HomeMy WebLinkAboutPermit Mechanical 2002-11-21
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City of Springfield
Mechanical Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.: MEC2002-00118
ISSUED: 11/21/2002
APPLIED: 11/21/2002
EXPIRES: 5/21/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
1965 INLAND WAY
1803023307500
Springfield
TYPE OF WORK:
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install wood stove
LLOYD CRAIG M & JENNIFER M
1965 INLAND WAY
SPRINGFIELD OR 97477
~ME~ICAL CONTRACTOR:
&'\-bi AUL WILSON 541-579-8416
~:~ MIA ST
~~ ~~ ON CITY OR 97448
>,.\,,\" ((, '\~~ Sj # 103245 Expiration Date: 01/26/2003
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~~~tif~';~~~ Paid Receiot Num ber
~'\~~ ~m1..~~<\) 1:S~~~~/2112002 1200200000000000283
....~"\~~ <\)~ 11121/2002 1200200000000000283
\"' ell 'O~ 1112112002 1200200000000000283
t.)'~-o.O 1112112002 1200200000000000283
J&1J0 11121/2002 120020000oooood0283
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Cashier
OWNER! APPLl CANT:
Desc riotion
+ 7% State Surcharge
+ 8% Administrative Fee
-Issuance Fee-
Minimum/Adjustments - Mech
Wood Stove
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To Request an inspection call the 24 hour recording at 726-3769.. ~Jl'ijffp.';:fi?~;eqll~~~(F~fore 7:00 a.m. will be made
the same working day, inspections requested after 7 :00 a.mo~j](lh\\yao~ ~1)j:;fifl%\yii\g~.9ii1'ing day.
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Reouired Insnections: 1'-\ \ v ~",\e'" 6e~\0'~\fS'~\\'"o~\es ~e\e\0~~\c'lJ.\\V"
'O~~~'lJ.\\~~'2:I.)I.)\'~'O\i\~ ~O\e"~\\':l ~O\.
1 Wood Stove: After Installation. ~o OI>-~~o",~'lJ.~e~\e~'e~O~~'-''2:'2-#
By Signature, I state and agree, that I have car~~n~I.)~.aii\i~~iih~~~pl~?;d application and do hereby certify that all
infonnation hereon is true and correct, and I further certiry~t$li<'llIi.'yC-an'd'all work perfonned shall be done in accordance with
the Ordinances of the City of Springfield and the laws ofth'e 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.
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Owner or Contractors Si~ature
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