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HomeMy WebLinkAboutPermit Mechanical 2001-01-22ctTY oF SPRfiNOFfiELq OREGON SPRINGFIELD Contractor TYPe MechanicalContr Job# 01 -00053-01 RESIDENTIAL PERMIT City Of Springfield Community Seruices Division Building SafetY Spr Addition: Page 1 of2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1208 00006th St AssessorsMaP#: 17032634 Lot: Block: Owner: RP lnvestments Address: 1208 6th Street Scope Of Work: Mechanical Job Number: 01 -00053-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 01500 Subdivision: Phone Number: City/State/Zip: Springfleld, OR97477 Alteration Value: $0 Registration # ExPiration Date Phone 541-683-2590 Quad Area: # Of Units: Constr. TYPe: Water Heater: working daY Rough Mechanical Final Mechanical Gonstruction TYPes: OccuPancY GrouPs: # Of Buildings: # Of Bedrooms: HandicaP Access? Area (Sq. Main: Office Use - Land Use: Zoning Code: Bedrooms: Range: Required lnsPections -Prior to cover. -Wnen aff mechanicalwork is complete # Of Stories: All insoections requested before 7:00 "id;7;50 a'm. witt be made the followins # Of Buildings: OccupancY GrouP: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769 a.m. will be made th";;;;;;rr<ing oav' inspections requested f\i lL- ollov'f Height (feet): ProPosed Units: )52-UU l- rules by )none tication NOTICE: ffis pennnff sHALL Current Units: Census Code : Does not aPPIY ANY 18ODAY PERIOD FOR Gontractor Associated Heating and Air Cond PO Box 412, Eugene, OR 97440 Job#0 1Fee Minimum Mechanical permit Administratiye Fee - Mechanical Less than 100,000 BTt) Mechanical lssuance State Surcharge - Mechanicat TotalMechanical Page 2 of 2Paid On 01/22/2001 01t22t2001 01t22t2001 01t22/2001 01122t2001 4282 4282 4282 4282 4282 1 Fee Amount $9.00 $.4s $6.00 $10.00 $1.05 $26.s0 $26.50 Grand Total By signature, hereby certify I state and agree that I have careful ly examined the completed application and dothat all information herein is true and correct,and I further certify that any and allworkperformedshall be done in accordance with the Ordinan ces of the City of Spri ngfield and the Laws ofthe State oRS 701 of Oregon. .055 will be I further state that only contractors and employees who are in compliance withused on this project. I further agree to ensure that all required in spections are e and that the project address is readable from the street.at the Signature Date ol