HomeMy WebLinkAboutPermit Plumbing 1998-12-29OREGO'Uc[T
BACKFLOIII PRBVENTION DBVICE PERMIT APPLICATIC :CITY OF SPRINGFIBLD
BUILDING SAFETY DIVISION
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TAX LOT
225 FIFTH STREET
SPRINGFIE::,D OR 97477
JOB LOCATION:
ASSESSORS MAP g:Z5
OIINER:
ADDRESS:1?qs',/?p
CITY:
BACKFLOLI PERMIT IS $fS.00 + $.7S 1
c0NrR40{0\:
ADDRESS:n
,ITFICE: 726_3759
INSPBCTIC ; LINE z 726-3769
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STATB:
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c0N STRUCTTON CONTRACTORS REGISTRATION S:6 d?s-lxprulsz/tru
BY SIGNING THIS PERHIT/APPLICATTON
DACKFLO1I PREVENTION DEVICE HAS BEEN(72-6-3769). r ALSO STATE TITAT ALL I
CORRECT
ANY 180
POR OFFTCE USE
DATE OT /.PPLTCATION:
RECETPT I':TSSUED BY:
TOTAL AH(IUNT COLLECTED:
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in OAR rules