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HomeMy WebLinkAboutPermit Mechanical 1998-01-11WOOD STOVE/INSERT INSPECTION APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVTSION - BUILDING 225 Fifth Steet Springfield, Oregon 97 47 7 SPB'A,GF,ELE' SHALT EXP iaEdilJdE VtffilsgAUTFIOHITED COM[.IHTJOEN sft ,1,I i..lr'i i'i ;:. y l+fiHll-ifL Job ?oz y Assessors Map t?0 Tax Lor#: 0 7 foo Owner: Phone#: 7ql-17 IL 37{ll Phone#: q".{t7Address: Ctty:KJ Construction Contractors REQUIRED Date of APPlication: lt I Total Amount Collected:ZC. z,tt +,{ Ctty:S p lu.t ( Preliminary Inspection is Wood Stove/Pellet/lnsert Issuance. Type of Inspection Contractor: ( State: O( Date FOROFFICEUSE I ReceiPt #: Job #: zsl < PRELIMINARY'--=- 00i o lssued BY:03 Value of Wood Checked for Delinquencies: Checked for Historical Status: ,;frfficm, THt.:l i:r:nr,i,r ; f naofinn. g