HomeMy WebLinkAboutPermit Miscellaneous 2002-12-24
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City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2002-00124
12/24/2002
12/24/2002
6/24/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
1888 SCOTT RD
1703253400600
Sanitary Sewer 80 Feet
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Residential
OWNER/APPLICANT:
DEAN JOHN J & SANDRA G
346 MANSFIE~ 71
SPRINGFIELD ,~7~:
S PERMIT SHAll EXPIRE IF TH
AUTHORIZED UNDER THIS PERMll,:~~:
COMMENCED OR IS ABANDONED FOR
ANY 180 nAY PI=Rlnn
PLUMBING CONTRACTOR:
'IU'II' ,
, .J,~ ~'Ct.' l ;1 _''-
C-.," ;\' "~I L,t ,.
Phone:JSl ' V:J .0..:
cr\:: 1__.3:
CCB#!1IJ"lI;S ,0 . EXPIRES:
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Descrintion Amount Paid Date Paid Receint N urn her
+ 7% State Surcharge 4.13 12/24/2002 2200200000000000330
+ 8% Administrative Fee 4_72 12/24/2002 2200200000000000330
Sanitary Sewer - 1st 50 Feet 45,00 12/24/2002 2200200000000000330
Sanitary Sewer Each Addtl 100' 14,00 12/24/2002 2200200000000000330
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 am. will be made the same working day,
inspections requested after 7:00 a,m, will be made the following working day_
Reouired InsDections:
1 Sanitary Sewer Line: Prior to filling trench and including required testing.
2 Final Plumbing: When all plumbing work is complete.
By Signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance
with the Ordinances ofthe City ofSpringlield and the laws of the State of Oregon pertaining to the work described herein. I
further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
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, /.) pij /() 1
Date
@.L-lR
Owner or Canmelo
.
.
.
.
City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2002-00 124
12/24/2002
12/24/2002
6/24/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO,:
PROJECT DESCRIPTION:
1888 SCOTT RD
1703253400600
Sanitary Sewer 80 Feet
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Residential
OWNER! APPLICANT:
DEAN JOHN J & SANDRA G
346 MANSFIELD ST
SPRINGFIELD OR 97477
PLUMBING CONTRACTOR:
JEFFRY W PLUMMER
5335 DAISY STREET #57
SPRINGFIELD OR
Phone: 541-741-2041
541-741-2041
97478
CCB# 101850
EXPIRES 03/29/200"
Descriotion
Amount Paid
Date Paid
Receint Number
+ 7% State Surcharge
+ 8% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
4,13
4,72
45.00
14,00
12/24/2002
12/24/2002
12/24/2002
12/24/2002
2200200000000000330
2200200000000000330
2200200000000000330
2200200000000000330
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,
Reuuired Insoections:
1 Sanitary Sewer Line: Prior to filling trench and including required testing.
2 Final Plumbing: When all plumbing work is complete.
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, and that the
approved set of plans, if applicable, will remain on the site at all times during construction.
Owner or Contractors Signature
Date