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HomeMy WebLinkAboutPermit Plumbing 1999-07-08SPRINGFIELO 225 FITTH STREET 'PRTNGFTEL) oR gtttt rNspEcrrofl'llfiH: ltrl-liZl JOB L,)CATI )N:frn 4../.- ASSESSORS )'{Ap S, /7o3 2>tl L TAX LOT #: O5LCID OUNER:ft /1) ADDRE.JS:tA PHONB #7^c- 7?(, CTTY:STATB:zrP: /"r72 BACKFLOW FrRMrr rs $rs'00 + $'7s 151arE suRcHARGE) + $.45 (ADMrN. FEE) = $16.20 CONTRICTOF.: RD PHONE #: STATE: CONSIITUCTJ CN CONTRACTORS Ex?rREs , Z Zf-Oa BY SIGNING THIS PERMIT/ BACKFLOI.I P REVBNTION DEVICE ONCE THE(726-'37 6e ). I ALSO STATE INSPECTIONanprrr'-.r'yv-ir! v: .APPLICATION IS / NOTICE: THIS PERMTT SHATI EXPIRE IFTHE TIUOH( DATE OF AI,PLICATTON:Z'1 RECE*PT #jrft AITHOBIZED UNI}EtsftF[SPEMilffi8tS& DEVICE PBRMIT APPLIcATIoN COMMENCED OR TSABANDONED *IflY 0r SrRINGFIELD ANYlSODAYPERIOD. BUILDING SAFETY DIVISION CTTY:Dr< -zl P:-ru POR OFFTCE USE TSSUED BY: fb z: TOTA., AMOJNT COLLECTED: ? Ur/JoB tr ' ?? fOo 3 7 ADDRESS, ?4O b/f?/37 AITEIV I rulesadoPted bythe Oregon