HomeMy WebLinkAboutPermit Plumbing 2001-9-19
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I Job# 01-01021-01 I
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Page 1 of 2
TRANSlI:OI-0006'f,5'(
DATE:SEP 19 2001
AMT RECD:2 $ 51.75
CHANGE.
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01021-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1355 Pleasant St Spr
Assessors Map#: 17032532
Lot: Block: Addition:
Tax Lot #: 07400
Subdivision:
Owner:
J, David Schiffer
1355 Pleasant Street
Phone Number: 541-746-6708
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Plumbing
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Zoning Code: ',s .;.' ~,~,':,\' ~\n":,.\ OccuRancy Group:
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Bedrooms: \'0,'0,,,, ~1-":,.\) Ro ,c:.Heat Source:
Range: .-<y..O~ ,,<:.\) 0 ~g~.Footage:
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To request an inspection call the 24 hour recording at 726-3769, Q\'j]ii\'spec'iJ~ns 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, '
Replace sanitary sewer
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Sanitary Sewer Line
Required Inspections
1- Plumbing . ----I
- Prior to filling trench,
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq, Feet)
I Main: Accessory:
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# Of Stories: oIF" .(,' ."Height (feet):
Current Units: c', ',,~\ \< ' Prop6sed Units:
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Census Code: Does not apply
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Total:
Fee
Paid On Receipt#
Plumbing
09/19/2001 6737
09/19/2001 6737
09/19/2001 6737
ValuelQuantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Sanitary Sewer Footage
50
$,00
$3,15
$45.00
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Job# 01-01021-01
Paid On Receipt#
Plumbing
09/19/2001 6737
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Page 2 of2
Value/Quantity Fee Amount
I
Fee
Administrative Fee - Plumbing
Total Plumbing
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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, I further state that ntragors and employees who are in compliance with
ORS 701,055 will be used on this Jec\. J further aQtee to ensure that all required inspections are /
reques~the proper time and atthe(fFProiect address is readable from the stree\. /
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si'gTfature-'" U - Datil
$3,60
$51.75
$51.75