HomeMy WebLinkAboutPermit Mechanical 2002-12-05City of Springfietd
Mechanical permit
Status: Issued
225 Fifth Sheet
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676Fax
541-726-3769 Inspection Line
SITE ADDRESS
ASSESSORS PARCEL NO.
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-00123
12t5t2002
tztst2002
6tst2003
*
PROJECT DESCRIpTION: Install gas insert and piping
OWITIER/APPLICANT:
V/ILCOX RICHARD E & FRANCEI
258I VIEWMONTAVE
SPRINGFIELD OR97477
MECHANICAL CONTRACTOR:
MARSHALLS INC
4110 OLYMPIC STREET
SPRINGFIELD OR 97478
CCB # 25790 Expiration Dare:
2581 VIEWMONT AVE
1703244100119
Springfield
TYPE OF WORK:
ryPE OF USE:
New
Residential
541-747-7445
t2/23/2003
Descrintion
+ 7Yo State Surcharge
+ 8% Adminishative Fee
-Issuance Fee-
Gas Fireplace
Gas Outlets l-4
MinimumiAdj ustments - Mech
Amount Paid
3. l5
3.60
10.00
r5.00
4.00
26.00
Date Paid
t2t05t2002
t2/05t2002
12/05/2002
12105t2002
t2/0s/2002
t210512002
Receiot Number
I 200200000000000346
1 200200000000000346
1200200000000000346
1200200000000000346
1200200000000000346
1 200200000000000346
Cashier
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To Request an inspection call the 24 hour recording at726-3769. All inqpections requested before 7:00 a.m. will be made
the same working day, inspections requested after 7 :00 a.m. will be made the following working day.
Required Insnections:
1 Gas Service: After line is installed and line has been connected to a minimum of one appliance. Presure ter
this point.
2 Rough Mechanical: Prior to Cover
3 Final Mechanical: When all mechanical work is complete.
By Signafure, I state and agree, that I have carefully examined the completed application and do hereby certiff that all
information hereon is true and conect, and I filrther certiff wod< performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the laws of the State to the work described herein. I
further certi$/ that only contractors and employees who are in will be this project. I
further agree to ensure that all required inspections are req
and that the approved set of plans, if applicable, will re on
or Contracton Simatue
lofl
Date
RIOD
addres is le from the