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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 IL o1, t WESTRANATHAN J &Jl\,u lv l166 N1trTtl&,fln by the UtilitY r.totlficatlon Thoso rule8 are sotfoftn iNOAB 0000.Youmay obtain of th6 rulesbY