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HomeMy WebLinkAboutPermit Plumbing 2000-10-17 ,f'j" :;- . .. Job# 00-01545-01 I '. ' ~ Page 1 of2 TRANS#:01-0003493 DATE:OCT 17 2000 AMT RECD:2 $ 27,50 CHANGE: CASHIER:059 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01545-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5808 Main St Spr Assessors Map#: 17023341 Lot: Block: Addition: Tax Lot #: 02301 Subdivision: Owner: Bruce Cullen 5808 Main Street Phone Number: 541-747-1631 City/State/Zip: Springfield,.oR 97478 Repair Value: $0 Address: Scope Of Work: Plumbing 7-11 Sewer Line Repair * Contractor N CR'1;lJfstration #' Expiration Date Phone Roto Rooter Service THIS PERMIT SHALL EXPiRE IFTHE WOR5~ 1-689-1711 457 River Ave, Eugene, .oR 97 404 ~~T~ORIZED UNDER THIS PERMIT IS Nm Office Use ~~""VlcmJC:U UH IS ABANDONEoFOR MNY 180 DAY PERIOD Land Use: . # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Heat Source: Range: Sq. Footage: Contractor Type Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: To request an inspection call the 24 hour recording at 726-37.69'1:,6.11. i~8ecti2ns .requested before 7:00 a.m. will be made the same working day, inspections requested\afteQ:00j1I.m~'will'lie made'lhe following , -...... . 'UI'O'~ dLlUllTec 0 ~h 0 working day, 'Iotificallor C .. v f reaor Utl"l . , "()l1pnc:~ ;~'~L ~hOSHUleo al€set/(. ReqUired ,lmffircs:,onsO. ~~.~ ....VU;j" "''''N ~b"-()I', I Plumbinn,. Y-m;;...@y oblaln copie~ 01 thF rUle' u' .. ''''^ ...~i'onte IN - ) Sanitary Sewer Line -Prior to filling trench. nUl1lbl3"/O:th; 0/ ate .thF lelephonE- . " ' . eoor. un/ll\' Not/hcall"" .. . . . " . . '~.. '. . " ~ I Construction Types: .Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet: I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: , Total: Fee . Minimum Plumbing Permit F~e Paid On Receipt# PlumbinQ 10/17/2000 3493 Value/Quantity Fee Amount $.00 i'" .......... . Job# 00-01545-01 I Fee Paid On Receipt# Plumbin!l 10/17/2000 3493 10/17/2000 3493 10/17/2000 . 3493 State Surcharge For Plumbing Permit Sanitary Sewer Footage Plumbing. Administrative Fee Total Plumbing Grand TO~ ./ ~ . ~~#1-.1 /\ ./ ,-/L~~ ~'../. Signature . Page 2 of2 Value/Quantity. Fee Amount I $1,75 50 $25.00 $.75 $27,50 $27.50 . n~, /,,?, .:<tJO() Date ') . , .