HomeMy WebLinkAboutPermit Plumbing 2003-03-19*iPEIilGPI{LD
Sta tus: Issued
225 Fifth Srreet
Springfiel( Oregon 97 477
541-726-37 59 phone
541-726-3676Fax
541-7 26-3769 Inspection Line
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
PROJECT DESCRIPTION:
OWNERYAPPLICANT:
CABELL JNORTON & HOLLY H
PO BOX 23701
EUGENE OR974O2
Description
+ l0% Administrative Fee
+ 7%6 State Surcharge $\$1
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
C_i!y of Springfietd
Plumbing permit
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2003_00017
3n9t2003
3t19t2003
9/19/2003
2801/2 21ST ST 1
1703361306s00
Replace 80 feet of sanitary sewer
Springfietd
TYPE OF WORK:
TYPEOF USE:
PL TINIBING C ONTRAC TOR:
EUGENE EXCAVATION & PLUMI
PO BOX 40821
EUGENE oR 97403
Repair
Residential
54 I -988-0868
\t 1$t .ri6q
rbN+l
541-988-0868
138003 E)GIRES: 03/07/200:
Receipt Number
120020000000000085 I
12002000000000008s I
12002000000000008s I
12002000000000008s I
,s
.00
14.00
03t19/2003
03/19/2003
03/1912003
03/19/2003
To Request an inryection call the 24hour recording at 726-37 69. AII inspections requested before 7:00 a-m. will be made the same working day,inryections rquested after 7:00 a.m. will be made ttre following working'aair
Required Inspections:
1 Sanitary Sewer Line: prior to filling trench and including required testing.
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certiS that any and ail work performed shall be done in accordancewith the ordinances of the city of springlietd and the laws of the state of oregon pertaining to the work described herein. Ifurther certiry that only contractors and employees who are in compliance with ons zot.oss will be used on this project Ifurther agree to ensure that all required inspections are requested at the proper time, that each address is readable from thestreet, and that the approved set of plans, if applicable, will remain on the site at alt times during construction.
v,
Owner or Contractors Date
3 -/7-a J
ru$e:Utttt
setl
3/19/2003
ll:29:4lAM
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfietd
Development Services Department
Public Works Department
Official Receipt
Receipt #z 120020000000000085 1
Date: 0311912003
Line ltems:
Job/Journal Number
PLM2003-00017
PLM2003-00017
PLM2003-00017
PLM2003-00017
Tlpe of Payment Paid By
Check
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
+ l0o/o Administrative Fee
+ 1Yo State Surcharge
EUGENE EXCAVATING
Amount Paid
45.00
14.00
5.90
4.13
Payments:
Line ltem Total:
How Received
In Person
Total:
$69.03
Amount Paid
69.03
Received By Check Number Confirm No
djb
$69.03
Page I ofl
cReceipt.rpt
Description