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HomeMy WebLinkAboutPermit Mechanical 2000-2-2 " . . , I Job# 00-00163-01 I Page 1 OffuANS#:01-0000439 DATE:FEB 02 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00163-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6685 Main St Spr Assessors Map#: 17023444 Lot: Block: Addition: Tax Lot #: 01500 Subdivision: ~ \ Owner: Address: Ralph Abell 6685 Main St Phone Number: 541-747-0815 City/StatelZip: Springfield, OR 97478 Alteration Value: $0 Scope Of Work: Mechanical Contractor Type Mechanical Contr Contractor Marshalls Oil and Insulation 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a.m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following working day, Rough Gas Rough Mechanical Final Gas Final Mechanical Required Inspections I Mechanical I -After line is installed and capped if not attached to an appliance, - Prior to cover, -When all gas work is complete, -When all mechanical work is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: , . . . Fee Job# 00-00163-01 I Paid On Receipt# Mechanical 02/02/2000 439 02/02/2000 439 02/02/2000 439 02102/2000 439 02/02/2000 439 02102/2000 439 Page 2 of2 Value/Quantity Fee Amount One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Grand Total 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. #A,d/ ),d/A.4-v' ')./~/tf'" Signature ' 'I Date 1 $2,00 $7,00 $.45 $6,00 $10,00 $1.05 $26.50 $26.50 1