HomeMy WebLinkAboutPermit Sidewalk 2013-4- SPRINGFIELD - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Cc t s Phone: 541-726-3753
OREGON Building / Permit Inspection Phone:541-726-3769
Fax: 541-726-3676
PERMIT NO:
www.spnngfield-cr.gov permitcenter @springfield-or.gov
6f1— 0/3r' 600- 6
PROJECT STATUS: f.$SttgV ISSUED: 11121y/Z013 EXPIRES: (0/21/20/3
STATUS DATE: 1.00112(J13 APPLIED: 41I2{70.013
SITE ADDRESS: 6)O (townie," SCOPE: ,SIDEUArLe RGf112
ASSESOR'S PARCEL NO: 'Ri9b P-4-Oa, TYPE OF STRUCTURE: NA
PROJECT DESCRIPTION: Rrp.4LE Z bIN£A-t fen of pu8L1L 5;DCZJ/f I-R ADJ ALENI Tr) 610 CeJ7&) nAL
OWNER: CIT7 OF 3PRIP6Fi6ZP - Phone Number:
ADDRESS: 225 F-ISi1f Si Sp2/a6E/1ZD7 Oe (5q,) - Z - 3-753
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CONTRACTOR INFORMATION b
Contractor Type 6CL Contractor Name `fc go 4.6£ Lic Type co; Lic No 193 S/&Lic Exp Phone
L. INSPECTIONS REQUIRED
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Inspections Ow RI
By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all
information hereon 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 or Oregon pertaining to the work described herein,and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time,that each address is readable from the street,that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
r 21/44
Owner or Contractor ture Date
NOTICE: ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK fofiiicat rules
Center. Those Those the rulOregon
s are set forth
AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001-
COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by
ANY 180 DAY PERIOD. calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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Springfield Building Permit 4/24/2013 2:07:48PM Page 1 of 1