HomeMy WebLinkAboutPermit Plumbing 2001-1-29
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Job# 01-00080-01
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TRANS#:01-0004333
DATE:JAN 29 2001
AMT RECD:2 $ 124.00
CHANGE:
CASHIEF; : 059
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00080-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1921, 1St Spr
Assessors Map#: 17033612
lot: " Block:
Addition:
Tax lot #: 02500
Subdivision:
Owner:
Kevin Davis
Phone Number: 541-744-7913
89710 H~B~'~E: City/State/Zip: Springfield, OR 97478
Scope Of Work: PlumbinQHIS PER' M- , Repair Value: $0
,I IT SHAll EXPIRF. IE'TUf& 1A1C:Ii='i! ~
.. Sanlta~ Sewer rep,lacemenf G r I M!;E 'II" '
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COMMENCED OR ISABANOONED FOR
Contractor Type Contt'a~tbIO DAY PERIOD. Registration # Expiration Date
Plumbing Contr B & R Excavation
PO Box 943, Marcola, RD 97454
Address:
Phone
541-933-2218
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Sanitary Sewer Line
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. ATTENTION:Oreg"~ !aw ~0qmres you to
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- Prior to filling trench. 0090. VmJ '-mav obtain copies of the rules by
callin9 :rlecem€!\. lNmB: ihetelephone
r-'jumber lor ens- Oregon Utility Notification
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Accessory:
Total:
Fee
Paid On Receipt#
Plumbing
01/29/2001 4333
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$.00
"
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Fee
Job# 01-00080-01 I
Paid On Receipt#
Plumbing
01/29/2001 4333
01/29/2001 4333
01/29/2001 4333
State Surcharge - Plumbing
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Encroachment Permit - Residential
Total Public Works
Public Works
01/29/2001 4333
Grand Total
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Signature
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Page 2 of 2
Value/Quantity
58
Fee Amount
$2.80
$40.00
$1,20
$44.00
1 $80.00
$80.00
$124.00
)- 7.9-0/
I
Date