HomeMy WebLinkAboutPermit Mechanical 2000-9-18
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I Job# 00.01392.01 I
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Page 1 of 2
TRANS#:01-0003229
DATE:SEP 18 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01392-01
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Addition:
Tax Lot #: 04500
Subdivision:
*
Location Of Proposed Site: 1999
Assessors Map#: 17033642
Lot: Block:
Main St
Spr
Owner:
Wayne Howard
1999 Main St
Phone Number: 541-747-7116
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Harvey & Price Co
Po Box 1910, Eugene, OR 97440-1910
Registration #
77
Expiration Date
10/31/2000
Phone
541-746-1621
Office Use
Land Use: # Of Buildings:
Zoning Code: Occupancy Group:
Bedrooms: Heat Source:
Range: Sq. Footage:
NOT ICt::
To request an inspection call the 24 hour recording at 726-3769. All in~P!l<<tions{l1gue~ted befof,!!ll:OOrHEWORK
a.m. will be made the same working day, inspections requested after 7:<r0'~tnt~i11 be- m'lldeq~e follo'Willg
working day. AUTHORIZED UNDER THIS PERMIT IS NOT
R . d I t' r(1MMJ:l\lrJ:n ()R IS ABANDONED FOR
equlre nspec Ions
Mechanical i NY 180 DAY PERIOD.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
ATTENTION:lJregol. ,aV\ ItlL\u'It:l> IV" '
follow rules adopted by the Oregon Utiln
# Of Stories: NotifiOilfiigbC{feet):- Those rules are setfo';
Current Units: in OAIPP~~'l}1r(miiQ;':hro~ghOAR952-o0"
flllQO You may ootalO caples ofthe rules v:l
Census Code: Does not ~iling the center. (Note: the telephone
I numberforthe Oregon Utility Notification
Total: , Certer!" :.:!'X).33:?-2344).
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Job# 00-01392.01
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Value/Quantity Fee Amount
I
Fee
Paid On Receipt#
Mechanical
09/18/2000 3229
09/18/2000 3229
09/18/2000 3229
09/18/2000 . 3229
09/18/2000 3229
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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
reque d at the prqger ti(1le and that the proj~ address is readable from the street.
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Signature
Date
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Tha~k yc~, V~:~n:2 ~.