HomeMy WebLinkAboutPermit Plumbing 2000-7-19
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Job# 00-01124-01 I
Page 1 of 2
TRANS#:01-0002619
DATE~JUL 19 2000
AMT REeD:l $ 50.00
CHANGE:$ 6=00
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01124-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1432 Mill St Spr
Assessors Map#: 17032744
Lot: Block: Addition:
Tax Lot #: 07400
Subdivision:
Owner:
Bonnie Spriggs
1432 Mill St
Phone Number: 541-988-3107
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Plumbing
replace sewer line'
Contractor Type
General Contr
Contractor
Bobby Baker
1432 Mill St, Springfield, OR 97477
Registration # Expiration Date
Phone
541-988-3107
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
-Area (Sq. Feet)
Main: Accessory:
Fee
# Of Stories: Height (fe~):
Current Units: . PropcN"Dt U&/J;
Census Code: Does not apply THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Af~.~~?8e98~knl~vu. Fee Amount
I
Total:
Minimum Plumbing Perryiit Fee
Paid On Receipt#
Plumbing
07/19/2000 2619
$.00
Fee
State Surcharge For Plumbing Permit
Sanitary Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Grand Total
Job# 00-01124-01
Paid On Receipt#
Plumbing
07/19/2000 2619
07/19/2000 2619
07/19/2000 2619
Page 2 of 2
Val~e/Quantity Fe:e Amount
120
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 ih 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 proper time and that the project address is readable from the street.
...r,,~;;'t~d~ __"
Signaturel t/ ;'l P
.c
'~1 /o.()
I Dat~
$2.80
$40.00
$1.20
$44.00
$44.00