HomeMy WebLinkAboutPermit Mechanical 2000-2-2 (2)
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iJob# 00-00162-01 I
Page 1 012
TRANSB:Ol-0000438
DATE:FEB 02 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER: 059
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CITY OF SPRINGFIELD~ OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00162-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
LocatiDn Of Proposed Site: 4400 Franklin Blvd Spr
Assessors Map#: 17033444
Lot: Block: Addition:
Tax Lot #: 00800
Subdivision:
Owner:
Address:
Scope Of WDrk: Mechanical
Phone Number:
Clty/StatelZip:
Alteration
Value: $0
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heatin9 & Air Condit'
706 Oscar St, Eugene, OR
Registration # Expiration Date
Phone
345-283-8
Quad Area:
# Of Units:
CDnstr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. FODtage:
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.
Final Mechanical
Required Inspections
I Mechanical
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Recelpt#
Mechanical
02/02/2000 438
02/02/2000 438
Value/Quantity
Fee AmDunt
Minimum Mechanical Permit
Mechanical Administrative Fee
$11.00
$.45
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Job# 00-00162-01
Paid On Receipt#
I Mechanical
02/02/2000 438
02/02/2000 438
02/02/2000 438
Fee
10,000 Cubic Feet or Less
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
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Page 2 of 2
Value/Quantity Fee Amount
I
1
$4.00
$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 Spnngfield 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 ~he proper ~ that~e project address is readable from the street.
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SignatUre - - U 0--
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Date