HomeMy WebLinkAboutPermit Plumbing 2000-7-26
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I Job# 00-01161-01 I
Page 1 ofl~ANSll: 01-0002684
DATE:JUL 26 2000
AMT RECD:2 $ 27.50
CHANGE:
CASHIER: 059 I
SPRINGFIELD .
~f1t
CITY OF SPRINGFIELD~ OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01161-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1367 Pleasant St Spr
Assessors Map#: 17032532
Lot: Block: Addition:
Tax Lot #: 07500
Subdivision:
Owner:
Address:
Howard Wilson Jr,
1367 Pleasant Street
Phone Number: 541-726-4889
Scope Of Work: Plumbing
City/State/Zip:
Alteration
Springfield, OR 97477
Value: $0
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour record[iig.at,J26-3769, All inspections requested before 7:00
a,m, will be made the same working day, inspectioifu1rtq'uested after 7:00 a,m. will be made the following
working day, IHtSPfA;;
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cReqUlre!!.'.!nJ'pec:tlo~PI
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Sanitary Sewer Line - Prior to filling trenc~, 180 DIJ,'y~ Vf1IS481J,~S PfAIvi/it':OAI(
'fAtOD 'DONfD NO;
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Construction Types:
Occupancy Groups:
# Of B'.lildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq, Feet)
Main: Accessory:
Fee
";'l#ef~~ories: Height (feet):
v.~,~ tol1lts;'l:I~,., . Proposed Units:
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1~_#'Y ~~ em~y lo:.,~
"Ov 11 "'\{J[)7 .'''OS O'9g . '. .
Ct?Jli~lJ~ta. 10~P sSet. onUf;;,;
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"0._ (!l',tI),t,:ms: Nt_ _ ~~IR' ValuelQuantity
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07/26/2boo""1A"~'
07/26/2000 2684
07/26/2000 2684
Fee Amount
Minimum Plumbing Permit Fee
State ::;urcharge For Plumbing Permit
Sanitary Sewer Footage
30
$,00
$1,75
$25,00
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Job# 00-01161-01
Page 2 of 2
Fee
Paid On Receipt# Value/Quantity
Plumblnn J
07/26/2000 2684
Fee Amount
Plumbing Administrative Fee
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 Slale of Oregon, I further state 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 and that the project address is readable from the street
iJ. L-...-R....----.... 7 - 'L (. -00
Signature Date
$,75
$27.50
$27.50