HomeMy WebLinkAboutPermit Building 2000-8-16
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I Job# 00-01262-01 I
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TRANSU:01-0002939
DATE:AUG 16 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01262-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1583 Oelrose Ave Spr
Assessors Map#: 17032434
Lot: Block: Addition:
Tax Lot #: 00109
Subdivision:
Owner:
Joe Ankeny
1583 Oelrose Ave
Phone Number: 541-747-8680
City/State/Zip:
Springfield, OR 94778
Value: $0
Address:
Contractor Type
Mechanical Contr
Scope Of Work: Mechanical Alteration
New Gas service and fireplace, water heater
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S~rJJ~nCent:"edbYtheo~; ~. .' Registration #
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P~9~E~t'<5RJ9Vt40J1R e Set fo.
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Zoning Code:
Bedrooms:
Range:
Expiration Date
3/27/01
Phone
541-465-4737
Quad Area: '. .
# Of Units:
Constr. Type:
Water Heater:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Rough Gas
Gas Service
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made th:.\'s~me:working day, inspections requested after 7:00 a.m. will be made the following
working day. TH/SPER'"
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Pressure te:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ Main: Accessory:
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# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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Job# 00-01262-01
Paid On Receipt#
Mechanical
08/16/2000 2939
08/16/2000 2939
08/16/2000 2939
08/16/2000 2939
08/16/2000 2939
08/16/2000 2939
Fee
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Gas Fireplace
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
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Value/Quantity Fee Amount
1 $2.00
$8.50
$.45
1 $4.50
$10.00
$1.05
$26.50
$26.50
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 p~i~e and that the project address is readable from the street.
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Signature
57r~oiJ
Date