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HomeMy WebLinkAboutPermit Mechanical 2000-9-21 .~ ~ . Job# 00-01430-01 . . . . Page 1 of2 TRANS#:01-0003279 DATE:SEP 21 2000 AMT RECD:1 $ 27.00 CHANGE:$ 0.50 CASHIER:061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01430-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 551 Mallard Ave Spr Assessors Map#: 17032213 Lot: Block: Addition: Tax Lot #: 15900 Subdivision: Owner: Marshall Humphries 551 Mallard Av Phone Number: 541-741-7370 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: Scope Of Work: Mechanical gas furnace Contractor Type Mechanical Contr Contractor Wilder Heating and Cooling PO Box 41570, Eugene, OR 97477 Registration # Expiration Date .Phone 541-741-7370 Office Use Quad Area: Land Use: # Of Buildings: # Of Units: Zoning Code: Occupancy Group: Constr. Type: Bedrooms: Heat Source: Ire< you Ie Water Heater: Range: ", \ cl"! '\.JI\j:\.Sq9FOOt~9:io~ureno-n Utili!' . '__ ..."'....~."'.arll'\\J ula ~ ) lu,lv" '.u,v_ ---,. Th 'se ruleS are set lon' To request an inspection call the 24 hour recording at 726-3769. A[Jtil.i$peGtiOn~ren~flbte~tiefo\e(~iQ.o, 952-001. a.m. will be made the same working day, inspections requested afterl7i;OOla\.~'WiIPt:l~1rIMH~~~~f,O~PYt'i!]gUleS by working day. 0090. you may ~?~~'{~ote:thetelephone . . calling the ce _ '. _ _ ..."".. ~I^..f;""tinn ReqUired Inspect'oniflumOl3flUl '""'-"V>lV" -...., Mechanical I Cellter;f 1.8(\0-<\32-2344). - Prior to cover. 1 - When all mechanical work is complete. Rough Mechanical Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: NOTICE: # Of Stories: THISlilllightj(feet):LLEXPIRE IFTHEWORK rt:.IIIVI , .,JII."\ Current Units: RPOrop.osed Units; THIS PERMIT IS NOT AUT nlLcU UI'JUL-n Census Code: Does not ap8~MMENCED OR IS ABANDONED FOR Total: I ANY 180 DAY PERIOD. . . Job# 00-01430-01 . Page 2 of 2 . Fee Paid On Receipt# I Mechanical 09/21/2000 3279 09/21/2000 3279 09/21/2000 3279 09/21/2000 3279 09/21/2000 3279 Value/Quantity Fee Amount Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical 1 $9.00 $.45 $6.00 $10.00 $1.05 $26.50 $26.50 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. ~/J/77 'V/IiI_' q -- ~ J.- oC Signature" - - Date