HomeMy WebLinkAboutPermit Mechanical 2003-2-25
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City of Springfield
Mechanical Permit
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Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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PERMIT NO.: MEC2003-00011
ISSUED: 2/25/2003
APPLIED: 2/25/2003
EXPIRES: 8/25/2003
SITE ADDRESS: 1449 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO,: 1703252207300
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION:
Heat Pump & Air Handler
OWNER! APPLICANT:
DEVER WILLIAM J & KAREN K
1449 LA WNRIDGE AVE
SPRINGFIELD OR 97477
MECHANICAL CONTRACTOR:
MARS HAllS INC 541-747-7445
411 0 OLYMPIC STREET
SPRINGFIELD OR 97478
CCB # 25790 Expiration Date: 12/23/2003
DescriDtion
Amount Paid
Date Paid
Receint Number
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adiustments - Mech
4.50
3,15 '
12,00
33,00
02/25/2003
02/25/2003
02/25/2003
02/25/2003
1200200000000000746
1200200000000000746
1200200000000000746
1200200000000000746
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 am, will be made
the same working day, inspections requested after 7:00 am, will be made the following working day.
Reouired InsDections:
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete,
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 wolk 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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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ee Items:
Job/Journal Nnmber
MEC2003-000 II
MEC2003-00011
MEC2003-00011
MEC2003-00011
Payments:
Type of Payment
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Check
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Paid By
MARSHALLS
Description
Heat Pump
Receipt #: 1200200000000000746
Date: 02/25/2003
Minimum/Adjustments - Mech
+ 7% State Surcharge
+ 10% Administrati ve Fee
Received By
Check Number Confirm No
lkw
17101
Page 1 ofl
2/25/2003
II :03:42AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
12,00
33,00
3,15
4,50
Line Item Total:
$52.65
How Received
Amount Paid
In Person
52,65
$52.65
Payment Total:
cReceipt.rpt