HomeMy WebLinkAboutPermit Plumbing 2000-03-07SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 88S S
AssessorsMap#: 18020612
Lot: Block:
Owner: Clint Riley
Address: 888
Scope Of Work: Backflow Device
Job# 00-00363-01
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Alteration
Page 1 of2
TRAi,lE*;01-0000846
DATE:HAR 0? 1000
Al,lI RE[D:? $ 16.50
IHANEE:
IASHiER: t]5?
RES!DENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety Job Number: 00-00363-01
Office:726-3759
lnspection Line: 726-3769
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Place, OR97477
Value: $0"cn<rl
CITY OF ,SPRINGFIELD, OREaON
Contractor Type
Plumbing Contr
Contractor
Oasis lrrigation
7726 Summer Lane, Eugene, OR 97404
Registration # Expiration Date Phone
541-343-7482
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office [Jss
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at
a.m. will be made the same working day, inspections
working day.
reque$ed a.m
EXPIBEIFTHE WORK
OR,S ABANDONEDFOB
Required
Backflow Device
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq
Main:
-After device is installed but
Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Gensus Gode: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
03t07t2000
03/07/2000
846 $5.00
$1.05846
ru,es
Page2 of 2
Fee Paid On Receipt# Vatue/euantity Fee Amount
Backflow Prevention Device
Plumbing Administrative Fee
Total Plumbing
Grand
Signature
03t07t2000
03t07t2000
846
846
1 $10.00
$.45
$16.50
$16.50
3- 1-o \)
Date