HomeMy WebLinkAboutPermit Mechanical 2001-3-23
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SPRINGFIELD
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I Job# 01-00284-01 I
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Page 1 of 2
TRANS#:01-0004753
DATE: MAR 23 2001
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:003
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00284~01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1218 Quinalt St Spr
Assessors Map#: 17032641
Lot: Block: Addition:
Owner:
Address:
Larry Lansbery
1218 Quinalt Street
Scope Of Work: Mechanical
Tax Lot #: 16200
Subdivision:
Phone Number: 541-747-8324
City/State/Zip: Springfield, OR 97477
New Value: $0
New gas line. water heater and fireplace insert.
Contractor Type
Mechanical Contr
Contractor
Larry Lansbery
1218 Quinalt Street, Springfield, OR
97477
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? 0
iArea (Sq. Feet)
I Main: Accessory:
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Fee
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
ApplianceVent (Not Covered in Schedul(
Gas Fireplace
Mechanical Issuance
Registration # Expiration Date
Phone
541-747-8324
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Mechanical
03/23/2001 4753
03/23/2001 4753
03/23/2001 4753
03/23/2001 4753
03/23/2001 4753
03/23/2001 4753
Value/Quantity
Fee Amount
1
$2.00
$4.00
$.45
$4.50
$4.50
$10.00
1
1
, .,'
....
Fee
State Surcharge - Mechanical
Total Mechanical
Grand Total
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Job# 01-00284-01
Paid On Receipt#
Mechanical
03/23/2001 4753
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Page 2 of 2
Value/Quantity
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 thO project. I further agree to ensure that all required inspections are
re~ue e at the pr pe me a hat ~ess is readable from the street. C-11J~
o
Date
Fee Amount
$1.05
$26.50
$26.50
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