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Permit Plumbing 2002-8-27
.,..... . I Job# 02-01033-01 I ... rJI/ Page 1 of2 TRANSn:Ol-0010446 DATE: AUG 27 2002 AflT REeD: 2 $ 6'1.85 CHANGE; CASHIER:061 ../ ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-01033-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 564 Assessors Map#: 17032713 Lot: Block: Scotts Glen Dr Spr Address: Tax Lot #: 05600 ....- Addition:c. ,\~~~bi!!'tision: \~,... f'o.'\' - e:' ,- ~' Phone~umber~.,; <i:"5- 'Q'\ ~~' O'~'~ o.~ '0'"' City/State/Zip:....<?- Springfield, OR 97477 ,,0' v{o\' ,\)' Of' ,^'<i ,^v'. o~. ..,'" 'v' 0' ~ \y "" ., Scope Of Work: Plumbing .~Rep,<lir ",0"; >:>C$ 0' ~0')(,.alue: $0 ~ o~ ,\'v ,0 . 0"" ~ ~ ,,0 f'>~(j. ~0\' ~t;;j"S"vO~' .~~ ~O~. Replace 75 feet water servi~e~~ <~0 _ 00 _,,)::J~_....<iP<<- ,.,.,0,-0, \~~\'?~ r o"'lo~ ",u' :v- \.r \. ~ o'~ {OV ~ ~ <(I: ~'\ ,,0. .0: ._!O Contractor 'Ii ~\v at:?," <$' d~eg~tratton # Expiration Date '0 "". 'O~ ",0 " ,.'0 Roto Rooter Service - HciffmaNJ}I)/V- ,,~. ",7:'1162, 1/16/2003 .~:\' 0'-" ~.s-'!J ,0 ~0" 445 River Ave, Eugene. OR ~40ts ",'Q0\ C,0~ - Offic~Use Miles Harvey 564 Scotts Glen Dr Owner: Contractor Type Plumbing Contr Phone 541-689-1711 Water Line Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: Occupancy Group: ~~ Constr. Type: Bedrooms: Heat Source: -x..~ ~~~\)"\ Water Heater: Range: Sq. Foot~@.\fc; "\ ~ \~o. l?\\~< ~~t 'c\J' To request an inspection call the 24 hour recording at 726-3769. All inspections requet~~i1~~ ~'V a.m. will be made the same working day, inspections requested after 7:00 a.m. Will~~~~"\ffi~~ wing working day. :\\IV~'~"\ \::,~\j 10 ~'O R . d I . ",,\) . o~<(i.~<.'V ('\~ '\ .('\~. equlre nspeCtlons",I,\\-;l ~'<": ~\) ~~l Plumbin!! 'I,\::'"\~~~~"~~ <( ',,~ ~ \'O~ ~~ I - Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D [Are.a (Sq. Feet) _ Main:. Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Value/Quantity Plumbin!! I 08/27/2002 10446 Fee Amount Minimum Plumbing Permit Fee $.00 -. . Fee State Surcharge - Plumbing Water Service Footage 8% Administrative Fee - Plumbing Total Plumbing /1' ~LV,~ 'LJture Job# 02-01033-01 I Paid On Receipt# Plumbing 08/27/2002 10446 08/27/2002 10446 08/27/2002 10446 ---------- . Page 2 of2 Value/Quantity Fee Amount $4.13 75 $59.00 $4.72 $67.85 $67.85 ~ 77---0 ") Date