HomeMy WebLinkAboutPermit Plumbing 2000-2-7
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I Job# 00-00200-01 I
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CITY OF SPRINGFIELD, OREGON
Page 1 offRANS#:01-0000476
DATE:FEB 07 2000
AMT RECD:2 $ 22.00
CHANGE:
CASHIER: 059
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00200-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Propos'ed Site: 1147 Main St Spr
Assessors Map#: 17033541
Lot: Block: Addition:
Tax Lot #: 07300
Subdivision:
Owner:
Address:
Bernie Hyatt
1147 Main St
Phone Number:
City/StatelZip: Springfield, OR 97477
Alteration Value: $0
Scope Of Work: Plumbing
Contractor Type
Plumbing Contr
Contractor
Vos Plumbing Inc
Po Box 2189, Eugene, OR 97402-0061
Registration # , Expiration Date
41805 4/4/00
Phone
541-485-0551
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 requesl an inspection call1he 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 inslalled bul before backfilling Irench,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does nol apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity
Plumbing I
02/07/2000 476
02/07/2000 476
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
$,00
$1.40
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Job# 00.{)0200.{)1 I
Paid On Receipt#
Plumbing
02/07/2000 476
0210712000 476
Fee
Backflow Prevention Device
Plumbing Administralive Fee
Total Plumbing
Grand Total
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Page 2 of 2
Value/Quantity
Fee Amount
2
$20,00
$,60
$22.00
$22.00
By signature, I state and agree that I have carefully examined Ihe completed application and do
hereby certify that all informalion herein is true and correct, and I further certify that any and all work
performed shall be done in accordance wilh the Ordinances of the City of Spnngfield and the Laws of
the State of Oregon. I further state that only conlractors and employees who are in compliance with
ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper lime and that the projecl address is readable from Ihe street.
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Signature /' - -;./. ,
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Date