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Home My WebLink AboutPermit Mechanical 2003-3-19 ., . . City of Springfield Mechanical Permit Status: Issued 225 Fifth Street Springfiel~~egon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO.: MEC2003-00018 ISSUED: 3/19/2003 APPLIED: 3/19/2003 EXPIRES: 9/19/2003 SITE ADDRESS: 1792 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252112400 Springfield TYPE OF WORK: TYPE OF USE: New Public PROJECT DESCRIPTION: Changeout to gas Furnace OWNER! APPLICANT: MECHANICAL CONTRACTOR: JOHNSON GUY L & BARBARA A 1792 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 CCB # Expiration Date: Descriotion Amount Paid Date Paid Receint Number + 10% Administrative Fee lV."//'E + 7% State Surcharge. : 3.15 -Issuance Fe&-'i/S PERMIT 10.00 Furnace - up,iQj\q9i9~?lif\t ~HALL EXPW.po, MinimumlABi.9~SWv7nts~lMbdt\lvDER THISJ~dF THE WORK Vent Fan ANY l,,~NE~D DR IS !<fl~^,t.~MIT IS Nnr - -", 'tHID!) -t."ClJ t;OR To Request an inspection call tfte"24 hour recoramg at 726-3769. All inspections requested befrl1:e.iUlQ_a.ffi ~ll be made the same working day, inspections requested after 7:00 am. will be made the followingcwor19ngL<Il!Y:"goll UtliicY 4.50 03/19/2003 03/19/2003 03/19/2003 03/19/2003 03/19/2003 03/19/2003 2200200000000000618 2200200000000000618 2200200000000000618 2200200000000000618 2200200000000000618 2200200000000000618 __ _ _.. t_.. Reouired InsDections: ,:' .,'~. '.1 ('~-Ollnh OAR 952-00 I '" :1' ,:,:.,j" ~OjJ:F:i o~ the rules t. 1 Final Mechanical: When all mechanical work is complete. ': ; .,:.:'i. ,[-\8t3: '.:lGteIGphone 2 Rough Mechanical: Prior to Cover ,'. -..,:.~-:-::: 'JI;:it\' 0!otilication " .,' "r-'-':~'i~~~2<~4). By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all infonnation hereon is true and correct, and I further certifY that any and all work perfonned shall be done in accordance with the ~dinances 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. ~ ~wn~ Co~t~Signarure ~ate 3/1~ /t)~ 1 of I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .e Items: Job/Journal Number MEC2003-000 18 MEC2003-000 18 MEC2003-000 18 MEC2003-000 18 MEC2003-000 18 MEC2003-000 18 .yments: TWe of Payment Check r, ,~ Paid By Receipt #: 2200200000000000618 Date: 03/19/2003 Description Furnace - up to 100,000 htu Vent Fan Minimum/Adjustments - Mech ......Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No COMFORT FLOW 21342 Ikw Page I of I 3/19/2003 2:30:24PM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 12.00 9.00 24.00 10.00 3.15 4.50 Line Item Total: $62.65 How Received Amount Paid In Person 62.65 $62.65 Payment Total: cReceipLrpt