Loading...
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