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HomeMy WebLinkAboutPermit Plumbing 2002-6-13 , Page 1 of 2 tf TRANS#:01-0009549 DATE:JUN 13 2002 AMT REeD:l $ 70,00 CHANGE:$ 2,15 CASHIER:061 Job# 02-00704-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00704-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2624 J St Spr Assessors Map#: 17032544 Lot: Block: Addition: Tax Lot #: 01200 Subdivision: Sanitary Sewer Line Phone Number: 541- - \0 .. '1o\}. .\" City/State/Zip: c,Spli!li'Ogfiel<:1\\\b R\ '\,97 4 77 {v-. 0" 'to ' . ('';;\ \,b...g-I Q~eg, c:.e~' ",",' Repair O~eQ;~' N \'f\e ~ yalueZ,G$0 N ~'\\O~. <\O'Q\e~~o~e (\)~ Qr:--~ 9~\)\e~ '0 Replace 80 feet of sanitary sewer ~~ ~\)\~~ ~e~\~~~'\ () \'f\~~~;e~ 0' :~~'Q'f\0~~0{\ '\U"-. ~\U\' ()",v.- . ~ \.1-' . \W" - rt\\'v- Contractor Type Contractor ....\o\\\\~~ 9~R~"gtS't~ft\\Oii:-'tf\e\J:e)('p,ri~~ion Date ,... QrP '('\VJ rt~.,;(\ " ?:.>;J~~ I General Contr Jeff Lyons \~ 9()'-{0\) \'f\ece~o~e~~(),~'?>.~" PO Box 42094, Eugene, OR 9740'40 c~~\~~~\O~\~e{\S "\,-~ .. . rl\\J " n(\\: ,\\V "'" Office Use land Use: # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: Hea~~a.~ce: Range: S[~~e: \~ ...\~ \'0 ,~- To request an inspection call the 24 hour recording at 726-3769. All insp~~Rs~~~fore 7:00 a.m. will be made the same working day, inspections requested aft~C~&D~'Y\\~K~~'Be-the following working day. ~\~~. ~:~ ~~~~<t." 'X>tr--~~ "'~ n~~~~ ~ ,Co. ~ Req~~,!>I"~a'~;R~~ ~\). I PWtR'6.~~\'\\J~v~\ ~<t.~ -Prior to filling trench. rv(j~~\~~ "V~ ~~'\ Address: Owner: Sydney Lyons 2624 J Street Scope Of Work: Plumbing , '. Phone Quad Area: # Of Units: Constr. Type: Water Heater: 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 Paid On Receipt# Plumbing 06/13/2002 9549 Value/Quantity Fee Amount Minimum Plumbing Permit Fee $.00 J \\, Fee , Job# 02-00704-01 I Paid On Receipt# Plumbing 06/13/2002 9549 06/13/2002 9549 06/13/2002 9549 /' " State Surcharge - Plumbing Sanitary Sewer Footage 8% Ad'fi1il;')i ative Fee - Plumbing T~I Plu \ bi ~ . trand-r;r \\ Si9n'tut \ \ o . Page 2 of 2 Value/Quantity Fee Amount $4,13 80 $59,00 $4.72 $67.85 $67.85 {"'? -'1 ~ ' 0 z.., Date