HomeMy WebLinkAboutPermit Plumbing 2000-10-03SPRI]\IGFtELD
Job# 00-01482-01 Page 1 of 2
Job Number: 00-01482-01
Office:720-3159
f nspection Line: 7 26-37 6g
Tax Lot#: 01200
Subdivision:
IRAi'{5fi:01-000ii6?
Df;TE:OIT O] IOOO
ftHT RE[D:? $ T?.50
IHAI'IEE:
[ftEHIER:061RESIDENTTAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1654 O0O16th St Spr
AssessorsMap#: 17032531
Lot: Block: Addition:
C'TY OF SPRINGFTE,LD, OREGON
Owner: Jan Frank
Address: 1654 16th St
Scope Of Work: Plumbing
Phone Number:
City/State/Zip:
New
541-689-1711
Springfield, OR97477
Value: $O
water service
Contractor Type
Plumbing Contr
Contractor
Roto Rooter Service
457 River Ave, Eugene, OR 97404
Registration # Expiration Date Phone
541-689-1711
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occu
ATT ENllol\
rules
calting eorsgonrh
Centor
f.l E:
ORIS
ANY 18ODAY PERIOD.
UtilitY
ar eset tortt
es by
EXPIRE IF THEWORK
THISPERMIT ISNOT
ABANDONED FOB
t(,
To request an inspection call the 24 hour recording a1726-3769
a.m. will be made the same working day, inspections requested
working day.
Required
Plu
Water Line - Prior to filling trench
Construction Types:
Occupancy Groups:
r
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq
Main:Accessory:
# Of Stories:
Current Units:
Gensus Code: Does not
Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbing
Minimum Plumbing Permit Fee 1010312000 3362 $.00
00-01482-01
Paid On
Page2 of 2
Fee
PlumState Surcharge For plumbing permit
Water Service Footage
Plumbing Administrative Fee
Total Plumbing
10t03t2000
10t03t2000
10t03t2000
Receipt# Val
3362
3362
3362
Fee Amount
$1.75
$2s.00
$.75
$27.50
$27.s0
50
Grand Total
By signature,
hereby certify
I state and agree that I have carefu lly examined the completed application and doinformation herein is true and correct, and I further that any and allworkcertifyperformed shall be done in accordance with the Ordinances of the City of Sp ringfield and the Laws ofthe State of Oregon. I further only contractors and employees who are in compliance withRS 701.055 wiil be u I further agree to ensure that all required inspections arethetheproject address is readable from the street.
Date
that all
/ 0'3.o c