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HomeMy WebLinkAboutPermit Mechanical 2002-11-18 .. . -. City of Springfield Mechanical Permit Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO.: MEC2002-00112 ISSUED: 11118/2002 , APPLIED: 11I18/2002~. . EXPIRES: 5/18/2003 ~ PROJECT DESCRIPTION: Install gas service and appliances _ ,,\(\~'4-. OWNER/APPLICANT: ~'C. \Y '\"~ \<il ~\l~ECHANICAL CONTRACTOR: SPACKMAN JAMES J & BETTY J ~\. 'C.'f..'?~<il '?'t.~~~ Y~~ AMERICAN GAS APPLIANCE SERVIC 541-954-4686 2525 MANOR DR ~fc;. ~ <il~~ '" ,\VI ~~~ 618 HAMILTON ST SPRINGFIELD OR~~ 't.~~\ \J~~Y; ~'O~~ SPRINGFIELD OR 97477 ,\~\<il '? l\~\t't.~ .... ~~ \<il l\'i). ccs # 77621 Expiration Date: 10/31/2004 ...v..\.J ....~v .-J1.\\.J f'ol - ~.."",.-_....... i ~ Deserin!ion f;;,()~\\'O'I!J \'>\:1I1oun! Paid + 7% State Surcharge ~~'t 3.15 + 8% Administrative Fee 3.60 -Issuance Fe..... 10.00 Gas Fireplace 15.00 Gas Outlets 1-4 4.00 Minimum! Adjustments - Mech 26.00 SITE ADDRESS: 2525 MANOR DR ASSESSOR'S PARCEL NO.: 1703233301200 Springfield TYPE OF WORK: TYPE OF USE: Date Paid Receint Number New Residential Cashier 11/18/2002 1200200000000000248 11/18/2002 1200200000000000248 11/18/2002 1200200000000000248 11/18/2002 1200~~QQOO~00248 11/18/200,~ (1 laW 1~\JIl2.:o-9.QAQ9QOOO0248 . ( I"'''' \ WI18:~~~~ b'J \\1J-2~~~~~q,~QqO:l!.~48 . r'\I~"~- . -q;~Qst:,,~,- E90"-v~. To Request an .inspecti~n call ~he 24 hour recoi~~~g"'~\7}6=3::~~:; llhw~~ti~~~~q.18l.gedJ?efore 7:00 a.m. will be made the same workmg day, mspectlons requested after.\J~OO,a,.mCWIIH;e'rnad~the!foIlowlOgi~tkmg day. ;" Q~\"\ "...- ~~\1 obtaI" ~ _ :-_. ,he \e\~,=. _ ...,,0 09U. 'v~. (1\er.,".-.. NU"".- Reouired Insnections: 0 ca\II(19\\'Iece Qregonl..l\\\\\i344)' , ml:le{\or\\'Ie'd_800-'3'3'2.- 1 Gas Service: After line is installed andlihe haS:be~Ij'~onnected to a minimum of one appliance. Presure te: this point. ',' 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. 4 Rough Gas: After line is installed and capped if not attached to an appliance. 5 Final Gas: When all gas work is complete. By Signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all infonnation hereon 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 pertaining to the work described herein. I further certify 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, 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. djb djb djb djb djb djb Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner or Contractors Signature . . City of Springfield Mechanical Permit i!JdJ PERMIT NO.: MEC2002-00112 ISSUED: 11118/2002 APPLIED: 11118/2002 EXPIRES: 5/18/2003 ///(?o "2.- Dale 2 of 2