HomeMy WebLinkAboutPermit Mechanical 2001-8-20
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I Job# 01-00897.01 I
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Page 1 of 2
TRANS#:01-0006473
DATE: AUG 20 2001
AMT RECD:2 $ 61.75
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00897-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 223 A St Spr
Assessors Map#: 17033532
Lot: Block:
Addition:
Tax Lot #: 03000
Subdivision:
Owner:
Springfield Utility Board
Address:
PO BOX 300
Phone Number: 541-744-3624
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City/State/Zip: SPRINGF.IEt:D~OR 97477
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Contractor -<v Reglstratlon\#,<,'Explratlon~Date
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MarshaUs Heating ',',,'J~\ ',~o~,.,J;;,\j ., 0'0 e~'~ o~ ",,,,'1:
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4110 Olympic Street. Springfield, OR d"-' ~ ~ ,;:, <$" <:,13 O~ !Q<:J
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New
Scope Of Work: Mechanical
Replace roof top unit
Contractor Type
Mechanical Contr
Phone
541-747-7445
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. ;- ~"t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Fee
Job# 01.()0897.()1
Paid On Receipt#
Mechanical
08/20/2001 6473
08/20/2001 6473
08/20/2001 6473
08/20/2001 6473
08/20/2001 6473
- Page20f2
Value/Quantity Fee Amount
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Minimum Mechanical Permit
Administrative Fee - Mechanical
More than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
1
$30,00
$3,60
$15,00
$10,00
$3,15
$61.75
$61.75
Grand Total
Signature
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
requested at t proper time and that the project address is readable from the street.
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