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HomeMy WebLinkAboutPermit Mechanical 2000-09-19SPRINGF!ELD Job# 00-01407-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 00-01407-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 16600 Subdivision: Tftftl'l$S:01_-00S1r51 ilf;Tt:g[F' 1? Iil0* AllT fri[[;? $ I&.5* IHftNGI: [*SHitR: *rl" 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 761 Woodcrest Dr Spr AssessorsMap#: 17033412 Lot: Block: Addition: GITY OF SPR7NGFiELD, OREGON Owner: Randy Duke Address: 761 Woodcrest Dr Scope Of Work: Mechanical install log set and gas piping Phone Number: City/State/Zip: New 541 -9BB-9946 Springfield, OR97477 Value: $O Contractor Type MechanicalContr Contractor Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-7445 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Gode: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. a.m. will be made the same working day, inspections requested working day. Required lnspectffiy Mechanical Rough Gas FinalGas -When allgas work is complete. Construction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? NOT COI\NMENCED ORIS f I # Of Stories: Gurrent Units: Census Code: Does not Area (Sq. Feet) Main:Accessory:Total: Job# 00-01407-01 Page? ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanica! 09t19t2000 0911912000 09/1 9/2000 09/19/2000 09/1 9/2000 3251 3251 3251 3251 3251 1 $2.00 $13.00 $.45 $10.00 $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. /",'. - 1,.2, ,/,/ !r/ Date $26.50 7/rr7r- Signature