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HomeMy WebLinkAboutPermit Plumbing 2002-05-28SPRINGFIELD Job# 02-00619-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 02-0061 9-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 11200 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 858 0001gth St Spr AssessorsMap#: 17033621 Lot: Block: Addition: ctTY oF SPRINGFIELD, OREGON Owner: Eugene Werth Address: 858 19th Street Scope Of Work: Plumbing Phone Number: City/State/Zip: Repair 541-747-9022 Springfield, OR97477 Vatue: $0 Gontractor Type Plumbing Contr Contractor Pingelton Bros Backhoe Service lnc 210 Taylor St, Eugene, OR 97402-4156 Registration # 36289 Expiration Date 7t19t2002 Phone 541484-9949 Office Use - Land Use: Zoning Code: Bedrooms: Range: Group: urce: before 7:00 made the following ( Quad Area: # Of Units: Constr. Type: Water Heater: To request an inspection call the 24 hour recording at726-3769 a.m. will be made the same working day, inspections requ working day. Required lns Plumbin Sanitary Sewer Line -Prior to filling trench Gonstruction Types: Occupancy Groups: ?F Plumbi # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main:Accessory: Paid On lue/Quantity Fee Amount # Of Stories: Gurrent Units: Gensus Code: Total: Fee Minimum Plumbing Permit Fee 05t28t2002 9252 $.00 Replace 36 feet of sanitary sewer 10 Job# 02-00619-01 Page 2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Plumbing Sanitary Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing 05t28t2002 05t28t2002 05t28t2002 9252 9252 9252 36 $3.1 5 $45.00 $3.60 $51.75 Grand Total -zX ,-u o ^,.o , *L-.,l-9'./ $51.7s 9'-2 * -d 2-/ Signatur(Date