HomeMy WebLinkAboutPermit Sewer Connection Record 2001-9-13
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I Job# 01-00996-01 I
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Page 1 of 2
TRANS#:01-0006692
DATE:SEP 13 2001
AMT RECD:1 $ 100.00
CHANGE:$ 32.15
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00996-01
225 North Fifth Street
Springfield, OR 97477
Tax lot #:
Office: 726-3759
Inspection Line: 726-3769
~....
K
13800
location Of Proposed Site:
Assessors Map#: 17032532
lot: Block:
1729 Market St Spr
Addition:
Subdivision:
Owner:
Ready Rooter I chapman plumb
88608 ermi bee rd
Phone Number: 541-744-7991
City/State/Zip: springfield, OR 97478
Address:
Scope Of Work: Plumbing
New
Value:
Sewer line replacement
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00996-01
225 North Fifth Street
Springfield, OR 97477
Owner:
Address:
Kim Streeter
1729 Market Street
Office: 726-3759
Inspection Line: 726-3769,u \0
'f~5~v
n 1f,,I;'J faqU' von \.Jilli'"
Market St Spr . "'1icNi,~~~~;~~,\)!_~~u~~:~fa ~e~~g~~
10110IN [.Tax.Lot #:. i (1-380Q." OP,f\ ,,0 \as b~
. . " a\'"n v~"::.~." \;'\10\'\" \\\'la lU
Addition: NO\'\~C~ ,~~U,M!VISIO,,:!:,, r.opies 0 ._,,,n,,one
lOUr'" I ''f'fI~\I v..,p ''''otEf. \\,....' '\'ca\\V"
Phone Number:O\5~1-,7.!17;"1853 ll\',I',I" \'\0\\'
VV-'. \\,\I>v-' on ., )
,,,I\,n9 ."'~ Ofetl . _" "344 .
City/State/ZIP;.,.,keSprin. gfield,.0RI97 477
nil."" enle1 ,,, ' -
New C Value: $0
location Of Proposed Site: 1729
Assessors Map#: 17032532
lot: Block:
Scope Of Work: Plumbing
Sewer line replacement
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
NOTICE: Occupancy Group:, WORK
PERMIT SHeat som'2ii: IF TRe
',HIS 59: Footage1lERMIT IS NOT
.. ..-,'/"\OI7t:n \1l\HJt::.I, ,.. ., _
~;~~ENCEj) OR IS ABANDONI::U run
ANY 180 DAY :#~0frBuildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
... · I Job# 01-00996-01 Ie Page 2 of 2
'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,
Sanitary Sewer Line
Required Inspections
I Plumbin!l
- Prior to filling trench,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity
Plumbing 1
09/13/2001 6692
09/13/2001 6692
09/13/2001 6692 90
09/13/2001 6692
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon, I further state that only contractors and employees who are in compliance with
ORS 701,055 will used on this project. I further agree to ensure that all required inspections are
re~at t pro er time ~at the project address is readable from the street.
j"-J ~ tJt:: ~P(
Signature
Fee Amount
$.00
$4.13
$59.00
$4.72
$67.85
$67.85
7/;Y/cJ/
Date