HomeMy WebLinkAboutPermit Mechanical 2000-09-21Job# 00-01427-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
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At{T REID:I $ 26.50
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SPRINGFTELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1919 00022ND ST 39 Spr
AssessorsMap#: 17032500
Lot: Block: Addition:
Job Numbe r: 00-01 427 -01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00204
Subdivision: Maia Park
ctTY oF SPRINGFTELD, OREGO^
Owner: Wilbur Osterberg
Address: 5B4B Main St
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-747-3628
Springfield, OR 97478
Value: $O
This is a copy with a new Application Number
Contractor Type
Mechanical Contr
Gontractor
Northwest Mechanical
PO Box 1593, Albany, OR 97321
Registration # Expiration Date Phone
541-967-7094
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1
(VN) Wood Frame
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All
a.m. will be made the same working day, inspections requested after
working day.
Required Inspections cal
Mechanical
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Utility
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Rough Mechanical
FinalMechanical
- Prior to cover.
-When all mechanicalwork is
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access?
complete
Accessory Structure
# of Stories: N0ffStgreet;:
Current Units:
Census Code: New Mfg
Proposed
Home
IMain:Accessory:Total:
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UNDEB TH'S PEHMITIS NOTIOR IS ABANDONED FOR
Area (Sq.
Job# 00-01427-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
09t2112000
0912112000
09t21t2000
0912112000
0912112000
3276
3276
3276
3276
3276
1
$9.00
$.45
$6.00
$10.00
$1.0s
$26.50
Grand Tota!
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 on. I further state that only contractors and employees who are in compliance with
ORS be used on this project. I further agree to ensure that all required inspections are
r time and that the project address is readable from the street.
Date
$26.50
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