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HomeMy WebLinkAboutPermit Mechanical 2000-3-22 '., . I Job# 00-00443-01 I . Page 1 of2 TRANSn:Ol-0001005 DATE:MAR 22 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 059 ',) , ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00443-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 225 Assessors Map#: 17033532 Lot: Block: Main St Spr Owner: Address: Seramed Bio Center Ji'X Lot #: 05500 Addition: 1''' t:~~division: ,,~C> ;,~' ~ Phone<>.,..m~ I -j:Y' ~ ci~~7~~~7r~ld, OR 97477 .CS A~ 0>? ~v ~\: Alter~ ~~~ 9:J~ .~I)'Value: $0 -~C(j -<>">} ^-<.-<- . _~-- ,'.; A' ~v c;," ~? ~@ ~/)}> ~'8 Contractor , -<>O~..f ~~~Registration # American Refrigeration ,-o~ca ~~ 4065 W 11th, Eugene, OR 97~ 225 Main St Scope Of Work: Mechanical Contractor Type General Contr Expiration Da~~ Phone .~?J0 ...0($. ~f) ro<::)<::)-S- ''i>~ 0'" 'O~. .<:::; 0 -, -".' ;Si-~ ;Si- o'\- ~ ~o'- ~ Qi ~ _V> "",, .. Office Use ,:}, 0\<,) ~0\'l,..;y ~v,~ ;:$.J'o"$;'~ ..;"o'<:l ....0..,,0,0 <::)c;:S ~o.,:>~ y; Quad Area: Land Use: _..:,V~"~Ii,QfJl'uildl'h~,,,0~ ~">> ~;,) ~ f$o ,..'V' '\,.\3 ~ -!J ~'Y # Of Units: Zoning Code: .' ~"'::.,\~'.~' 2,ccupan, Cy,,@~~ul" " 0"" 0~ ,~'_oi>.~ ~'rM~ O~ Constr. Type: Bedrooms: ~~ ~' OCO~l!'I~~ij~"~ia~ Water Heater: Range: ~r:JJ:>0 ;Si-~ CS9,~lF~bQll@: ('),,... ?) ~ ,.,." -,~ ~'~ , 0"~' oQfb"" O~ ~ To request an inspection call the 24 hour recording at 726-3769. All insp.e~.!i~\ffiSl~~\.e'll'before 7:00 a.m. will be made the same working day, inspections requested after 7:00fa:1W"witp'li~lmade the following working day. ~ <}~~'.:.o~ , Required Inspections Mechanical Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 [Ar~a (Sq. F",,;) _ Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: (1 "I ., . Job# 00-00443-01 . Page 2 of 2 Fee Paid On Receipt# Mechanical 03/22/2000 1005 03/22/2000 1005 03/22/2000 1005 03/22/2000 1005 03/22/2000 1005 Value/Quantity Fee Amount Minimum Mechanical Permit Mechanical Administrative Fee Miscellaneous Mechanical Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Grand Total 15 $.00 $.45 $15.00 $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. 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 re~ed at the proper time and that the project address is readable from the street. """.::- to, lie /' ~: Z 741"