HomeMy WebLinkAboutPermit Mechanical 2000-12-11
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I Job# 00-01773-01 I
Page 1 of 2
TRANS#:Oi-0004005
DATE:DEC 11 2000
AMT RECD:2 $ 26.50
I) $. 1)6' fiO
t.... L.. ow
CHANGE:
CASHIER: 059
EDZ1J:"~j.lh'[~/I=rd
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01773-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 359 Blackstone St Spr
Assessors Map#: 17032334
Lot: Block: Addition:
_ , Registr,ation # ~xpiration Date
. /'\ I ;. j. I :.\....... ~. " :~:jG\. ., .c:.,.,- d~..,.-:h.'~~~':"'Y f.Q:U r..
Comfort Flow Heating Co , - I " a4o6t,Ote~o' '0" t"'.C: l""r,&.t,,2~!Q~ii1''i1,'Il.V
, . t 0110\1" ru 8f! a . ,J , , d ,Ie. (Y"~J~. _tJll.~. ."
1951 Don St Ste D, Spnngt~r~fljf~~tlorr Cemer rhO~~dM!\~~r~$ettcrti
97477-1993 Hi'OAR 952~Om-OOlOtli11@tilIg~OAR~2-o0t.
; '0ftfteYe~'ernav obtaj~ ~~r~~ <0' ma rules 0)':
calling tne centel tNore: m~telephone. .
Land U~rJmber tor the Oregon ',),tility Ndt.1~J3.~gI1dmgs:
Z~ming Code: Cs"'-:-:' ',,:::,_'-!i"J."~344~ccupancy Group:
Bedrooms: Heat Source:
Ra'nge: Sq. Footage:
Owner:
Marilyn Goude
359 Blackstone St
Address:
Scope Of Work: Mechanical
new heat pump
Contractor Type
Mechanical Contr
Contractor
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rough Mechanical
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
Tax Lot #: 08800
Subdivision:
Phone Number: 541-746-1226
City/State/Zip: Springfield, OR 97477
('
Alteration Value: $0
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Phone
541-726-0100
;
.,.
Job# 00-01773-01
Page 2 of 2
Fee
Paid On Receipt#
Mechanical
12/11/2000 4005
12/11/2000 4005
12/11/2000 4005
12/11/2000 4005
12/11/2000 4005
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical Issuance
State Surcharge - Mechanica,l
Total Mechanical
1
$9.00
$.45
$6.00
$10.00
$1.05
$26.50
$26.50
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 don.e 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
O~ 701.055 will be used on this project. I further agree to ensure that all required inspections are
r<iQ:;~the~=at~e project address is readable from the street .2Jl r / 6a
5i~nature ,Date