HomeMy WebLinkAboutPermit Mechanical 2000-8-7
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I Job# 00-01216-01 I
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Page 1 of2
TRANS#:01-0002842
DATE:AUG 07 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:059
SPRINGFlBLD
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01216-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Propose' :'ito:
Assessors Map#: 17033631
Lot: Block:
~ -, ~ ,
II..\}
I.:.\IN St
Spr
Addition:
Tax Lot #: 01800
Subdivision:
Owner:
ENLIVEN SPIRITS
P.O. BOX 71433
Phone Number: 541-726-0113
City/State/Zip: EUGENE, OR 97401
New Value: $0
Address:
Scope Of Work: Mechanical
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land US8:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection C?I! :h~ 2.: >,. . '~cord;~,9 8t726-3769. All inspections requested before 7:00
a.m. will be made th _ ,r~', I' . ~;)cc:i-"'s requested 3f:er 7:00 a.m. will be made the following
working dUj.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
IArea (Sq. Feet)
I Main: Accessory:
R . d I . -, .. ., . ., -. ,;.1 ,,<1~\ ''''4...1I''~ 1U.':'.;.~
eqlllre nspectlon.~f.~" . . - db tlleUltlyu" ~,\(..,'
i Mechanical ,ol~wr.UlesadoPteThOSY erulesaresetfortl
- 'catlonCenter. OAR952-OO1'
-Prior to co'/",r. ''loti 1 52'()01-0010thro~gll les b
-When allmec.lunic31 \".'3:k is complete:nOAR9 obtain copies ofthe ru y
0090. you may 'Note.thetelepllone
calling the cen~r. \ on Utility Notification
l'umberforthe. ~e2"rl.'\"?_'n44\,
C'1"t,.,,~ -. .
Rough Mechanical
Final Mechanical
# Of Stories: Height (feet):
Current Units: Prop!s'JdTJ'.<i'&'::
Census Code: Does not apply
Total:
THIS PERMIT SHAll EXPIRE IFTHE
~~~~~RIZED UNDER THIS PERMIT I~~~~
NCEDOR Ie: I\C^^,,,~. .__ _..
Fee
Paid On
f\lll j~ 10') I il'v ~J::"r-"nD
Receipt# value/Quantity' .
Fee Amount
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Mechanical Issuance
L~
08/07/2000
08/07/2000
; 3/07/2000
3/07/2000
Mechanical
2842
2842
2842
2842
1
$4.50
$10.50
$.45
$10.00
r
...... ..
Fee
.
State Surcharge Fu; ~.;[)c~'" . :.1' ~,",' '
Total Mechanical
Grand Total
L!9~~ 00-01216-01
Paid On
Receipt#
l__ Mechanical
08/07/2000 2842
.
Page 2 of2
Value/Quantity Fee Amount
$1.05
$26.50
$26.50
By signature, I state and agree Ihall hove careful'y examined the completed application and do
hereby certify that all inform3tion herein i,; Irue and correct. and I further certify that any and all work
performed shall be done in accordance v. ",the O,c1:llances of 1118 City of Springfield and the Laws of
the State of Oregon. I furlher stale thai, . " ccn:r,;c:ors and employees who are in compliance with
ORS 701.055 will!)" used on this prcje:t. I further "gree to ensure that all required inspections are
re~::he ('''r limp C:: I"a':' "-~je,1 a :dress is rea: "-Ie from the street.
jGiQnature O.
y:, -7- 00
9.. Date