HomeMy WebLinkAboutPermit Mechanical 2002-10-28Gity of SPringfield
Mechanical Permit
Status: Iss ued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-3676Fax
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-00107
10/28/2002
10/28/2002
4t2812003
PROJECT DESCRIPTION: Gas stove
OWNER/APPLICANT:
JAMES NICHOLS
473 SPRINGDALE AVE
SPRINGFIELD OP.97477
Description
+ 7%o State Surcharge
+ 8% Administrative Fee
-Issuance Fee-
Gas Fireplace
Gas Outlets l-4
Minimum/Adjustments - Mech
SITE ADDRESS
ASSESSORS PARCEL NO.
473 SPRINGDALE AVE
1703224204600
Springfield
TYPE OF WORK:New
Residential
54t-343-l13l.7-2287454
OF USE:
\t
WEST 7TH AVENUE
E OR 97402
# 19364 Expiration Date: 10/2012003
Receint Number
1200200000000000143
43
Cashier
3.15
3.60
10.00
15.00
4.00
26.00
143
t43
t43
143
10128/2002
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To Request an inspection call the 24 hour recording at 7:00 a.m. will be made
the same working day, inspections requested after 7 day.
Required Inspections:
1 Rough Gas: After line is installed 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 application and do hueby certi$ ttrat all
information hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further certiff 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 addres is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
,hl-
Owner or Contractors Signature
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Date