HomeMy WebLinkAboutPermit Building 1984-12-07N
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CITY OF SPRINFIE-_::
COMEI NATI ON APPLICATION/PERMIT 3753
Job Address 4 ill5l "".'Xf
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l.later HeaterLegal Description
Owner Ctrv ar €nnoe.€(;>Value of l,lork:?48={"G
Sq. FtO. I'ia in_
Sq. Ftg. Access.--
Sq. Ftg. Other
l!ew_Add)@IlaT-lep. -
_Demo Change/Use
_ot
Fence
her
PhoneAddress ZZ S Ng S-e Sn Qui l(,ing Permit Info: Describe l^lork(Family Residence llith Attached Garaqe
.e., Build Single
V . *< -jZqrr€<.7- ZZC-B6C?Av5rnu<r $afr-2sa.-
Constructi on Lender Bn Z*na-v6rr? Dn
Addres s Phone
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DESIGN TEAM name addres s lics. no.exo i res phone no.
Structura I
O
/,E l ectri ca l
Mec han i ca I n
CONTRACTORS n ame add res s I lics- no exD l res ohone no- )
Gqnqlal r%nnts 7 kta-r - fu ,Fibt/.Ba€ *-€c:4eze 6Qz-m>
f lumbino Nax e
nical
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PLUI1B I NG ELECTR I CAL 14ECHAN I CAL
FEE CHARGE NN FFF .I.,14 PGF NO FFF l.HA PGF
Each single fixture Residence of
FTSQ
furnace/burner to
BTU' s
Relocated building
(new fi x. addi ti ona l )
New circuits alts.
or extensions2 on tW€
Floor furnace
and vent
S. F. Res i dence(l bath)SERV I CES Recessed wal l
Soace heater and vent-
Duplex (1 bath) each I ,*m/W<atno,2r1'
Additional bath Temporary Constructi on Apol iance vent
seDa rate
l.later servi ce Change in existing
rps i denrc
Stationar.v evap
cool er
Sewer Industrial
multifamily, conrn. or Vent fan with
sinole drrct
Storm Sewer 0f amps,Vent system apart from
heatinq or A.C.
coMr.r./rND. FEEDERS i\4echani cal exhaust
hood and duct
Instal I /al ter/rel ocate
di <tri h fepdcrs l.lood stove/heater
0f amps.
ffi
TOTAL CHARGES TOTAL CHARGES /f,-*TOTAL CHARGES 2q.*
IIHERE STATE L1\ll REQUIRES that the Electrical work be done by an Electrical Contractor, theshall not be valiC until the label has been signed by an Electrical Supervisor and returned to
electrical portion of this permit
the Building Division
I HAVE CAREFULLY EXAMINED the completed apolication for oermit, and do hereb.y certify that all information hereo
and correct, and I further certify that any and all work performed shall be done in accoidance with the Ord'inances oof Springfield and the Laws of the State of 0reqon pertaining to the work described herein, and that l.l0 0CCUPAI,ICY wi
)^I'lAtlE(please print)S IGNATURE
permission of the Buildinq Divisffect as required by ORS 701.055,
ion, I further certify that m.y reqistration vrith the B
the basis for ion is noted
'I I be usedonly subcontractors and employees who are in comoliance with
n is truef the City
I I be made
uilder's
, and that
of any structure without the
Board is in full force and e
(/
Ftg . l'la i
Ftg 0the r
al
tue?{*S-
TOTAL VALUATIOII
Fire Zone Bedrooms 0ccy Val ue
Zone const.3:t//rF1ffii*
Flood Plain Stories
Load So
^"ouo7-Z-ro
. Fto. Access x
Plan Ck. Conrn/Ind
65%/B1da Per Fee ??.$o Svsterns Deve
Charqe tl.51
opment N.4-BUILOING PERI.IIT
Charges and
Surcharges
___//z 'A
v,Plan Ck. Res
30%/BIdq Per Fee
FencePLUI4BING PERMIT
Charges and
Surc ha rges ---N4--.-
D6mo
Sidewal kELECTRICAL PERIlIT
Charges and
Surcha rges -6;Cr-
A/C Paving Tota'l Cornb. I'ermi t /D.ay
Curb CutI,IECHANICAL PERMIT
Charges and
Surc harges
acl___2 tVo EE€1t7f ,/oBTOTAL
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