HomeMy WebLinkAboutPermit Mechanical 2000-8-17
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Job# 00-01267-01
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SPRINGFIELD
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Page 1 of 2
TRANS#:01-0002949
DATE:AUG 17 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT.
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01267-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726.3769
Location Of Proposed Site: 2363 Clear Vue Ln Spr
Assessors Map#: 17032712
Lot: Block: Addition:
Tax Lot #: 04101
Subdivision:
Owner:
Address:
Windy Spady
PO Box 247
Phone Number: 541-942-7729
City/State/Zip: Saginaw, OR 97472
New Value: $0
Scope Of Work: Mechanical
gas line. gas stove
Contractor Type
General Contr
Contractor
Registration #
77621
Expiration Date
10/31/2000
Phone
541-954-4686
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Office Use ~TTEN1IUN:UICIlVO> ,E1theoregon Utility
iollOW rules adopted by uJ!i~e setfortl
Quad Area: Land Use: --!otificationcenter#"la,flBl6fil'tl0AVl952-o01
# Of Units: Zoning Code: (10AR952-o01-0~~l:Wi'SYo~roleSbY
Constr. Type: Bedrooms: J090.YOumayob~i ,ffi@te'e~hOne
Water Heater: Range:. callingthecentQ,la '-Rm9!J:Notificat'oL
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To request an inspection call the 24 hour recording at 726-3769, All inspe&ii\n\'crequest~d )bclo~e 7:00
a,m, will be made the same working day. inspections reques.\Eld after 7:00 a.m. will be made the following
working day. ;h.-."-' -
American Gas Appliance Service inc
618 Hamilton St, Springfield, OR
97477.3611
Required Inspections
Mechanical
I
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE ~~~,
AUTHORIZED UNDER THIS PERMIT I
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Height (feet):
Proposed Units:
Rough Gas
Final Gas
- When all gas work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. ;- ~ .t)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
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Job# 00-01267-01
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Page 2 of 2
Fee
Paid On Receipt#
Mechanical
08/17/2000 2949
08/17/2000 2949
08/17/2000 2949
08/17/2000 2949
08/17/2000 2949
08/1712000 2949
Value/Quantity
Fee Amount
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Gas Fireplace
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
reque~~~ a,t t t t~h ~oper time and that the project address is readable from the street.
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Signature Date
1
$2,00
$8.50
$.45
$4.50
$10.00
$1.05
$26.50
$26.50
1