HomeMy WebLinkAboutPermit Mechanical 2000-7-26
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I Job# 00-01159-01 I
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Page 1 of 2
TRANS#:01-0002678
DATE:JUL 26 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
SPRINGFIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01159-01
225 North Fifth Street
Springfield, OR 97477
Addition:
Office: 726-3759
Inspection Line: 726-3769~, '
Tax Lot#: 06100
Subdivision:
Location Of Proposed Site:
Assessors Map#: 17032343
Lot: Block:
848 McKenzie Crest Dr Spr
Owner:
Christine Hathaway
848 McKenzie Crest Dr
Phone Number: 541-747-8118
City/StatelZip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
gas piping to new boiler
Contractor Type
Mechanical Contr
Contractor
Marshalls Heating
4110 Olympic Street, Springfield, OR
97478
Registration # Expiration Date
Phone
541-747-7445
Office Use
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat Source:
Range: ATTENTION;Slf9660Uimf.9quires you \.
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iOIlOWrUltltl........... - ' I ra set fon
To request an inspection call the 24 hour recording at 726-3769. AI~~tEJal8"d>rnl~~a=.()O,
a,m. will be made the same working day, inspections requested after"<YA!A~dl\\m~!,lWHl\rrU~ by
working day. 0090. Vou may obta\n CO",,:,,;:, ..........0'119
~IIJnpthe ......L..... (Note. U,S ''''~''
Required Inspections '1UmbSrfOrUl3ultl\:lUfI ~;;U~/.j~-
Mechanical I Center!!: ~.aro-332.2344).
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Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Rough Gas
Final Gas
-When all gas work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq, Feet)
I Main: Accessory:
NOTICE: -
# Of Stories: THeight-lfeet\:HALL EXPIRE IF THE WORK
Ml" I 't:r1IVIII U
Current Units: JjWrJ~lii~v~.jERTHISPERMITISNO'I
Census Code: Does not apply COMMENCED OR IS ABANDONED FOR
Total: I ANY 180 DAY PERIOD.
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Fee
Job# 00-01159-01
Paid On Receipt#
Mechanical
07/26/2000 2678
07/26/2000 2678
07/26/2000 2678
07/26/2000 2678
07/26/2000 2678
07/26/2000 2678
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
3hp -- 100,000 BTU
Mechanica' Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
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Page 2 of2
Value/Quantity Fee Amount
I
1
$2,00
$13.00
$.45
$,00
$10,00
$1.05
$26.50
$26.50
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time and that the project address is readable from the street.
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