HomeMy WebLinkAboutPermit Building 1997-1-21
SPRINGFIELD
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COMMERCIAL/INDUSTRIAL PBRMIT APPLICATION
CITY OF SPRINGFIBLD Job Number: 961627
COMMUNITY SBRVICBS DIVISION
BUILDING SAFBTY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 205 DORRIS ST
Assessors Map #: 18030200
Tax Lot #: 00802
Owner: WILLAMALANE PARKS
Address: 680 36TH STREET
Phone #: 726-4330
City/State/zip: SPRINGFIELD, OREGON 97478
Description Of Work:
,
REMODEL Value,
PLAN ;qE'V/~w- h-G
PLUMBING ---
0.00
1:2-5: ~
No.
5
Fee
Charge
50.00
55.00
Single Fixture
Storm Sewer
239
ft.
TOTAL PBRMIT
105.00
..11'6
113. 'Yc
- - - MBCHANICAL - - -
NO.
Fee
Charge
6.00
6.00
12.00
10.00
2
Furnace/burner & vent < 1000,000 BTUs
Vent Fan/Single Duct
2 HEAT PUMP UNITS
Permit Issuance
TOTAL PBRMIT
37.00
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.3'9./~
-- OFFICB USE --
Item
Sq. Ftg Main
Square Feet
1899
x
$/Square Feet
Value
30,000.00
TOTAL VALUE OF PROJBCT
30,000.00
Received By: DON MOORE
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By:
pp
19~. ~o
15. vI{
2P8. "I tf
Date: 12/23/96
--- ADDITIONAL COMMENTS ---
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~~. '7'-5"
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information 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,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. 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 t' hat each address is readable from the street, that the permit
car s locaJat t~ front of the property, and the approved set of plans
w remain on the site at all times during construction.
~f, '---"~- //.z.I/q7
S~nature Date
SPRINGFIELD
Job Number: 961627
Receipt Number:
Date Paid:
Amount Received:
Received By:
-- - VALIDATION
7</7 'r~
1-2/-"'7?
?/eh. '/7
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