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HomeMy WebLinkAboutPermit Sidewalk 2013-5-15 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 hiliC Phone: 541-726-3753 OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00096 www.springfield-orgov 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: 5758 D ST,Springfield,OR 97478 SCOPE: ASSESOR'S PARCEL NO: 1702331405603 TYPE OF STRUCTURE: PROJECT DESCRIPTION: 10 feet of City sidewalk repair OWNER: FERGUSON KENNETH&BARBARA Phone Number: ADDRESS: 5758 D ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone 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. CCM 5r IC — I ,r Owner or Contractor Signat Date ATTENTION: ore �I rPEE: follow rules g0n law r PERM g Notification _adopted by the prefes You to frHDP,1ZED HALL EX ;;