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HomeMy WebLinkAboutPermit Sidewalk 2013-5-9 SPRINGFIELD - - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 • ' Phone: 541-726-3753 OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00089 wwwspringtield-ar.gov permitcenter @spring field-ar.gov PROJECT STATUS: Issued ISSUED: 05/09/2013 EXPIRES: 11/04/2013 STATUS DATE: 05/09/2013 APPLIED: 05/09/2013 SITE ADDRESS: 960 16TH ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703362204603 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Replace 4 sidewalk panels OWNER: MCKENZIE MEDICAL LLC • Phone Number: ADDRESS: 541 WILLAMETTE ST STE 109 EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone - INSPECTIONS REQUIRED Inspections 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. ficiy,„H , //: S67/l o ner am or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by • calling the center. (Note: the telephone 3OMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification \NY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 5/9/2013 9:27:48AM Page 1 of 1