HomeMy WebLinkAboutPermit Plumbing 2002-08-22Job# 02-01014-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
Job Number: 02-01014-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00101
Subdivision:
tsPRINGFIELD
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 443 00042nd St Spr
Assessors Map#: 17023224
Lot: Block: Addition:
crTY oF SPRINGFIELD, OREGON
Owner: Richard Cronk
Address: 443 42nd Street
Scope Of Work: Plumbing
Replace 50 ft of water line
Phone Number:
City/State/Zip:
Repair
541-746-3775
Springfield, OR 97478
Value: $0
Gontractor Type
Plumbing Contr
Contractor
Richard Cronk
443 42nd Street, Springfield, OR 97478
Registration # Expiration Date Phone
541-746-3775
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day
\r $E WORK
Requ
ED r0R
Water Line
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
-Prior to filling trench.
Accessory
NCED OR
0D AY Pg
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
\S
R\00
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbinq
Minimum Plumbing Permit Fee 08t22t2002 10381 $.00
1
Job# 02-01014-01 Page2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge - Plumbing
Water Service Footage
8% Administrative Fee - Plumbing
Total Plumbing
08t2212002
08t2212002
08t22t2002
1 0381
1 0381
1 0381
50
$3.15
$45.00
$3.60
$51.75
Grand Total
Signature
$51.75
* /zz / o-r-
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