HomeMy WebLinkAboutPermit Mechanical 2000-8-28
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I Job# 00-00625-01 I
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Page 1 01 2
TRANS#:01-0001402
DATE:APR 28 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:059
SPRINGPIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
, Community Services Division
Building Safety
Job Number: 00-00625-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2150 Laura St Spr
Assessors Map#: 17032710
Lot: Block: Addition:
Tax Lot #: 00400
Subdivision:
Owner:
Cleta Simmons'
Phone Number:
Scope Of Work: Mechanical
City/State/Zip:
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Cq/~. OUth' V}'{l~1 1),6YI"h' .
"1"06 7].9,~egistration #O~'Expiration Date
'Bft 'sr>' VOtCl..>J{f)f.~ ""- "'{'I.. '':;"c:'n J'
Comlort Flow Heating Co ,,~:4~gee%, If} COt;Ul~/?7119~~ ': I.It".
1951 Don SI Sle D, Springfield, OR '.,.. Ore.9,IIItO'e,'&'<0~4,.,. d.. .
97477-1993 .'. '., Oil I ,,:'!];:, ,.1/1< 'iJ:.'t..(
,', ViiI.... (C., 'I" /~
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AI Office Use . :>,_ 0,11}. 'v"e
'VI\,," Jj Cr::h
~ 'U:-~ Use: # Of Buildings:
-4,/, v.s~~m~' Code: Occupancy Group:
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Co ''Y''~~ .ro,oS:)s: Heat Source:
"'/I n,I/fI"Ra~ID:: 'I-t.</t., Sq. Footage:
..." h. <:,A,_ II, 1>-,
"8, ''"~Z> "V~"",v/,()
To request an inspection call the 24 h~trArjlco;qi~.~,at~l?%~76!l('bll inspections requested before 7:00
a.m. will be made the same working day, in~9}ions'~qu~st~aner~;po a.m. will be made the following
working day. O~ I~O/l,; ~7'L 0-9/r
~D" ;Sf\ll'l~
Required Inspectl~'ls .
Mechanical I
2150 Laura St#117
Springfield, OR 97477
Value: $0
Address:
Contractor Type
Mechanical Contr
Contractor
Phone
541-726-0100
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
, I
,
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Job# 00-00625-01
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Page 2 012
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Fee
Paid On Receipt#
I Mechanical
04/28/2000 1402
04/28/2000 1402
04/28/2000 1402
04/28/2000 1402
04/28/2000 1402
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
By signature, I state and agree that I have carelully 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 01 the City 01 Springfield and the Laws of
the State 01 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
r~a~ ;~~eRap ~aJe project address is readable from the street. , ~Ih
Signature . Date .
1
$9.00
$.45
$6.00
$10.00.
$1.05
$26.50
$26,50