HomeMy WebLinkAboutPermit Plumbing 2001-11-9
Job# 01-01243-01
Page 1 of 2
TRANS#=01-0007223
DATE:NO'J 09 2001
AMT RECD:l $ 60.00
CHANGE:$ 8.25
CASHIER:003
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01243-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3053 Hayden Bridge Rd Spr
Assessors Map#: 17021932
Lot: Block: Addition:
Tax Lot #: 00202
Subdivision:
Owner:
Joanne Harris
Phone Number: 541-746-0026
City/State/Zip: Springfield, OR 97478
New Value: $0
Address:
3053 Hayden Bridge Road
Scope Of Work: Plumbing
Backflow Device
Contractor Type
Landscape
Contractor
Grants Landscaping Service
PO Box 221, Springfield, OR 97477
Registration # Expiration Date
Phone
541-746-8482
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
I'
i
I
I
# 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,
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
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Backflow Prevention Device
Administrative Fee - Plumbing
Total Plumbing
Grand Total
Paid On Receipt#
Plumbing
11/09/2001 7222
11/09/2001 7222
11/09/2001 7222
11/09/2001 7222
Value/Quantity
Fee Amount
$31.00
$3,15
$14.00
$3.60
$51.75
$51.75
Job# 01-01243-01 Page 2 of 2
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
reque/s:ed ;; ~~~r~P2: a~. th ~at th pe P, roje~ address is readable from the street.
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