HomeMy WebLinkAboutPermit Plumbing 2002-07-24Job# 02-00888-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
SPRINGFIELD
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1139 00034th St Spr
AssessorsMap#: 17023034
Lot: Block: Addition:
Job Number: 02-00888-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 10100
Subdivision:
GITY OF SPRINGF7ELD, OREGOTV
Owner: Jeff Caldwell
Address: 1139 34th Street
Scope Of Work: Plumbing
Replace 75 feet of water line
Phone Number:
City/State/Zip:
Repair
541-746-9661
Springfield, OR 97478
Value: $0
Contractor Type
GeneralContr :'JxilH,,., *,1?,[::,H3jff,rffi{ilffiP3gP uo,TuT;oo,
PO Box 273, Eusene, OR e7402 Jrlfij
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Zoning Code:'|'-1r:r;r; ;:'Ji-1""-'*'#U#qpfnaldlroup:Bedrooms: "'"Hdef0ource:
Range: Sq. Footage:
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
Water Line -Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
# Of Stories:
Current Units:
Census Gode: Does not apply
Total:
lF
Accessory:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumb
Minimum Plumbing Permit Fee 07t24t2002 10034 $.00
Job# 02-00888-Oi
Paid On
Page2 of 2
Fee Receipt#
State Surcharge - plumbing
Water Service Footage
8% Administrative Fee - plumbing
Total Plumbing
07t24t2002
07t24t2002
07t24t2002
1 0034
1 0034
1 0034
Fee Amount
$4.13
$59.00
$4.72
$67.85
$67.85
Grand T
Signature
,L
75
Date
?-ztl-d L