HomeMy WebLinkAboutPermit Mechanical 2002-10-30City of Springfield
Mechanical Permit
Status: Iss ued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-3676Fax
541-726-3769 InsPection Line
SITE ADDRESS:
ASSESSORS PARCEL NO.:
1964 17TH ST
1703252402701
Springfield
TYPE OF WORK:
TYPEOF USE:
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-00109
r0t3012002
1013012002
4t3012003
Alteration
Residential
PROJECTDESCRIPTION: Relocatewoodstove
O1A'NEBIALP-LIEANL
MOORE NEAL L & SHERI E
1964 N 17TH ST
SPRINGFIELD OP.97477
Description
+ 1Yo State Surcharge
+ 8% Administrative Fee
-Issuance Fee-
Minimum/Adjustments - Mech
Wood Stove
MECHANIC AL CONTRACTOR:
NEAL
1 964
MOORE
97477
s4t-741-2508
Date: 0210712004
65
o$I 200200000000000 1 65
To Request an inspection call the 24 hour All inspections requeste d before 7:00 a.m. will be made
the same working day, inspections requested a.m. will be made the following day
Required Insnections:
1 Wood Stove: After Installation.
By Signature, I state and agree, that I have application and do hereby certifu that all
information hereon is true and correct, and I further c performed shall be done in accordance with
the Ordinances of the City of Springfield and the laws pertaining to the work described herein. I
further certiff that only contractors and employees who e with ORS 701.055 will be used on this project. I
further agree to ensure that all required inspections are at the proper time, that each addres is readable from the
street, and that the approved set of plans, if applicable, will remain on the site at all times during construction.
Amount Paid \)(
3.15 .t)t"165
165
165
Cashier
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Date
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