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HomeMy WebLinkAboutPermit Backflow Test 2000-5-2 \ . )- . . I Job# 99-01342-02 I . Page 1 of 2 TRANS#:01-0001453 DATE:MAY 02 2000 AMT RECD:2 $ 16.50 CHANGE: CASHIER:059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01342-02 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 . Location Of Proposed Site: 812 Mckenzie Crest Dr Spr Assessors Map#: 17032343 Lot: 90 Block: Addition: Tax Lot#: 02102 Subdivision: River Glen ~ Owner: Address: Future B Homes Phone Number: 541-744-2660 P.O. Box 7425 City/State/Zip: Eugene, OR 97401 Value: $0 Scope Of Work: Backftow Device Alteration $294,086 This is a copy with a new Sequence Number-backftow only Contractor Type Landscape Contractor Registration # Expiration Date Phone Quad Area: # Of Units: Constr. Type: Water Heater: Hunter Irrigation and Landscape J...N.'V 25226 Strawberry Lane, Veneta, OR 'OOI\:l3dJ...'Va09~ 0') 97487 . .nuC\\-\003')N:!\I'I\I'I ....... . ,"-\ c.?'!lIUU'" -' _ ,('\ O:!ZI\::lUnl.: f. -- etTlce usell:l:lG, l. ' dSI\-1.1. c.\ pll\\\:I3d '::>In \-IS 11\1'1\:13 1CSno'I!JSEl,: -l\3'clld)(.311'V . "\10t<< Of Buildings: ~llhiQl'dol1e: .';i... Occupancy Group: (VN) Wood Frame Bedrooms: Heat Source: Range: Sq. Footage: Dwelling 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. .,.~"-J (\\.1 Requi&ed Jnspe'cti{)ns~' ~~~ _:: .~nlJ,.\\'80 \! ~vhJ'I\f\.uOU~ oal.\\OU\\ I f-".""I~lll~!".~.l,n'~~".., 'Ia~,.,a ~'ll\u nO/-, '0600 -After device is installed,Dul'tiefore hackfilllhg.trench:::6'-''V0 l QV - 0 -,;I>'crv' Llllr"- 0 (q sa\Ol al.\\ \ onolLl1 (1l(10' a::> \.lOI1\lOII\\O\'o ~Oo-G96 'cl'V~~n; asOLl1 '~~~'8 salnl MO\~?,\ \.l01 W5 al'll al081.\\ "ooa\ _._ "'., ,,-' \\I\I\fI UOO ~. -c . ;,'no'\ sa,store # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: New SF - detached Backflow Device Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # ,Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. F: :t) Main: Accessory: Total: Fee Paid On Receipt# Plumbinq 05/02/2000 1453 Value/Quantity Fee Amount Minimum Plumbing Permit Fee $5.00 .. , J Fee . State Surcharge For Plumbing Permit Backftow Prevention Device Plumbing Administrative Fee Total Plumbing rfrd Total (~JJ Signature \ l~' \ }..J r::- ~),::) Job# 99-01342-02 I Paid On Receipt# Plumbinl1 05/02/2000 1453 05/02/2000 1453 05/02/2000 1453 . Page 2 of 2 Value/Quantity Fee Amount $1.05 1 $10.00 $.45 $16.50 $16.50 ~ -2- OC) Date