HomeMy WebLinkAboutPermit Mechanical 2002-11-22
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City of Spring]field
Mechanical P4~rmit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: MEc2002-00119
ISSUED: 11/22/2002
APPLIED: 11/22/2002
EXPIRES: 5/22/2003
SITE ADDRESS: 1139 CUSTOM WAY
ASSESSOR'S PARCEL NO.: 1703263407300
Springfield
TYPE OF WORK:
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install Pellet Insert
OWNER/APPLICANT:
BRANDI CONNOLE
1139 CUSTOM WAY
SPRINGFIELD OR 97477
541-744-7979
MECHANICAL CONTRACTOR:
BRANDI CONNOLE 541-744-7979
1139 CUSTOM WAY
SPRINGFIELD OR 97477
CCB # Expiration Date:
Descriotion Amount Paid Date Paid Receiot Number Cashlier
+ 7% State Surcharge 3.15 11/22/2002 2200200000000000224 Ilh
+ 8% Administrative Fee 3,60 11/22/2002 2200200000000000224 Ilh
-Issuance Fee- 10.00 11/22/2002 2200200000000000224 Ilh
Minimum/Adjustments - Mech 15,00 11/22/2002 2200200000000000224 Ilh
Pellet Stove/Insert 30,00 11/22/2002 2200200000000000224 Ilh
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 worldng day.
Reouired InsDections:
1 Pellet Insert: After installation
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infonnation hereon 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 pertaining to the work described herein. I
further certify 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, that each address is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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