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Permit Sidewalk 2013-11-21
SPRINGFIELD 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR 97477 Kai' Phone: 541-726-3753 Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00222 www.springfield-or.gov permitcenterQspringfleld-or.gov PROJECT STATUS: Issued ISSUED: 11/21/2013 EXPIRES: 05/20/2014 STATUS DATE: 11/21/2013 APPLIED: 11/20/2013 • SITE ADDRESS: 548 G ST,Springfield,OR 97477 SCOPE: . ASSESOR'S PARCEL NO: 1703352110200 TYPE OF STRUCTURE: PROJECT DESCRIPTION: City(15 feet)and private sidewalk(10 feet)work OWNER: COONEY HARRY M • Phone Number: ADDRESS: 548 G ST SPRINGFIELD OR 97477 OWNER: GUEDON RACHEL A Phone Number: ADDRESS: 548 G ST SPRINGFIELD OR 97477 • • 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. Owner or Contracto/ ignature • Date • , • Springfield Building Permit 11/21/201 1:56:50PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 i 0:EGON 541-726-3753 811-PW2013-00222 www.spnngfield-or.gov 548 G ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013002552 RECORD NO:811-PW2013-00222 DATE: 11/21/2013 !o] .Yii • Eci 1i,-a.2 rilit . _. .L. - .§ .;._:,- :..11; , ; A6COUN CODEFERANS coDE'01AZItiCin A a 1 0 =DUE Sidewalk Repair 201-00000-428060 1142 34.00 Technology fee(5%of permit total) 100-00000-425605 2099 1.70 TOTAL DUE: 35.70 ;FAY.MENTAT,` E P,AOR iiiii:ICwILSON COMMENTS AMOUNTyP.AID Credit Card Tom Rogge 548 G 35.70 02943G TOTAL PAID: 35.70 • •