HomeMy WebLinkAboutPermit Mechanical 2002-11-18
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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
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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
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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
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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.
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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.
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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
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City of Springfield
Mechanical Permit
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PERMIT NO.: MEC2002-00112
ISSUED: 11118/2002
APPLIED: 11118/2002
EXPIRES: 5/18/2003
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