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HomeMy WebLinkAboutPermit Plumbing 2000-1-26 .... . . ( I Job# 99-01731-01 I Page 1 of2 TRANS#:01-0000376 DATE:JAN 26 2000 AHT RECD:2 $ 23389.37 CHANGE: CASHIER: 059 ~ CITY OF SPRINGFIELD, OREGON INDUSTRIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01731-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2015 NUGGET Way Spr Assessors Map#: 16030311 Lot: Block: Addition: Tax Lot #: 4600 Subdivision: Owner: Address: Wildish Development Corp PO Box 7426 Phone Number: 541-465-1700 City/StatelZlp: Eugene, OR 97406 Addition Value: $0 Scope Of Work: Plumbing HARVEY AND PIERCE Contractor Type Plumbing Contr Contractor Wildish Construction Co Po Box 7426, Eugene, OR 97401-0426 Reg Istratlon # 695 Expiration Date 10/22/1999 Phone 541-485-1700 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. Sanitary Sewer Line Required Inspections I Plumbing - Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipl# Plumbing 01/26/2000 376 01/26/2000 376 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit $.00 $2.60 ',. . . Fee Job# 99-01731-01 Paid On Recelpl# Plumbing 01/26/2000 376 01/26/2000 376 Page 2 of2 Value/Quantity Fee Amount Sanitary Sewer Footage Plumbing Administrative Fee Total Plumbing 65 $40.00 $1.20 $44.00 Sanitary Sewer SDC Administrative Fee Miscellaneous MWMC Total System Development 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 Stat f Oregon. I further state that only contractors and employees who are in compliance with ORS 701 55 will be used n this reject. I further agree to ensure that all required inspections are request at t pro I a d hat the ~r'lfct address is readable from the street. .J( ~ '2.1.00 System Development 01/26/2000 376 01/26/2000 376 01/26/2000 376 25 $1,206.75 $106.61 $925.49 $2,238.85 $2,282.85 925 Date .-'