HomeMy WebLinkAboutPermit Plumbing 2002-10-25
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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
PERMITNo.: PLM2002-00111
ISSUED:
APPLIED:
EXPIRES:
10/25/2002
10/25/2002
4/25/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
3919 ALCONA ST
1702314401628
Sprin2;field
TYPE OF WORK:
TYPE OF USE:
New
Residential
Storm sewer connect to existing
weep holes at street
Descriotion
Amount Paid
PLUMBINGpf.)NEm~~~"
:Ji' {~~~1~ 0 gO(~~'
r>.T\t:.\'fli# ~~bYtha fa reset'ortn 541-747-3669
to\\OW ~aP ~~e fU\es ~R ~~2.-001-
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\n OAR~~a\' obta\O 88~\~~~ te\ephO~e
090 '(ou 11'" r 'Note. l '~'cat\on
o . .c~.IW4e cente . \ ~JM:l\E~ot"\
ca\\\ng h oregon 44)
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Date Paid ,Ie Receiot Number Cashier
OWNER! APPLI CANT:
DONALD D RITTENBACH LIVING TRl 541-747-3669
840 CLOVERDALE RD
KALAMA W A 98625
EDITH RITTENBACH
3919 ALCONA ST
SPRINGFIELD OR 97478
+ 7% State Surcharge
+ 8% Administrative Fee
Stonn Sewer - 1st 50 Feet
Stonn Sewer Each Addtl100'
1200200000000000138 ~b
1200200000000000138 dib
120020000000000013~ ~b
1200200000000000138 Or:r.'I.. dib
i'~~'N 01
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. . . ,. ;\\\it.. ~,,~~~~- "\~\~ ~~"'~t.\) tQ~ .
To Request an mspectlon call the 24 hour recording at n6~3769, All ~~,?i~~'8~~~~~\)~nr be made the same workmg day,
inspections requested after 7 :00 a.m. will be made the following workinl \..i~i.~ t"\ O~ ~ C'\
"' - . 't' " -,f.tv y'i.Q}(\'v.
Reouired InsDections: CO~~~~\} ~~ (
f>..~'
4.13
4.72
45.00
14.00
10/25/2002
10/25/2002
10/25/2002
10/2512002
1 Storm Sewer Line: Prior to filling trench.
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.
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