HomeMy WebLinkAboutPermit Sidewalk 2014-3-31 SPRINGFIELD 225 Fifth St •
' - CITY OF SPRINGFIELD Springfield,OR 97477
- `_- Phone: 541-726-3753 .
OREGON Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2014-00043
www.springfeld-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/31/2014 EXPIRES: 09/27/2014
STATUS DATE: 03/31/2014 APPLIED: 03/31/2014
SITE ADDRESS: 2265 9TH ST,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703261204309 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: Sidewalk Repair
OWNER: HEACOCK INVESTMENT LLC Phone Number:
ADDRESS: 6893 MAIN ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
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Contractor Type Contractor Name Lic Type - Lic No Lic Exp Phone
INSPECTIONS REQUIRED
Inspections
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
constru j•n.
3 - ..7/ - r
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Owner o Contractor Signature . Date
ATTENTION: Oregon law requires you to C:
follow rules adopted by the Oregon Utility FE!'Pt"IT SHALL EXPIRE IF THE WORK
Notification Center.'Those rules are set forth RIZED UNDER THIS PERMIT IS NOT
in OAR 952-001-0010 through OAR 952-001- i`•ICFD
0090. You may obtain copies of the rules by OR IS ABANDONED FOR
calling the center. (Note: the telephone ) DAY PERIOD,
number for the Oregon Utility Notification
Center is 1-800-332-2344). •
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Springfield Building Permit 3/31/2014 1:20:26PM Page 1 of 1