HomeMy WebLinkAboutPermit Plumbing 2000-12-08SPRINGFIELD
Job# 00-01767-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
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ftt'tT REID:I $ 316.5fi
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225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site; 244 00035th St Spr
AssessorsMap#: 17023131
Lot: Block: Addition:
Job Number: 00-01 767-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 00400
Subdivision:
ctTY oF sPRtNcFtELD, OREGOTV
Owner: Gary Branson
Address: 2427 DebraDr
Scope Of Work: Plumbing
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
To request an inspection call the 24 hour
a.m. will be made the same working day,
Phone Number:
City/State/Zip:
New
inspections
541-747-6684
Springfield, OR9747T
Value: $O
9glilq,v sewer and storm sewer line install as conditions of final partition for parcel #1 behind240 35th St this is not a nermanent aclclress necessarilv
working day
office use _
Land Use:
Zoning Code:
Bedrooms:
Range:
recording at 726-3769. All
inspections requested after
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
lowing7:00 a.m
Height (feet):
Proposed Units:
Required lnspections
Plum
Water Line
Sanitary Sewer Line
Construction Types
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
-Prior to filling trench.
-Prior to filling trench.
# Of Stories:
Current Units:
Census Code: Does
h\ t"
to\ct$
not applyArea (Sq
Main:
Fee
Accessory:Total:
Paid On Receipt#Value/Quantity Fee Amount
Minimum Plumbing permit Fee
State Surcharge - plumbing
Water Service Footage
Sanitary Sewer Footage
12t08t2000
12t08t2000
12t08t2000
12t08t2000
4002
4002
4002
40a2
200
40
$.00
$5.60
$55.00
$25.00
Plumbin
00ut r\\it t1
Job# 00-01767-01
Paid On ReceiPt#
Page 2 of 2
Value/QuantitY Fee Amount
Plum
Fee
Administrative Fee - Plumbing
Total Plumbing
12t0812000 4002
Grand Total
By signature,
herebY certifY
I state and agree that I have carefullY examined the completed application and do
that all information herein is true and correct,and I further certifY that anY and allwork
performed sha llbe done in accordance with the Ordinances of the CitY of Springfield and the Laws of
the State of Oreg on. I further state that onlY contractors and emPloYees who are in comPli ance with
oRS 701 055 will be used on this Project'I further ag ree to ensure that all required insPections are
req at the time and that the project address is readable from the street.
$2.40
$88.00
$88.00
Date
re