HomeMy WebLinkAboutPermit Mechanical 2002-11-18City of Springfield
Mechanical Permit
Status: lssued
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
541-726-367 6Fax
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-00113
tut8l2002
tut8t2002
s/18/2003
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SITE ADDRESS:
ASSESSORS PARCEL NO.:
1254 6THST
1703263401301
Springfield
TYPE OF WORK:
TYPEOF USE:
New
Public
PROJECT DESCRIPTION: Instrall gas fireplace
AYINEBIABPLTEANT
KEITH FULLER
1254 6TH ST
SPRINGFIELD OR97477
Description
+ 7%o State Surcharge
+ 8% Administrative Fee
-Issuance Fee-
Gas Fireplace
Gas Outlets 1-4
Minimunr/Adjustments - Mech
10.00
r5.00
4.00
To Request an insPection call the 24 hour recording
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at 726-37 69. All insPections requested before 7:00 a.m. will be made
FULL
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541-747-349r
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CCB @SOlt Date:
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26.00
the same working daY,inspections requested after7 :00 a.m. will be made the following working day.
t\ERequired Insnections:
1 Underfloor Mechanical'
2 Rough Gas: After line is
3 Gas Service: After line ir
this Point.
r0R
an appliance.
to a minimum of one appliance' Presure tel
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Prior
s
1s0
4 Rough Mechanical: Prior to
5 Final Gas:When all gas work is comPlete
6 Final Mechanical:When all mechanical work is complete.
By Sign ature, I state and agree,that I have carefullY examined the comPleted application and do herebY certiff that all
information hereon is true and correct,and I further certif,/ that anY and all work Performed shall be done in accordance with
the Ordin ances ofthe CitY of SPringfie ld and the laws of the State of Oregon Pertaining to the work described herein. I
further certiff that onlY contractors and emPloY ees 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 applicab le, will remain on the site at all times during construction'
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Amount Paid
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City of Springfield
Mechanical Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-72G3759 Phone
541-726-367 Fax
541-
Owner or
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-00113
tut8l2002
tul8l2002
s/l8/2003
1l- \6 -a?--
Date
2of2
Signature
'L-