HomeMy WebLinkAboutPermit Mechanical 2000-03-21RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Page 1 of 2
Job Number: 00-00430-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 02305
Subdivision:
TF:ANS#; AL-AA}AW?
Df,TE:},IAR 21 TOOO
AHT RECD:2 $ t6.80
IHANEE:
CASHIEft;05?
225 North Fifth Street
Springfield, OR974TT
Location Of Proposed Site: 2431 00020th St Spr
AssessorsMap#: 17032443
Lot: Block: Addition
Job#
ctTY oF OREGOAI
Owner: Ethel Learn
Address: 243120th
Scope Of Work: Jt/echanical
Phone Number:
City/State/Zip:
Alteration
741-739-2
Springfield, OR97477
Value: $0
Contractor Type
MechanicalContr
Contractor
Comfort Flow Heating Co
1951 Don St Ste D, Springfield, OR
97477-1993
Registration #
460
Expiration Date
6127t99
Phone
541-726-0100
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call
a.m. will be made the same
working day.
a1726-3769. All inspections requested before 7:00
rs requested after 7:00 a.m. will be made the following
Required lnspections
Mechanical
o
\a'
)l
Handicap Access? [
Area (Sq. Feet)
Main:Accessory:
# Of Stories:
Current Units:
Census Code: Does
Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
1[\Iinimu m Jtlechanical Permit 03t2112000 987 $15.00
Insert
Fee
Job#
Page 2 of 2
lvl e ch a ni cal Ad mi nistr atiye Fee
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
Paid On
03/21/2000
03121t2000
03121t2000
Receipt#
987
Value/Quan
987
987
tity Fee Arnount
$.45
$10.00
$1.05
$26.s0
Mechanical
Grand Total
By signature,
hereby certify
I state and agree that I have carefully examined the completed application and do
that all informatio n herein is true and correct, and I further certify that any and all work
performed shal I 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
o 701.055 will be used on this project. I fu rther agree to ensure that all required inspections are
at proper time and that the project address is readable from the street.
Sign re Date
$26.50
,4el n