HomeMy WebLinkAboutPermit Plumbing 2000-5-17
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I Job# 00-00743-01 I
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Page 1 of2
TRANS~:01-0001768
DATE:MAY 17 2000
AHT RECD:l $ 20.00
CHANGE:$ 3.50
CASHIER: 059
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00743-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 657 Quarry Rd Spr
Assessors Map#: 17035334
Lot: Block: Addition:
Tax Lot #: 06900
Subdivision:
Owner:
Address:
Don Mickel
P.O,Box 71
Phone Number: 541-747-4871
Office Use
City/State/Zip: Springfield, OR 97477
AlleratioRlOTICE: Value: $0
-:-: ~!:'."".[:;~,~~""~~.^.II C=VOICCICTI-JJ:\AtnRK
AUTHORIZED UNDER THIS PERMIT IS NOT
l.ulvilll1ENCED OR IS ABANDONED FOR
ANY 180 DAY PER'#lOf Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Scope Of Work: Plumbing
Drywell
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
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 'I,m. will be made the following
working day. \1I17"~ .:.. ,. ,... .
UO!leO!I!lON "l!l!ln UObSJC .U' ," .
Required InspectiC)i1s3~_~::=:::~' .,
I Plumtliil'"'111J ""04'110 selda:> 'lIBIl..1
g .OLlftnn., '"
DryweU -Engineered Drywell is required.LUU-G~Ol:i\l .
.1Jollas em qejn, ":~ '., '
\I!I!ln u06SJoav.l AL ,'r, l.,
" ""~<:~I'l"'h"
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
[Ar~a (Sq. Feet}
_ MaIO: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet}:
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbinll
05/17/2000 1768
05/17/2000 1768
05/1712000 1768
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permil .
Plumbing Administralive Fee
Total Plumbing
Grand Total
1
$15.00
$1.05
$.45
$16.50
$16.50
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,i . I Job# 00.00743-01 I . Page 2 of 2
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 correcl, 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 only contractors and employees who are in compliance wilh
ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are
req:st:2 proper lime and thatt~e project address is readable from the slreet.
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'Signature r
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Date