HomeMy WebLinkAboutPermit Mechanical 2001-8-27
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I Job# 01-00929-01 I
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Page 1 of 2
TRANS#:01-0006545
DATE:AUG 27 2001
AMT RECD:2 $ 61,75
CHANGE:
CASHIER:003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00929-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1715 Concord Ave Spr
Assessors Map#: 17033443
Lot: Block: Addition:
Tax Lot #: 02000
Subdivision:
Owner:
Address:
Steve Ramseur
1715 Concord Ave
Phone Number: 541-726-9441
City/State/Zip: Eugene, OR 97403
New Value: $0
Scope Of Work: Mechanical
New wood stove
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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.
Wood Stove
I
-After installation.
Required Inspections
Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
08/27/2001 6545
08/27/2001 6545
08/27/2001 6545
08/27/2001 6545
Value/Quantity
I
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Wood stove
Mechanical Issuance
1
$15.00
$3.60
$30.00
$10.00
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Fee
Job# 01-00929-01
Paid On Receipt#
Mechanical
08/27/2001 6545
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Page 2 of 2
Value/Quantity Fee Amount
State Surcharge - Mechanical
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
requested at the proper time and that the project address is readable from the street.
~ ~/2"'/O/
$3.15
$61.75
$61.75
Signature
Date
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