HomeMy WebLinkAboutPermit Plumbing 1998-07-08>.-.\
SPFINGFIELE,
225 F:FTH .JTREBT
SPRIN;FIEL) OR 97477
\A0Hl4cArr0N
NOT
CoMMENCED OR 1S ABANDONED FoR
or..FrcB:
ANYlBODAYPERIOD. INSPECTION LINE:
7
-3769
JOB LcCATI0N: l3Z Z t-J 3oT[
ASSESSORS :,lAP *:3 TAX LOT *:
OVNER:$t
ADDRESS z IZZZ r.-\, 3Oil PHoNB *,!7V6- ?52 A
CITY: 5'?nr^t /-J -\rl STATE: O ZIP:q7r'63
BACI(ILOV TiRMIT IS $15.00 + $.75 (STATE SURCHARGE) + $.45 (ADMIN. FEE) = $16.20
CONTRACTO!.:
ADDRE SS:PHONE *:
CITY:STATE:ZI!z
CONS: R,UCT- ON CONTRACTORS REGISTRATION *:EXPIRES:
FOR OFFICE USB
DATE OF A''PLICATION:7'K-7(
RECE".PT iI o3o0q/
JoB {r, 9X)83O
ISSUED BY:
7JTOTAL AMo'lNT COLLECTED: fl lb
n" [Y1o-r k,-clc;
BY S]GNIN(] THIS PERMIT/APPLICATION, I AGRBB TO CALL FOR AN INSPECTION ONCE THE
BACKI.LOV IREVBNTION DEVICE HAS BEEN ii,iSTALLED AND IS VISIBLE FOR INSPECTION
(726-3769.,- I ALSO STATE THAT ALL INFORMATION ON THIS PERMIT/APPLICATION IS
C0RRI' CT.