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HomeMy WebLinkAboutPermit Mechanical 2000-6-27 . -.e I Job# 00-01013-01 I e. Page 1 of2 TRANS#:01-0002339 DA TE : JUN 27 2000 AMT RECD:2 $ 56.30 CHANGE: CASHIER:059 " CITY OF SPRINGFIELD? OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01013-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site:' 417 A St Spr Assessors Map#: 17033531 Lot: Block: Addition: Tax Lot #: 05500 Subdivision: Owner: Address: Emerald Empire Art Association 500 Main St Phone Number: City/State/Zip: Springfield. OR 97477 Alteration Value: $0 Scope Of Work: Mechanical Install HIP package Contractor Type Mechanical Contr Contractor Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-7445 '011 ~. .'i..'" Ol'l,..l .'......, '1',t,~. . ~ 'es. 3d(1n;~:;". Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: vj....... r::. U..- ~t~, ....,9l, \.. .c::....l! c':""'" 'J, ne'" # Of,Buildings: ""rn{jl'~ro'I!:, "'Oc~upancy Group: r L/] - ~~.,.' Heat Source: . Sq. Footage: ,"t'" 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, Rough Mechanical Final Mechanical R . d I t' Nn?,^_ eqUlre nspec I. ,~ . _... I Mechanical ;:':tpPERMITSHALL .Prior to cover, MUfHORIZEDU EXPIRE/FTHEW - When all mechanical work is complete.cOMMENCED NDER THIS PERMIT ORK ANY 180 DAY p~~~;8ANDONEDF~~ NOT Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: -- " '. . . Page 2 of2 Job# 00-01013-01 Fee Paid On Receipt# Value/Quantity Mechanical l 06/27/2000 2339 06/27/2000 2339 06/27/2000 2339 1 06/27/2000 2339 06/27/2000 2339 Minimum Mechanical Permit Mechanical Administrative Fee More than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical 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 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 ~ ;~~ro~etf:: :~ect address is readable from the street. Signature U 7 y '''~ ---- Date Fee Amount $7,50 $.45 $7.50 $10,00 $1,05 $26.50 $26.50