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HomeMy WebLinkAboutPermit Sidewalk 2013-7-23 SPRINGFIELD' 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 "S"L Phone: 541-726-3753 OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00147 vAvw.springfeld-orgov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/23/2013 EXPIRES: 01/18/2014 STATUS DATE: 07/23/2013 APPLIED: 07/23/2013 SITE ADDRESS: 504 S 3RD ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703353302800 TYPE OF STRUCTURE: PROJECT DESCRIPTION: curbcut for boring hole in sidewalk OWNER: CHAMBERLAIN WESLEY J Phone Number: ADDRESS: 504 SO 3RD SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED II Inspectons 9504 Curbcut—Standard 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 con truction. H I 04 IAL 7 2-3 ,20(3 Owner gr • tractor Signature Da • • Springfield Building Permit 7/23/2013 8:34:23AM Page 1 of 1 SPRINGFIELD-- CITY OF SPRINGFIELD 225 Pith St TRANSACTION RECEIPT Spnngfield,OR 97477 v .O REGON 541-726-3753 811-PW2013-00147 www.spnngfeld-or.gov 504 S 3RD ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013001609 RECORD NO:811-PW2013-00147 DATE:07/23/2013 DESCRIPTIONN *?L" '. tnN `,�."j.maL±L C_` ACCOUNT CODE/TRANS 1KSTof4 ! 'AMOUNT DUE22 Curb Cut/Driveway 1st Cut 201-00000-428060 1141 102.00 Technology fee(5%of permit total) 100-00000-425605 2099 - 5.10 � TOTAL DUE: 107.10 W AYMENTeTYPE BAYOR CASHIER iKWILSON COMMENTS _ AMOUNTkPAID Credit Card Wesley Chamberlain 107.10 083755 TOTAL PAID: 107.10