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HomeMy WebLinkAboutPermit Mechanical 2000-11-20 - , . . . Job# 00-01694-01 Page 1 of 2 TRANS#:01-0003831 DATE:NDV 20 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 061 SPAINGFIELD ~- RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01694-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 821 Olympic Ave Spr Assessors Map#: 17032642 Lot: Block: Addition: Tax Lot #: 04200 Subdivision: Owner: Address: Glen & June Ropp 821 olympic ave Phone Number: 541-747-2224 City/State/Zip: springfield, OR 97477 New Value: $0 Scope Of Work: Mechanical install fireplace insert Contractor Type Mechanical Contr Contractor Comfort Flow Heating Co 1951 Don SI Sle D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 6/27/2001 Phone 541-726-0100 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. Insert I -After installation, Required Inspections Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Mechanical 11/20/2000 3831 Value/Quantity Fee Amount Minimum Mechanical Permit $10,50 . Job# 00-01694-01 . Page 2 of2 Fee Paid On Receipt# Mechanical 11/20/2000 3831 11/20/2000 3831 11/20/2000 3831 11/20/2000 3831 Value/Quantity Fee Amount Mechanical Administrative Fee Gas Fireplace 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 ~~701.055 will be used on this project. I further agree to ensure that all required inspections are i ~ ~t th roper time andi2: the project address is readable from the street. ~/ 00 ~~~ ~ 1 $.45 $4,50 $10,00 $1,05 $26.50 $26.50