HomeMy WebLinkAboutPermit Mechanical 2002-10-28City of Springfield
Mechanical Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676Fax
541-7 26-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-00106
10128t2002
1012812002
4t28t2003
SITE ADDRESS:
ASSESSORS PARCEL NO.:
4334 SMITH WAY
1702322400900
Springfield
TYPE OF WORK:
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Pellet stove
OWNER/APPLICANT:
JAMES JASON L &ELIZABETH A
4334 SMITH WAY
SPRINGFIELD OR 97478
Descriotion
+ 7o/o State Surcharge
+ 8% Administrative Fee
-Issuance Fee-
Minimum/Adjustments - Mech
Pellet Stove/Insert
$e
CAL
AY
97478
Expiration Date:
142
200200000000000 142
1200200000000000142
1200200000000000142
1200200000000000142
541-746-8614
7:00 a.m. will be made
Cashier
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To Request an inspection call the Z4holr at 72637 69. AII insDections
the same working day, inspections requested after 7:00 a.m. will be made the
Required Inspections:a
1 Freestanding Pellet Stove: After
By Signature, I state and agree, that I have application and do hereby certiff that all
information hereon is true and correct, and I further certiff all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the laws of the of Oregon pertaining to the work described herein. I
further certi$ 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 address is readable fiom the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
/0
or Contracton Signature
I of I
Date