HomeMy WebLinkAboutPermit Backflow Test 2000-1-26
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Job# 00-00113-01
Page 1 of2
TRANS#:01-0000366
DATE:JAN 26 2000
AMT RECD:1 $ 16.50
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00113-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1010 Main St Spr
Assessors Map#: 17033541
Lot: Block: Addition:
Tax Lot #: 05200
Subdivision:
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Owner:
Phone Number:
City/StatelZip:
Addition
Value: $0
Address:
Scope Of Work: Backflow Device
Lane Regional Air Pollution Authority
Contractor Type
Plumbing Contr
Contractor
Barnes High Tech Plumbing Inc
2787 Olympic SI Ste 27, Springfield, OR
97477
Registration #
83311
Expiration Date
2/17/00
Phone
541-726-9854
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.
Backflow Device
Required Inspections
I Plumbing I
-After device is installed but before backfilling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[""Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbing
01/26/2000 366
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$5.00
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Job# 00-00113-01 I
Paid On Receipt#
Plumbing
01/26/2000 366
01/26/2000 366
01/26/2000 366
Fee
State Surcharge For Plumbing Permit
Backflow Prevention Device
Plumbing Administrative Fee
Total Plumbing
Grand)O~
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Signature
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Page 2 of 2
Value/Quantity Fee Amount
$1.05
1 $10.00
$.45
$16.50
$16.50
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