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HomeMy WebLinkAboutPermit Mechanical 2002-1-11 Job# 02-00036-01 Page 1 of 2 TRANS#~01-0007743 DATE:JAN i1 2002 AMT RECD:2 $ 61.75 CHANGE: CASHIER:061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00036-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2328 Beverly St Spr Assessors Map#: 17032722 Lot: Block: Addition: Tax Lot #: 04800 Subdivision: Owner: Troy Latham Address: 2328 Beverly Street Scope Of Work: Mechanical Phone Number: 541-747-6887 City/State/Zip: Springfield, OR 97477 New Value: $0 Install new gas service . ~f''Rv.. f\\'\t:. . 0\ Office Use ~. x."'?\~X. ~ ~"^~ \s ~ Quad Area: Land Use: ~O""\\C ~\\ s\'\[:>.\..\.. ~<iB~Yff\~'P~ # Of Units: Zoning Code: \\,\\s?x.~ ix.DU~D:Q.~~y Group: Constr. Type: Bedrooms: ~\\'\O~' ~Do~\'q.feat Source: Water Heater: Range: O~,,^x.~G ..I ?x.~\i~: Footage: r. - Dr-:'1 - 'h\'{ ,\'0\1 . To request an inspection call the 24 hour recording at 726-3769. ~ir 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. Gas Service Required Inspections '\0 oU. . I Mechanical I 0\ \\~'?,s 'i \ ,,;~~t.":l 1('\ -After line is installed and line has been connected to a1r;r;JiniRju~;:6f~h~~apRliance, e>:CCl" " I,r~"\~.) ',,,.J' . ,.~~e, -;:<....'.... ~ ,l) ~... \^.~\,p1( '~~(\ \)'.1 ':'. ,.., \\c,;::" f:C ?F:.it.;v.,_ "'.... ~ \. " o()~ ~- (.. ..' ~. ^" ....,.. \)1 ~~~, \ \ 0." + , r\O, ........1""y\'j../i:::..?' ~...., l.....H-.... <to \\':.':/- A"-'f '(:..0,- t , ,~}:-t.....' ... ,"'~ ....... '0\' . 'he:' \.. ...., r:-~ 1\.\' ..O.,~ ,..~~. ""'1'/'-"-' 0""'" \r""'~ r ,,.l ~\;,~...- r~c::"f\:tu . ),{\\",~'-" +..,.C" ~\ ' ~p..;:)'t\'-...l;., '^ ",rI\\O<;'~ .~ I l\ ~-,,,. f.l<"; t ~ ,... ....,"')\~/..... ~ ~~e\''''''~. ,,:\\\O\, ,.~J" ~~{\~J~ ...:","'! <"t..' '\,'" ;.,J(.,~ :}i(\'O.. a.',!i-,C(). :~,'1;~C'()-~ ~fi"i...)V" 1~.:eC).\\t. ,...,:p'. \~~ 'i'\O\~\1. ,,-V.,," . n~',v ' 01,.;" "'<\l}I." .",",' \'. \',.,. ,,\1\~-\ ",.. t'I'\?-'-! ''''\ \,\ ''\l','-:,'', , ,. ;J;'j' # Of Stories: \~, or;.. '{O\:'1~!{J.~:t'(fe.~l),p\'\ "", ;,9:!t::/'t . t:,,\C'iV. . "l~,~f;;, .- Q'tv....r.r..f'-.,J.... Current Units: av;:Jco..\~\~',qpr,o,Jios~a\Uhits:. .... e'{"'" 1\S . Census Code: Does not ~,.l2P'o/J Cef'W' Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: Total: Fee One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Mechanical Issuance Paid On Receipt# Mechanical 01/11/2002 7743 01/11/2002 7743 01/11/2002 7743 01/11/2002 7743 Value/Quantity Pressure tel Fee Amount $4,00 $41.00 $3,60 $10.00 .. Fee Job# 02-00036-01 Paid On Receipt# Mechanical 01/11/2002 7743 Page 2 of 2 Value/Quantity Fee Amount State Surcharge - Mechanical Total Mechanical 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 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 pro' . I further agree to ensure that all required inspections are req~ested at the Dro~er ti nd t th project address is readable from the street. / ~~ /-//-0.:2- / ~ ......... pI./ \....,/ s~n~u~ D~e $3,15 $61.75 $61.75