HomeMy WebLinkAboutPermit Mechanical 2001-2-23
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Job# 01-00160-01
Page 1 of 2
TRANS#:01-0004540
DATE:FEB 23 2001
AMT RECD:l $ 30.00
CHANlJE:$ 3.50
CASHIER:003
SPRINGFIELD
~.
RESIDENTIAL PERMIT ,
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00160-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 745 c St Spr
Assessors Map#: 17033513
lot: Block:
Addition:
Tax lot #: 11600
Subdivision:
Owner:
American Legion
344 8th Street
Phone Number: 541-746-1752
City/State/Zip: Springfield, OR 97477
New Value: $0
Address: -
Scope Of Work: Mechanical
Replacing electric furnace
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.
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
, Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Mechanical
02/23/2001 4540
02/23/2001 4540
02/23/2001 4540
02/23/2001 4540
02/23/2001 4540
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee,- Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
I Job# 01-00160-01 I Page 2 of 2
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 agre_e to ensure that all required ins'pections are
requested at the proper time and that the project address is readable from the street.
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