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HomeMy WebLinkAboutPermit Plumbing 2001-2-15 .~, .. \ ,~,~ I Job# 01-00133-01 I Page 1 of 2 TRANS#:Ol-0004455 DATE:FEB 15 2001 AMT RECD:2 $ 44,00 CHANGE: CASHIER:061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00133-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 \ Location Of Proposed Site: 1170 C St Spr Assessors Map#: 17033514 Lot: Block: Addition: Tax Lot #: 12001 Subdivision: Owner: Address: John Overton 1170 C St Phone Number: 541-741-2041 City/State/Zip: Springfield, OR 97477 New Value: $0 Scope Of Work: Plumbing sanitary sewer connection Contractor Type General Contr Contractor Aardvark Excavation 5335 Daisy Sp 119, Springfield, OR 97478 Registration # 101850 " Expiration Date 6/1/2001 Phone 541-741-2041 i, Office Use Land Use: # Of Buildings: Zoning Code: N'()"e!:!cg?E"YP~!1~Y(.Gr.ou~~O Bedrooms: A1iENTIO .~' W Heat..Source:)O Utility , I~~ o.ooptea ""'y ...~ -~, f of", Range: folloW rL\ ':'.. t' ,Ss:lsEog,ta'giHe set ,on,. "'1,..+I~i""Hnfl Len ~r. "" ..,. . ..... ^:n nc:t)_no'., . , . ~:~"'q952-001-00101mU~YII~;:~'~'-';'~o': \, To request an inspection call the 24 hour recording at 726-37€)!!l9~II-t9sR~Fg,~ns.r\.~q~~~t~(hbefOreq;00""S bJ a,m, will be made the same working day, inspections requestet'\d}gft~r:7?O'd ~.l11d~YfW{~\~\\rvaq~rthet{011~Wl~ working day, calling m~~e OrsgO\1 Utility NotificatIon 'R . d I nt.uvt1ber~OI . - - :~,.. o...."_.,,::;?-:~~44). eqUlre nspec Ions Vl:.imv"-' ~- Quad Area: # Of Units: Constr. Type: Water Heater: Sanitary Sewer Line I Plumbing - Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: NOTiCE: # Of Storie~: THIS p~8i@.,~t~w~~~ ~XPIRE IFTHE WORK Current Umts: ~J ITHdRI~~cnsO~QJ~~i-lIS PERMIT IS NOT Census Code: Does not apply ABANDONED FOR COMMENCED OR IS Total: ANY 180 DAY PERIOD. Fee Paid On Receipt# Plumbing 02/15/2001 4455 Value/Quantity I Fee Amount Minimum Plumbing Permit Fee $.00 ,., I Job# 01-00133-01 I Paid On Receipt# 'I Plumbing 02/15/2001 4455 02/15/2001 4455 02/15/2001 4455 Page 2 of 2 Value/Quantity Fee Amount .. Fee State Surcharge - Plumbing Sanitary Sewer Footage Administrative Fee - Plumbing Total Plumbing Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true arid correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701 055 will be used on this project. I further agree to ensure that all required inspections are requested at the pro~ that the project address is readable from the street. ?"~t4~ 2'/$-"0/ Si~ill Date 99 $2.80 $40.00 $1.20 $44.00 $44.00 v "', '" ,~.