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HomeMy WebLinkAboutPermit Building 2000-11-14 -~ -e ~ I Job# 00-01669-01 I . Page 1 of 2 TRANS~:01-0003785 DATE:NOV 14 2000 AMT RECD:l $ 40,00 CHANGE:$ 12.50 CASHIER:061 CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01669-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1285 Delrose Dr Spr Assessors Map#: 17032344 Lot: Block: Addition: Owner: Character Homes Inc 835 Sand Ave Address: Scope Of Work: Plumbing Saniary Sewer Quad Area: # Of Units: Constr, Type: Water Heater: Tax Lot #: 08900 Subdivision: Phone Number: 541-345-9395 City/State/Zip: New Eugene, OR 97401 Value: $0 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. R . d I .0'''''';;'''''"'''. equlre nspectlons)" .=~. Plumbing l;:rm PERiVllT SHALL EXPIRE IFTHE WOR:< AUTHORIZED UNDER THIS PERiVilT IS NOT COi,liv;ENCED OR IS ABANDONED FOR Ai~Y 180 DAY PERIOD. 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 State Surcharge For Plumbing Permit Sanitary Sewer Footage # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply_, ., '" 1-\' I t:.'t: C~:_ --:-".. 1:"":-:-~~'~-""~1O;"'l40 f~1I0Wrl'I3r5c~r.~"L':-~' .",...:...... =-'r~rlon U~i~:ty Total: M,,' iiic~lioj; C:;." , :1'. -1"ilO;;=. 111-::-: l(l'",:i :;rih "' ......,-.., I iJvO:"'..~..J ,-uu '" I.'llt" "Hl"'~1 'I I : ",--V', 1- Paid On OnD.r~l!C::!1!p~'\I"(lt.,V;~Jue/Ql!~!1t,i.ty, .."i......Ii'!,ljl Amount, I Plumbintiil:l.t ~"J~.JJ)! 1,,', II:...!!..J; ~;l~ L..~.,:)j.:.Jlla . 11/14/2000 nU.-3785:c'~' ',," : I''',,, \I'l~:ficalion 11/14/2000 3785> ""j." '-'4 11/14/2000 3785 3 $.00 $1.75 $25.00 .... . Job# 00-01669-01 Fee Paid On Receipt# Plumbing 11/14/2000 3785 Plumbing Administrative Fee Total Plumbing Grand Total . Page 2 of 2 Value/Quantity Fee Amount $.75 $27.50 $27.50 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 re~~t the ~opemime and that the project address is readab~ from the street. I 5---/] ~ -IL fr i-Iu~<4--~ Signature [ 11-1 i'-~ Date