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Permit Curb Cut 2013-12-2
SPRINGi IELD 225 Fifth St IIIE`, -- CITY OF SPRINGFIELD Springf ield,OR 97477 r ► Phone: 541-726-3753 .OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00227 VA/Ail spnngfieid-or goy permitcenter©spnngfield-or goy PROJECT STATUS: Issued ISSUED: 12/02/2013 EXPIRES: 05/31/2014 STATUS DATE: 12/02/2013 APPLIED: 11/26/2013 SITE ADDRESS: 4401 HOLLY ST,Springfield, OR 97478 SCOPE: ASSESOR'S PARCEL NO: 1802052106800 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Second driveway OWNER: US BANK NATIONAL ASSOCIATION Phone Number: ADDRESS: 5373 W ALABAMA STE 600 HOUSTON TX 77056 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections il ,; �-0 ak 1- 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. c ,J., ��-� /2 - 2 - 13 Owner or Contractor Signature Date , , C.., soil Utility .i::r:-:I.7,s are set forth !....)TICE: it h ::.••.R 052-001- "c PERMIT SHALL EXPIRE IF THE WORK (. - r ,, i. •. _• , -- of the rules by I i ,f. t �ri��+ll@ IORIZED UNDER THIS PERMIT IS NOT - ' 1FNCED OR IS AEANDONED FOR t�'., 1.: " I_ ii,, titian• I'' 1 J-J Gtr 4,. 1 D.aY PERIOD. Springfield Building Permit 12/2/2013 1:01:12PM Page 1 of 1