HomeMy WebLinkAboutPermit Building 1997-3-10
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
SPRINOPIELO
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JOB NUMBER
~7"??~
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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ASSESSORS MAP: /-;r-O-z. ~ ~ TAX LOT: '2--~Dt7
OWNER: LIPfdl-"fY -bAJ1/- - krrJ.~DfZ.A c;eM~NE:'?44 'c:Azi
ADDRESS:~ c:fl ~
CITY: hl~t'#- STATE: ~ 011- ZIP:
LOCATION OF PROPOSED WORK: ~
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DESCRIPTION OF WORK: Fet'??lI'I:L- OP
Fl>~ l-113~ ('j
NEW REMODEL ~ ADDITION
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DEMOLISH . OTHER
CONTRACTOR'S NAME
GENERAL:~PA
ADDRESS
1$1 T. - (J!~ BAqE
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CONST,
CONTRACTOR'
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PHONE . I
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ARCHITECT: ~
NAME
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EXPIRES
PHONE
Mr~ '144'5
PLUMBING'
MECHANICA"
ELECTRICAL: ~ t:l..U-1lUv- JlWF 4tl:l:fI.Il3&I?~&JZ-
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PLUMBING I MEr.HANIr.AI.
NO. I FEE I r.HARGF I!l-i E.EF f'HARG.E-1
Single Fixture I furnace/burner & vent
< 100.000 BTUs
Relocated Bldg. I, Furnacefburner & vent
{new fix, addlil > 100,000 BTUs
Water Service I Floor furnace and vent
It.
Sanitary Sewer I Suspended wall or floor
It. mounted unit healer
Storm Sewer I Appllance Vent
ft. separate
I Statlonaryevap..
Backflow Device cooler
I Vent FanfSlngle
duel
I Vent System apart
Irom AC or htg.
I Mechanical exhaust
hood and duct
I
I Permit Issuance $10,00
TOTAL PERMIT I TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA'
. OF BLDG~'
LAND USE:
. OF UNITS'
FLOOD PLAIN:
ZONING'
OCCY GROUP:
. OF STORIE!'"
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUOGET:
WATER HEATER'
SO. FT,
$/50, FT,
VALUE
SO. FTG MAIN
SO. FTG ACCESS
SO, FTG OTHER
X
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE ';5/~<<)
RCPY' ~ '/
DATE
::?-/~
BY
:~&?" -~ -:
I BUILDING PERMIT
15% State
Surcharae
I MECHANICAL ,
15% State
Surcharoe
I PAVING
. PLUMBING
I DEMOLITION
5% State
Surcharae
I FENCE
VAlliE ~
I SIOE\".,A,i-K
I CURBCUT
FT,
FT.
I
I
" SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl