/2002
0112512002
ReceiPt#
7879
7879
7879
State Surcharge - Plumbing
Sanitary Sewer Footage
8Yo Administrative Fee - Plumbing
Total Plumbing
30
$3.15
$45.00
$3.60
$51.75
Grand Total
By signatu re, 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 allwork
performed shal I be done in accordance with the Ordi nances 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
o used on this project. I fu rther agree to ensure that all required inspections are
and that the project address is readable from the street.
Signature Date
$51.75
O