HomeMy WebLinkAboutPermit Plans 2002-12-09City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Sheet
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-3676Fax
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2002-00119
12t9t2002
12t9t2002
61912003 t
SITE ADDRESS:
ASSESSORS PARCEL NO.:
PROJECT DESCRIPTION:
1166 TTHST
1703264312000
WATER LINE REPAIR
Springfield
TYPE OF WORK:
TYPEOF USE:
Alteration
Residential
OWNER/APPLICANT:P LUlvrBrN $t 6 ffiEBAC r oR :
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Phone: COMMENCED 0R lS ABAND0NED FOR
ANY 180 DAY PERIOD.CCB#: EXPIRES:
Centerlsl
+ 7% State Surcharge
+ 8% Administrative Fee
Water Line - lst 50 Feet
Date Paid
12t09t2002
12t09t2002
t2109t2002
Receint Number
2200200000000000278
2200200000000000278
2200200000000000278
Cashier
3.15
3.60
45.00
To Reque$ an inryection call the 24 hour recordingat 726-3769. All inspections requested before 7:00 am. will be made the same working day,inspections rque$ed afler 7:00 a.m. wiil be made the following workingday.
Required Inspections:
By Signature,I state and agree, that I have carefully examined the co mpleted application and do hereby certify that allinformationhereon is true and correct, and I further certify that any and all work performed shall be done in accordancewith the Ordinances of the City of Springfield and the laws of the State of Oregon pertain ing to the work described herein Ifurther certify that onty contractors and employees who a re in compliance with ORS 701 .055 will be used on this project Ifurther agree to ensure that all required inspections are requested at the proper time, that each address is reada bh from thestreet, and that the ap proved set ofplans, ifapplicable,will remain on the site at all times during construction.
or Contractors Signature
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