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HomeMy WebLinkAboutPermit Mechanical 2002-7-18 \ I Job# 02-00856-01 I Page 1 of 2 TRANS#:Ol-0009977 DA TE : ,JUL 18 2002 AMT RECD:2 $ 185.25 CHANGE: CASHIER:003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00856-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 6848 C St Spr Assessors Map#: 17023532 lot: Block: Addition: Tax lot #: 02300 Subdivision: Owner: Address: Art Leask 6848 C Street Phone Number: 541-726-9437 City/State/Zip: Springfield, OR 97478 New Value: $0 Scope Of Work: Mechanical Install Heat Pump Contractor Type Mechanical Contr Contractor Marshalls Inc 4110 Olympic St, Springfield, OR 97478-5620 Registration # 25790 Expiration Date 12/23/2003 Phone 541-747-7445 _.. \l \ nUlfe::; "1'-'-. .\ \-. \a\J\l <e", on U\\\\ :1 u{ego \ o{eg , rtl"' Quad Area: land Use: IXr\E.\~l \O~:&>~{~U1ltti~~~~s a{e se~_~o'\~' # Of Units: Zoning Code: 'o\\o\fl/ {U\e ~~~~paf.iey ~~eP\R 95 eS bY Constr. Type: Bedrooms: N \\'ica\\on C~~~t>SG\ftl(ffi:~s 0' \"e fU\ e Water Heater: Range: . 0 O~R 952-~~o~lcf~~\ . \"e \e\e?~o~\on In - .-.. r'Oa: ~tf~e. ~ufi"...a 0090. ,0"- ecente\. .- \\\\\iW' ,.. To request an inspection call the 24 hour recording at 726-3769. All inSPEt9~i'Ollf~rmlU~E@_J1;Zr.\G02344). a.m. will be made the same working day, inspections requested after 7:0~6~~A<ffe m~~~.tf:l~Cfbll'6~ing working day. cen\e Office Use Required Inspections Mechanical Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply NOT\CE: EXPIRE IF 1HE WORK 1HIS PERMI1 ~~~~~ 1HIS PERMI1 IS N01 AU1HORNIZCEEDD OR IS ABANDONED FOR COMME ANY 160 DAY PERIOD. Height (feet): Proposed Units: Total: Fee Job# 02-00856-01 I. Paid On Receipt# Mechanical 07/18/2002 9977 07/18/2002 9977 07/18/2002 9977 07/18/2002 '9977 07/18/2002 9977 Page 2 of 2 Value/Quantity Fee Amount Minimum Mechanical Permit 8% Administrative Fee - Mechanical 3hp - - 100,000 BTU Mechanical Issuance State Surcharge - Mechanical 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 requeste~ ~~he ::~r ti:,e./ :n~~he project address is readable from the street. /t;u~e0 /ffr~ ' -;:/ll7u2- SigmMre Dati" $45.00 $3.60 $,00 $10.00 $3.15 $61.75 $61.75