HomeMy WebLinkAboutPermit Mechanical 2003-02-07City of Springfield
Mechanical Permit
Status: Issued
225 Fifth Street
Springfield Oregon 97 477
541-726-3759 Phone
541-726-3676Fax
541-7 26-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2003-00006
2t7t2003
2t7t2003
8t7t2003
SITE ADDRESS:
ASSESSOR'S PARCELNO.:
2425 ITTIJPL
1703243400349
Springfield
TYPE OF WORK:
TYPE OF USE:
Reoair
Residential
PROJECT DESCRIPTION: Replace gas furnace
OWIIERYAPPLICAI\T:
SHERARD FLOYD M TE
2425 N 17TH PL
SPRINGFIELD OR97477
ME CTIAITIICAL C ONTRAC TOR:
ASSOCIATED HEATING & AIR COND 54I.683.2590
PO BOX 412
EUGENE OR 97440
CCB # 106275 Expiration Date: 08/3112004
Descrintion
+ lUYo Administrative Fee
+ 7%o State Surcharge
-Issuance Fee-
Fumace - up to 100.000 btu
Minimum/Adiustments - Mech
IRE lF TH&Effcrumuer
S PER MLtrdhbl&Iooooooozo
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I 200200000000000676
1200200000000000676
0210712003 1200200000000000676
To Request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. willbe made
the same working day, inspections requested after 7:00 a.m. will be made the following working day.
Required Inspections:
1 Rough Mechanical: Prior to
2 Final Mechanical: When all
Amount Paid
4.50
3.15
10.00
12.00
33.00
1
By Signafurer l state and agree, that I
information hereon is tue and correct, and I
the Ordinances ofthe City of Springfield and the
frllher certify that only contractors and employees who
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, and that the approved set ofplans, if applicable, will remain on the site at all times during construction.
Owner or Signature
t/@t+-
lofl
grf,&E
THIS PERMIT
ANY 180
do hereby certiff that all
be done in accordance with
described herein. I
.055 will be used on this project. I
217/2003
2:50:20PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541J26-3759 Phone
Receipt #z 1200200000000000676
Date: 0210712003
Line Items:
Job/Journal Number Description Amount Paid
MEC2003-00006
MEC2003-00006
MEC2003-00006
MEC2003-00006
MEC2003-00006
Furnace - up to 100,000 btu
-Issuance Fee-
Minimum/Adj ustrnents - Mech
+ 7%o State Surcharge
+ l0o/o Administrative Fee
Payments
12.00
10.00
33.00
3. l5
4.50
Line Item Total:$62.65
Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check ASSOCIATED HEATING djb In Person 62.65
Total:
Page I of I cReceipt.rpt
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