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Permit Sidewalk 2013-5-15
SPRINGFIELD 225 Fifth St FIE CITY OF SPRINGFIELD Springfield,OR 97477 Ce Phone: 541-726-3753 OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00095 vmnv.springfeld-or.goy permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/15/2013 EXPIRES: 11/10/2013 STATUS DATE: 05/15/2013 APPLIED: 05/15/2013 SITE ADDRESS: 6345 B ST,Springfield,OR 97478 SCOPE: ASSESOR'S PARCEL NO: 1702343101700 TYPE OF STRUCTURE: PROJECT DESCRIPTION: 10 feet of City Sidewalk repair OWNER: MELLOR STACY S&GREGORY G Phone Number: ADDRESS: 6345 B ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone ROGGE CONCRETE LLC CCB 183518 08/11/2014 541-513-1075 INSPECTIONS REQUIRED Inspections 9508 Sidewalk 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. � ) d ) 3 Owner or Contractor Sig1f a re Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility J(3I RMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth THIS P TICE in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telept COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). • Springfield Building Permit 5/15/2013 3:59:39PM Page 1 of 1