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HomeMy WebLinkAboutPermit Plumbing 2001-12-20 , , .-.., . \ L I Job# 01-01412-01 I e- Page 1 of2 TRANS#'01-0007590 DATE; DEe 20 20m AMT RECD;l $ 52.00 CHANGE:$ O.L~ [;ASHIER 061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01412-01 225 North Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 578 Scotts Glen Dr Spr Assessors Map#: 17032713 Lot: Block: Addition: Tax Lot #: 05700 Subdivision: Owner: Address: Mike Ferguson 578 Scotts Glen Dr Phone Number: City/State/Zip: Springfield, OR 97478 Repair Value: $0 Scope Of Work: Plumbing 40 feet waterline replacement Contractor Type Plumbing Contr ,) Registration # Expiration Date '",. Phone 92524 2/,18/2o'ii~.>.;. ~,\~~:..: 5~1-744-7991 . o'.\\........~u~. 'l).\e tp{t:-C ..I ,t'-:')~.-\'O'J\\_(\).\'.J.:..~~g ...\"..J~"OJ Office Use ' "",, :.-~V'- ,,\'(\u"-o.:;r::~ - . ~"O() . ..0;\\3 ,",' "",,'. :'.0'\'\ - ...\), ,.,"'" 'ot' \ .",...... ...\...... ....()\\':-\'~~ \e\'.j~....?J.\\: . ' ," ,\' (',:z"'~,,, # Of-'B' II"~ .....,v :,~~ . ~ oJ "'~'..J'..l . ' U ulngs:.\' \~J". o.'\.\v'(";'0\)' ':.\:o.\\.,....\n'-~. .\"~ ,'. a'_ J~\"v.." <t;,v . ~'! 0 . ,Q.ccl!p'!ncy.group: '\ - .t' ,{\ :\.,;" ....0.\ ..I". ~I.. .,,,0'" -(OO:; or"'c'" ,Heat,Source: \\ l'\() \\,.... h.() '.J' \: ,.' Water Heater: Range: 0\)':1 '~~\(I~ 'o~\" ,~q. Footage: ....'a: _( .,.'(\ ~\J..;J Ce\\' To request an inspection call the 24 hour recording at 726-3769. All rn~pections 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. Contractor Ready Rooter I chapman plumb 88608 ermi bee rd. springfield, OR 97478 Quad Area: # Of Units: Constr. Type: Land Use: Zoning Code: Bedrooms: Water Line I -Prior to filling trench. Required Inspections Plumbing Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: ~o~'f.. ~ ' .-v..<(:: ~\O"(, . . f'\" \'0" , "iJ-'?'{(.\'Y;.~~~ xO~ G', ....1,)..- y.,.\'O ~~'V r\\C..... ~,oy.,.'r ri:,~-<:" ~,vO\' ~O 5'?'Y;.'?-~~'V~~~\'O~~ # Of Stories: ~~ ~O~_~~'(fe~~'V' Current Units: !'lJ'~~t'o~'il~ Units: Census Code: Does not &'~~ \'00 Total: I Fee Paid On Receipt# I Plumbing 12/20/2001 7590 ValuelQuantity Fee Amount Minimum Plumbing Permit Fee $.00 I " Fee State Surcharge - Plumbing Water Service Footage Administrative Fee - Plumbing Total Plumbing G~Totay) ,U dt/L ~ Signature . Job# 01-01412-01 I Paid On Receipt# Plumbing 12/20/2001 7590 12/20/2001 7590 12/20/2001 7590 . Page 2 of2 Value/Quantity Fee Amount I $3.15 40 $45.00 $3.60 $51.75 $51.75 11- /2.}/0 J Date