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HomeMy WebLinkAboutPermit Mechanical 2002-2-11 0;/11/02 MON 09:51 FAX 541721it89 ..: CITY OF SPRINGFIELD . ~004 1/ ZZ511ITH ...lo."", . SPRINGFIELD,OR97477. pH:(541l726-3753 . FAX: (541)726-3689 :s,p,;.~E.~.::H=:~z~n ,.:?!t:::E5S?~i:: r';;~ ~.: ;: ;;.. .;,;. : ::..~.: ;:.: . '. - .: ; ..:. :~ :....: ~..;~ .:'1 ~~&~:~~.~lifDJ ~ LOCATIONOfPROPOSf.DWORK: 1-351 Loch' 01". o ASSESSORS MAP: n 03 :.lc::" I I ~i\ OWNl'''' fYlo..rGI~ Clo..'!p()O I 'V ADDRESS: 2~<=) 1 l..t'Jr.J--. Dr. ~ CITY: Sj\n njf'lcld , ~ DESCRlPTIONOFWORK: ln~fu I IOLti f\T"\ nf' TtIh. NEW: - REMODEL:--:- ADDITIOl'" OEMOUSI" ~.J4 NAME ADDRFSS ~ ARCHITECT: CONTRACfOR'S JliAMt' , GENElW.; ({ j; PLUMIlIN'" ~ :=r:~. &aii~J +b m 4'2-.~Nv''1WIO o~ OlyJGbNDmberOC) ~OOh'l..~ '-01 TAX LOT: () ICj 00 PHONE: i3(rogQ (p STATE: on.. HIP ZIP: q~ l'l .... itl H OTHER: VALUE: mONE AODRl'!SS CaNST. CONTRAcroR # EXPIRES PHONE lCUt-75 l.Pg~ r ~D lilrnace Exhaust Hood. Vent Fan No. Wood StovelInsertlFireplace Unit ~ Mechanical Permil b ~l StatCIssuance Administrative Fee State Surchazxe Tota! Mechanical Permit Fees '-15.- 10.- 3l.tO 3.15 (DL"S ITEM fixtu"'-' Residentiall3ath(s) No; Sanituy Sewer Fr. Water yr. Stonn Sewer Fr. lEE ,.. ~tr.'" II ." "",., ~\ Ii ;(j~ Plumbing Permit AdministIativc Fee stale surcharge Tota! Plumbing Fees ~ Demolition ~\ Tota! Mechanical Permits ,V Stale Issu.:mcc Tota! Plumbing Permits ~ Administrative Fee . Total Mi=1lancous Permits . ~ -< State Surcharge I ~ [.,,=> -< 35 ~ TOTAL I.Jl . :;0 -< Z 'Total Mi..,'L._eous Permits ' . I fTl (1) I)l;CUlUl ("') .. **= M~~l. PlwabiDg · Mi~tdl~~: uZ~I'-..J'...o OG"). 0"-1 .......rr1-.,JO-.J ........ .. (J1 I"..J ,p. . . u~l'7