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HomeMy WebLinkAboutPermit Mechanical 1999-03-05CITY OF OREGON SPBIlilGFIELD *dkWOOD STOVE/INSERT INSPECTION APPLICATION CITY OF SPRINGFIELD COMMLINITY SERVICES DIVISION - BUILDING SAFETY 225 Fifth Street Springfield, Oregon 97 47 7 atl,,l 1 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: q 15 ^J rh Stt+ =i . Tax Lot#: O /ffoAssessors MaP # City: Owner: Address:a1 \5 5 ttt 5T Phone#:7rl 7 -?4/ f Contractor: Phone#: Address Construction Contractors Registration# Date Signature FOROFFICEUSE REQUIRED INSPECTION(S):WOODSTOVE/PELLET/INSERT PRELIMINARY Job #: (, Date of APPlication:AJ Total Amount Collected:')l, La Receipt#,13 3 Issued BY: Checked for Delinquencies Checked for Historical Status: <a'-L '7 Value of Wood Preliminary InsPection is $15'00 Wood Stove/Pellet/Insert Permit Issuance. Type oflnsPection 6sp{ss is 1