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HomeMy WebLinkAboutPermit Mechanical 2000-10-13SPRINGFIELD Job# 00-01537-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRANSil:01-0003474 DATE:0[T 1] ?000 Al'tI RE[D:? $ 2&.50 IHAI',IEE: [ffEHIER:05? Job Number: 00-01537-01 t 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3714 Virginia St Spr AssessorsMap#: 17023143 Lot: Block: Addition: Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 01601 Subdivision: ctTY oF SPRilVGFfiEL4 OREGON Owner: Jack R. Neuschwanger Address: 3714 Virginia St Scope Of Work: Mechanical Pellet Stove Phone Number: City/State/Zip: Alteration 541-747-5101 Springfield, OR 97478 Vatue: $3'000 Quad Area: # Of Units: Constr. Type: Water Heater: up To request an inspection callthe 24hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made tne same working day, inspectiols requested after 7:00 a.m. will be made the following working day. Required lnspections Mechanical i Freestanding Pellet -After installation'r1 \r Construction TYPes: OccupancY GrouPs: # Of Buildings: # Of Bedrooms: Handicap Access? # Of Storiess Height (feet): Current Units: ProPosed Units: Census Code: Does not aPPIY (Sq. Feet) Accessory TotalMain: Paid On ReceiPt#Value/QuantitY Fee Amount Mechanical Fee Minimum Mechanical Permit Mechanical Administrative Fee Pellet lnsert Mechanical lssuance 1011312000 1011312000 10/13/2000 1 0/1 3/2000 $.00 $.45 $15.00 $10.00 3474 3474 3474 3474 3,000 u Nottl rcaliol Job# 00-01537-01 Page2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical State Surcharge For Mechanical Permit Total Mechanical 10t1312000 3474 $1.05 $26.50 Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state 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 and that the project address is readable from the street. Date $26.s0 /O'/J-ct6