HomeMy WebLinkAboutPermit Mechanical 2000-8-1
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I Job# 00-01174'()1 I
Page 1 of2
TRANS#:01-0002713
DATE:AUG 01 2000
AMT RECD:1 $ 30.00
CHANGE:$ 3.50
CASHIER:059
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CITY OF SPRINGFIELD~ OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01174-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 2150 Laura Ave Spr
Assessors Map#: :17032710
lot: Block: Addition:
Tax lot #: 04400
Subdivision:
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Owner:
Mary Montgomery
2150 Laura #74
Phone Number: 541-726-1347
City/State/Zip:
Springfield, OR 97477
Value: $0
Address:
Scope Of Work: Mechanical
Alteration
NOTICE:
Electric Furnace THIS PERMIT SHALL EXPIRE IFTHE WORK
i AU I HURIZED UNDER THIS PER~mT IS NOT
Contractor COMMENCED OR ~eA'~~N~~~~D F5~iration Date
AUTOMATIC HEAT COANY 180 DAY PERI0000439 10/2/01
3675 FRANKLIN BLVD" EUGENE, OR UU.
97403
Phone
541-726-7654
Contractor Type
Mechanical Contr
Office Use
Quad Area: land Use: # Of Buildings:
# Of Units: Zoning Code:" Occupancy Group:
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Constr. Type: Beg~g9.IJ:I~.:af aaopteo Oy me Oregon Ut,/;Ieat Source:
Water Heater:. R~ation Ceme. rhose rules are set /?.q. Footage:
i. ,0,,'" tt:U-UIII-UV IV mrougnUAH Of:>~-UU
To request an inspection call the 24 hour rdaSflljl:(glatll'lll!ihllm!lo edJPilapetijbEl5'l!i~l!sted before 7:00
a.m. will be made the. same working day, ins~".~:'!,,,*I'nl_,,,,~(~7tf\@l~ilJrR!l made the following
working day. ~lImberforthe Oregon Utility Notlfjcatio'
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Required Inspections
I Mechanical
Final Mechanical -When all mechanical work is complete.
Construction Types:',
Occupancy Groups: I
# Of Buildings:
# Of Bedrooms:
Handicap Access? ctJ
iArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
08/01/2000 2713
Value/Quantity
Fee Amount
Minimum Mechanical Permit
$9.00
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Fee
Mechanical Administrative Fee
Less than 100,000 B,TU
Mechanical Issuance
State Surcharge ForMechanical Permit
Total Mechanical
Grand Total
Job# 00-01174-01
Paid On Receipt#
Mechanical
08/01/2000 2713
08/01/2000 2713
08/01/2000 2713
08/01/2000 2713
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Page 2 of 2
Value/Quantity Fee Amount
1
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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. ,II 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
requeste~ ?l the proper time ,and Jat ~ .Jroject address is readable from the street.
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Signature rJ r /
t6-I-DD
Date