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HomeMy WebLinkAboutPermit Mechanical 2000-12-18SPNINGFIELD Job# 00-01797-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 TRAI'ISS: 01-000405? DATE:I]EI 1E IOOI} Al'1T RE[D:1 $ ?6.5CI [HAN6[: IA$HIIR:0&1 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1322 00007th St Spr AssessorsMap#: 17032643 Lot: Block: Addition: Job Number: 00-01 797-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 10100 Subdivision: crTY oF sPR nrGFtELD, OREGON Owner: Fran Nicholas Address: 1322 7th St Scope Of Work: Wood or Pellet Stove Phone Number: City/State/Zip: New 541-746-7392 Springfield, OR97477 Value: $O wood stove 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.. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Mechanical Wood Stove -After installation. I Construction TYPes: Occupancy GrouPs: # Of Buildings: # Of Bedrooms: Handicap Access? (sq.F Main:Accessory: Minimum Mechanical Permit Administrative Fee - Mechanical Woodstove Mechanical lssuance # Of Stories: Height (feet): Current Units: *- ProPosed Units Census Code: Does not aPPIY Total: Paid On ReceiPt# ValuFee 12t1812000 1211812000 1211812000 1211812000 4057 4057 4057 4057 Mechanical Fee $.00 $.45 $15.00 $10.00 Job# 00-01797-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Mechanical Total Mechanical Mechanical 1211812000 4057 $1.05 $26.50 Grand Total By signing this permiUapplication, I agree to callfor an inspection(s) as required (726-3769). I state that all information on this application is correct. I further state that the appliance I am installing meets smoke emission standards as set by the Oregon Department of Environmental Quality or the Federal Environmental Protection Agency and I agree to provide the testing approval number to the inspector at the time of inspection. I also understand that if I am requesting a preliminary inspection, be required to be removed. sig re $26.50 0 o Date PRINGFIELD eport lD : SPRA103 Voucher lD : Handling Gode: 00028764 RE City of Springfiel Voucher I I i Vendor Number: Voucher Date : lnvoice # : Approver: Operator: Gross Amount : BY Proi/Grant 0000005962 Feb 21, 2001 2-21-2001 Puent,David wtLS5940 21.20 Amount Nicholas,Fran 13227th Street Springfield, OR 97477 )escription llechanical Refund Account Fund 9g Subclass 215004 425602 426605 2001 2001 2001 0.84 20.00 0.36 821 100 100 )omments: 'ob number 00-01797-01, ok'd by Lisa Hopper l3zz k s+- Pirli.