HomeMy WebLinkAboutPermit Plumbing 2000-8-16
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Job# 00-01~6.3-01
Page 1 of 2
TRANS#:01-0002941
DATE:AUG 16 2000
AMT RECD:2 $ 27.50
CHANGE:
CASHIER: 059
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01263-01
225 North Fifth Street
Springfield, OR 97477,
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1324 Modoc St Spr
Assessors Map#: 17032533
Lot: Block: Addition:
Tax Lot #: 14800
Subdivision:
Owner:
Address:
Lorraine A McGuire
1324 Modoc St
Phone Number: 541-747-1639
City/State/Zip:
Springfield, OR 97477
Value: $0
Contractor Type
Plumbing Contr
Scope Of Work: Plumbing Repair
Sewer Line Replacement, ;::'1'" _ "\c~' _, (; ,. '~'1""" v~ iV....,.
d .-,'oIU1'll.- ~e F ---qt"',
d t 0 DV 111~ v'o~v" t:.. .
foll?W r.utes a op eihose rutes are set fon
Notl1lcat\on Centel. C\~ ~ 95~-0~'
, OAR952-001-0010thfRl:f~tstra ion es' xpiration Date
:n . opies 01 ne r ;
0090. You may obtam c te' the telephone
calling the ~en~r~~~ Utility Notification
:"'/d1""norfnrt e. . "'''' C" ,: ....~ /,
'0lflt!'Ei Use" , - .
Contractor
Phone
541-485-3162
Drain Free
x, x, OR
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
tp. .~.""u.:""" ..'~~
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To req~est an inspection call the .24 tl9l*{iEi~~j~g at 726-3769. All inspections ~equested before 7:0~
a.m. WIll be made the same working 9'ay, I'rfs15e-tllons re~te.){p~WTH1~\~I<.'JRWIII be made the follOWing
working day. THISPERMIT SHAL.: E TIS Ncrr
L\11TI-lnR\2'ED UNDER THIS ?ERMI I
Reft)()~dJ'1~P'~ICti,G~s,::u run
COM MENGE I~bl"\ \luU 'l....
"1-' ':"-... J~Jp!}l.l,J!ng .1
P. t f'lt~' t"Y.t 1 Hll h'A y n:.niU......
- nor 0 I m0' renc .
Sanitary Sewer Line
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
~Area (Sq. Feet)
Main: .. Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbing
08/16/2000 2941
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$.00
.
Fee
State Surcharge For Plumbing Permit
Sanitary Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Grand Total '
0( i))ci(/li~}1 f ~ ,h tuJu
Signature
.. .'~
Job# 00-012()3-01
Paid On Receipt#
Plumbing
08/16/2000 2941
08/16/2000 2941
08/16/2000 2941
Page 2 of 2
Value/Quantity Fee Amount
I,
$1.75
40 $25.00
$.75
$27.50
$27.50
2(1& /00
Date