HomeMy WebLinkAboutPermit Plumbing 2000-8-25
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I Job# 00-01298-01 I
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Page 1 of 2
TRANS#:01-0003019
DATE:AUG 25 2000
AMT RECD:2 $ 27.50
CHANGE:
CASHIER:061
SPRINGPIELD
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CITY OF SPRINGFIELD, OREGON
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225 North Fifth Street
Springfield. OR 97477
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01298-01
Office: 726-3759
Inspection Line: 726..3769
location Of Proposed Site: 2152 Main St Spr
Assessors Map#: 17033642
lot: Block: Addition:
Tax lot #: 02000
Subdivision:
*
Owner: Judy Rae
Address: 2182 Main St
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Scope Of Work: Plumbing
Phone Number: 541-746-7390
City/State/Zip: Springfield. OR 97477
New Value: $0
This is a copy with a new Application Number
Contractor Type
Plumbing Contr
Contractor
Roto Rooter Service
457 River Ave, Eugene. OR 97404
Registration # Expiration Date
Phone
541-689-1711
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,I\:.~iiiMSctions requested before 7:R9
a.m, :will be made the same working day, inspections requested aftUS'P~~~ir%":'ill,!?&\D:liiCleiiHefilI15w1~RK
working day, ' IH THORIZEDUNDERTHISPERMITISNOT
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equlre nspect,lo.~EN(jI::U un 'v M~n"--
Plumbinll AtJY 180 DAY PERIOD,
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- Prior to fiiling trench.
Water Line
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq. root)
I Main: Accessory:
Fee
._ ". , rgonlaWrequireSyouto
# Of Stories: ~\ r~W;~;~[ ed by the Oregon Utmty
Current Units: toIlOlPf.H:yJf ~t"'oserulesaresetforth
\Qt~;catIO Me ':m AR952-001-
Census Code: Does not a'i'~R952-001"()010throUgh~theru'es by
I 1090 You may obtain copies 0 eI hone
Total: caillng ~he .ce_n~!.: (N~\~~~~~O:C8tlon
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Paid On Receipt# ~,~I"lalue7Quantity- Fee Amount
Plunibinll I
08/25/2000 3019 $.00
Minimum Plumbing Permit Fee
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Job# 00.01298-01
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Page 2 of 2
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Plumbing
08/25/2000 3019
08/25/2000 3019
08/25/2000 3019
8
$1,75
$25,00
$,75
$27.50
State Surcharge For Plumbing Permit
Water Service Footage
Plumbing Administrative Fee
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 be ~sed on this project. I fu~her agree to ensure that all required inspections are
requested at the proper time andJllaU e:RrOject address is readable from the street.
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Signature L ~ Dati (
$27.50
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