HomeMy WebLinkAboutPermit Mechanical 2002-10-24City of Springfield
Mechanical Permit
Status: lssued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676Fwr
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-0010s
10t24t2002
10124t2002
4t24t2003
SITE ADDRESS:
ASSESSORS PARCEL NO.:
524 33RD ST
1702312404700
Springfield
TYPE OF WORK:
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: gas insert
W
COOPER CHRISTINE D
II34 ISTPL
SPRINGFIELD OP.97477
Description
+ 7%o State Surcharge
+ 8% Administrative Fee
-Issuance Fee-
Gas Fireplace
Gas Outlets l-4
Minimum/Adj ustrnents - Mech
Amount Paid
3. l5
3.60
10.00
15.00
4.00
26.00
Date Paid
10t2412002
t0124/2002
t0124/2002
10t24t2002
t0/2412002
t0/24/2002
MECHANICAL CONTRACTOR:
GEOFFREY ALAN BEALS
PO BOX 3193
ALBANY OR 97321
CCB# 92824 Expiration 08/26/2003
541-465-3900
7:00 a.m. will be made
dib
dib
To Request an inspection call the 24how recording at726-3769.
the same working day, inspections requested after 7:00 a.m. will
Required Insnections:
1 Rough Gas: After line is installed and capped if not attached to an appliance.
2 Rough Mechanical: Prior to Cover
3 Final Gas: When all gas work is complete.
4 Final Mechanical: When all mechanical work is complete.
By Signature, I state and agree, that I have carefully examined the completed
information hereon is true and correct, and I further certiff that any and all
the Ordinances of the City of Springfield and the laws of the State of
day.
*
hereby certiff that all
done in accordance with
described herein. I
further certiff that only contractors and employees who are in be used on thisproject. I
further agree to ensure that all required inspections are requested at the prop addres is readable from the
street, and that the approved set of plans, if applicable, will remain on the site during construction.
( f,^^\ hrH,*lo 'Li{-o L
Owner or Contracton Sflature
lofl
Date
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