HomeMy WebLinkAboutPermit Mechanical 2002-12-13City of Springfield
Mechanical Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-3676Fax
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
MEC2002-00126
r211312002
12n3t2002
6n3t2003
SITE ADDRESS:
ASSESSORS PARCEL NO.:
2484 35TH ST
1702194200700
Springfield
TYPE OF WORK:
ryPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install Gas Insert and Piping
OWITTER/APPLICANT:
BISHOP KENDA SUE TE
2484 35TH ST
SPRINGFIELD OP.97477
BISHOP LIVING TRUST
2484 35TH ST
SPRINGFIELD OP.97477
BISHOP JERRY D TE
2484 35TH ST
SPRINGFIELD OP.97477
MECHANICAL CONTRACTOR:
MARSHALLS INC
4110 OLYMPIC STREET
SPRINGFIELD OR 97478
12123/2003
541-747-7445
CCB # 25790 Expiration Date:
Description
+ 7%o State Surcharge
+ 8% Administrative Fee
-Issuance Fee-
Gas Fireplace
Gas Outlets l-4
Minimum/Adj ustments - Mech
Receipt NumberAmount Paid
3.15
3.60
10.00
15.00
4.00
26.00
Date Paid
t2n3t2002
t2/1312002
r211312002
1211312002
t2/13/2002
t211312002
2200200000000000300
2200200000000000300
2200200000000000300
2200200000000000300
2200200000000000300
2200200000000000300
Cashier
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To Request an inspection call the 24 hour recording at726-37691ffiffiections requested before 7:00 a.m. will be made
the same working day, inspections requested after 7:00 a.m. will hfi9$dkvfi+tgWhtl1rXFtre4p,f Hf trygRK
Required Insnections:COMMENCED OR IS ABANDONED FOR
1 Roush Gas: After line is installed and capped irnot ufl$Jrl8?J#.BF[l0n?..
2 Rough Mechanical: Prior to Cover
3 Final Gas: When all gas work is complete.
4 Final Mechanical: When all mechanical work is complete.
City of Springfield
Mechanical Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
541-726-367 6Fax
541-7 26-3769 Inspection Line
Contracton Simature
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
[{EC2002-00126
12n3t2002
12n3t2002
6n3t2003
By Signature, I state and agree, that I have carefully examined the completed application and do hereby certiff that all
ffirmation hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the laws of the State of Oregon pertaining to the work described herein. I
further certii/ that only contractors and employees who are in compliance with ORS 701.055 willbe used on this project. I
further agee 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 of plans, if applicable, will remain on the site at all times during construction.
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Date
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