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HomeMy WebLinkAboutPermit Mechanical 2000-9-11 -.... ., . ~ I Job# 00-01369-01 I . Page 1 of2 TRANS#:01-0003167 DATE:SEP 11 2000 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01369-01 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 1027 Quinalt St Spr Assessors Map#: 17032641 lot: Block: Addition: Owner: Thomas Dorsey 2045 Pierce Str Address: Tax lot #: 15900 Subdivision: Phone Number: 541-465-9629 City/State/Zip: Eugene, OR 97405 Value: $3,000 Scope Of Work: Wood or Pellet Stove Alteration Inspect a previously installed pellet stove Office Use land Use: # Of Buildings: Zoning Code: Occupancy Group: Bedrooms: , Heat Source: 'OJ.! -'t Range: '1l0-:lq11F,00tilge: tl'''~ tJ/Q,.. ... ~ , 'I~ ;"(101) .qIJO/J.~' <J. To request an inspection call the 24 hour recording at 726-3769. All inspection~ ~~.~9flml/~'Q)Yti; 1::'-/"1/& a.m. will be made the same working day, inspections requested after 7:00 a.m. 't<:ll.l?~~dWl~l.P)I~ eOreg ~;uu working day. nu ~1I){}lh laYObt.a,othrou rUleSar. OI)Ulilil , If/be eCe'1l II)C '!1hQ eSet .' , d I .. r,,,.., 1",.. 0"'_ ill/:)_ ,,,_ ReqUIre nspectlons . " ";<<:10 ,'vO' 'vlJ,;.. ~"'C'.n . Q", ~ ,e'lh "Ie VOl I Mechanical '~';-, ~'l~l)lJlill~ elele/J;Ulesb, -After installation. ''?'?., 'JIIVOlif,. o"e . . '>?crcr} ICalio" Quad Area: # Of Units: Constr. Type: Water Heater: Pellet Insert Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: Fee Minimum Mechanical Permit Mechanical Administrative Fee Pellet Insert Mechanical Issuance 7i~?""C~. # Of Stories: .4 li,He!g~t (feet): Current Units: C U7iPl!:op~~;Units: Census Code: Does not ap'piylll1c~I<CD U~;1.L CJ(P,IA.r- A"Y70 CCDQ '[;r:r.,.,. c/~.,.,. I oDD 'f:/1. 'filS" 'I'fl:/IJt. Total: 'A. y PCRI"~ .48.4",~"),,~r:rMlllt'. Or:rk Paid On Receipt# Mechanical 09/11/2000 3167 09/11/2000 3167 09/11/2000 3167 09/11/2000 3167 Value/QuantitY- "'UAFee 'Amount I 3,000 $.00 $.45 $15.00 $10,00 . . . Fee . State Surcharge For Mechanical Permit Total Mechanical Grand Total C!~- . (, ~. Signature . :::::l U Job# 00-01369-01 I Paid On Receip1# Mechanical 09/11/2000 3167 . Page 2 of2 Value/Quantity Fee Amount $1.05 $26,50 $26,50 7-1/- OV Date