HomeMy WebLinkAboutPermit Backflow Test 2000-9-20
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I Job# 00-01413-01 I
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TRANS#:01-0003260
DATE:SEP 20 2000
AHT RECD:2 $ 16.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01413-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 821 ROYALDEL Ln Spr
Assessors Map#: 17032343
Lot: Block: Addition:
Tax Lot #: 02102
Subdivision: River Glen
Owner:
Future B Inc.
Po Box 7425
Phone Number: 541-744-2660
City/State/Zip: Eugene, OR 97401-0017
New Value: $0
Address:
Scope Of Work: Backflow Device
backflow device
Contractor Type
Landscape
Contractor
Hunter Irrigation and Landscape
25226 Strawberry Lane, Veneta. OR
97487
Registration # Expiration Date
Phone
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1
(VN) Wood Frame
- Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspectio~~C?el;~~fted before 7:00
a.m, will be made the same working day, inspections requested after 7:00 a,mr~iU 15e.mai:le:the\f6115Wi?i91E IFTHEWORK
working day, AUTHORIZED UNDERTHIS PERMITlS NOT
Backflow Device
R dl t __.h._......._....-......"'.....,...lt"'\._"'l~r"rl"'\n
equire nspec ions \"IVIVlIVI..., "''''......... _. I....... ........ .__. .__. _,.
I Plumbing I ANY 180 DAY PERIOD.
-After device is installed but before backfilling trench,
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
Accessory Structure" TIEl\, -;,OI\J:Oreo"" ?" .:::)r'l' ;01' Ie
# Of Stories: He!!l~Mf\l!!~i:.; adoptee uy LOe Oregon Utilli
Current Units: P~Qp.!Ili!!!lcI;I.rii~iltel, Those rules are set for
Census Code: New SF - detached OAR 952-001-001 0 through OAR 952-00" ,
u090. You may obtain copies of the rules iii
Total: callingthecentel. (Note: the telephone
...",.,.,h",rfnrth" nrAnnn Ulilitv Notification
Fee
Paid On Receipt#
Plumbing (",., .
09/20/2000 3260
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f:t3nTrnl. '_.' ""-"'~~1"",41.
Value/Quantity' ", Fee Amount
Minimum Plumbing Permit Fee
$5,00
By signing this permit/application, I agree to cail for an inspection once the backflow prevention
device has been installed and is visible for inspection (726-3769), I also state that all information on
this pe 'application is true and correct.
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Job# 00-01413-01
Paid On Receipt#
Plumbinll
09/20/2000 3260
09/20/2000 3260
09/20/2000 3260
Fee
State Surcharge For Plumbing Permit
Backflow Prevention Device
Plumbing Administrative Fee
Total Plumbing
Grand Total
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Value/Quantity Fee Amount
1
$1,05
$10,00
$.45
$16.50
$16.50
9-PltP --0 OJ
Date