HomeMy WebLinkAboutPermit Plumbing 2000-10-24
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I Job# 00-01575-01 I
Page 1 of2
TRANSU:01-0003583
DATE:OCT 24 2000
AMT RECD:1 $ 45.00
CHANGE: $ 1. 00
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
COMMERCIAL PERMIT.
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01575-01
Office: 726-3759
Inspection Line: 726-3769
*
Location Of Proposed Site: 1673 Main St Spr
Assessors Map#: 17033631
Lot: Block: Addition:
Owner:
Jack Dearth
1673 Main St
Address:
Scope Of Work: Plumbing
Tax Lot #: 05000
Subdivision:
Phone Number: 541-746-9669
City/State/Zip: Springfield. OR 97477
New Value: $0
replace sewer and connection T
Contractor
Aardvark Excavation
5335 Daisy Sp 119, Springfield, OR
97478
Contractor Type
General Contr
Registration #
101850
Expiration Date
6/1/2001
Phone
541-741-2041
Office Use
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage: "'O?'\(
_.,C\I'II
~. oRt=.\l..... 0\
To request an inspection call the 24 hour recording at 726-3769. AII~iisp~'ctioriS{eq\!estga<b~fOr;!l(H)O\ \S ~
a.m. will be made the same working day, inspections requested aft~~oo:a':m'!'Wiii'be.made't~e followingO?'
working day. ~~~O?I1.E.O \.l;~ fl-\3fl-NOOI'lt-v
R . d I t' f>' ._01("1='0 -
equlre nspec lonsr,OIIIIW'-' :{ 1"E.\-\IUv'
Plumbing !~N'{ ieO 0P; .
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Sanitary Sewer Line
I
- Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Fee
Minimum Plumbing Permit Fee
'loutc
N leQuila'" U\llit'l
,OtegOtlla~ eOlegon et,o(\n
;f\"E.N\IO~'dO?\ed b'i .: luleS ate \2000'\'
# Of Stories: H1jght.,(feet):~ ",\et .\OOSo""n Op.~e9 _uIOS '0'1
\G.'V " _-l.e" iO\nl "" ~ tn '
Current Units: Proposed.Units:.OO coni9S0 ,,,,,notle
\'lu."" S'/.:\Jv' 'n'" to'''''' 'n
Census Code: Does not apply 'n Ofl-~ 9 n\e.'l obtaI \.NO\EI',\~e Noti\iCat\O
10090.~0\\necentel, Ol'Ut\\lty.y.4).
Total: I ca\\lng \O,tne?l~~Oo.'33'2.-Z
._r?,'oOl._..:-:""" i
Value/Quantity
Paid On Receipt#
Plumbing
10/24/2000 3583
Fee Amount
$.00
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.
Fee
Job# 00-01575-01
Paid On Receipt#
Plumbing
10/24/2000 3583
10/24/2000 3583
10/24/2000 3583
Page 2 of 2
Value/Quantity
Fee Amount
State Surcharge For Plumbing Permit
Sanitary Sewer 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 used on this project. I further agree to ensure that all required inspections are
requested at the p"ime and that the project address is readable from the street.
":K'A"l~. .., ..,A _ /0' 2S?-o-i)
si9naUv ,:. Date
150
$2.80
$40.00
$1.20
$44,00
$44.00