HomeMy WebLinkAboutPermit Building 2010-3-29
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00372
ISSUED: 03/29/2010
APPLIED: 03/29/2010
EXPIRES: 09/29/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
L Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$9.48
$3.95
$79.0W
3/29/10
3/29/10
3/29/1 0
Receipt Number
3201000000000000102
3201000000000000102
3201000000000000102
Total Amount Paid
$92.43
I Plan Reviews I
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, i~~p~ctions requested after 7:00 a.m. will be made the following
work day. . . .-.
Reouired InsDections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any arid all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the ",aws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struc'ture without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from lhe
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Date
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Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000102
9: (2:04AM
Date: 03/29/2010
Job/Journal Number
COM20 I 0-00372
COM20 I 0-00372
COM20 I 0-00372
Payments:
Type of Paymeot
ONLINE CHGS
cReceintl
Description
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
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ONLINE marsh a lis Online
Payment Total:
$92.43
$92.43
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