HomeMy WebLinkAboutPermit Plumbing 2001-7-31
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Job# 01-00808-01
Page 1 of 2
TRANS#~01-0006289
DATE:JUL 31 2001
AMT RECD:2 $ 129,00
CHANGE:
CASHIER: 061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00808-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 767 Water St Spr
Assessors Map#: 17033522
Lot: Block: Addition:
Tax Lot #: 10200
Subdivision:
Owner:
Address:
Sronell Jones
6022 Thurston Rd
Phone Number: 541-747-1694
City/State/Zip: Springfield, OR 97478
New Value: $0
Scope Of Work: Plumbing
Sewer replacement
Contractor Type
Plumbing Contr
Contractor
Bravado Excavation & Construction*
Po Sox 827, Pleasant Hill, OR 97455
Registration #
105329
Expiration Date
3/27/2002
Phone
541-746-5554
Office Use
Land Use: # Of Buildings:
Zoning COdfI:TTENTION:Oregon law reqOlccupancy Group:
ol/ow r I lJ res ,IOU to
Bedrooms: '. u es adopted by the 0 Iieat Source:
'"ot,f'catio C I eYUrl utllltv
Water Heater: Range: in OAR n n enter. Those rUle~8t!99ctage:
,..,~?_nr\i nn4 ~ .. fGITh
0090 Y.01 - -: V~ ':-' lI11uugn UAR 952-001-
To request an inspection call the 24 hour recording atc?26n373w.aAIPirtg~eetiQris~re.ql:J~~t~aJ&~fOW 7:00
a.m. will be made the same working day, inspection~'lr~~egt 4a~aftEfrt;pmo'~nf.r:1'.: wm ~g,~?l~rl~h~ following
working day. oe80rth~ Oregon Utility Notification
. ent~r's 1-800-332-2344)
Required Inspections
Plumbing
Quad Area:
# Of Units:
Constr. Type:
Sanitary Sewer Line
I
- Prior to filling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: Accessory:
NorlCE:
THIS. PERMIT SHALL EXP/RE.IF. .
# OfJ~!(rfll~tl~ED UNOEA THkH~19hT~~p'~K.
,CurrOOrM~~~CED 0 ~r~~gJld~s.
cCensus...C10d, e: 1J0es ~d~~~ro/'1DONeo FOR
RI"H ~g QAY J3~~!"'D, ,
Total:
Fee
Paid On Receipt#
Plumbing
07/31/2001 6289
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$.00
Fee
'. Job# 01-00808-01 I
Paid On Receipt#
Plumbing
07/31/2001 6289
07/31/2001 6289
07/31/2001 6289
Page 2 of 2
Value/Quantity Fee Amount
.~.
.ji
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
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~01.0 5 will be used on this project. I further agree to ensure that all required inspections are
requ:~t / the proper ti~~ that the project address is readable from the street.
~. /5ifvdt-JL <; /, TV l c:Y
Signature '// - 'Date
80
$2.80
$40.00
$1.20
$44.00
$44.00
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