HomeMy WebLinkAboutPermit Plumbing 2002-05-31{/
SPRINGFIELD
Job# 02-00648-01
RESIDENTIAL PERMIT
Caty Of Springfield
Community Services Division
Building Safety
Page 1 of2
Job Number: 02-00648-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00902
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 545 Aspen St Spr
AssessorsMap#: 17033424
Lot: Block: Addition:
crTY oF SPRTNGFIELD, OREGOI'
Owner: Galen Howard
Address: 165 W 19th Ave
Scope Of Work: Plumbing
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
Phone Number:
City/State/Zip:
New
541-683-4304
Eugene, OR 97401
Value: $0
lnstall 100' sanitary sewer - Plumbing must performed by licensed plumber. Owner shall call
before anv olumbino work is done and oive the name. address and CCB number of the olumber
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
Occupancy Group:
xl:?j # Of Buildings:
Heat Source:
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
Plumbing
Sanitary Sewer Line -Prior to filling trench.
Construction Typesr
Occupancy Groups:
# Of Stories:ORK
N01
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq,, Feet)
Main:
Fee
Accessory:
Cu
Census
SH ALL
On Receipt# Value/Quantity Fee Amount
Plumbin
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
05t31t2002
05t31t2002
05t31t2002
$.00
$4.1 3
$59.00
931 7
9317
931 7 100
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Job# 02-00648-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
8% Administrative Fee - Plumbing
Total Plumbing
Plumbing
05t31t2002 9317 $4.72
$67.8s
Grand Tota!
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the time the address is readable from the street.
$67.8s
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