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HomeMy WebLinkAboutPermit Sidewalk 2014-5-27 • 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-PW2014-00066 www.springfield-or.gov permitcenter©springfield-or.gov • PROJECT STATUS: Issued ISSUED: 05/27/2014 EXPIRES: 11/22/2014 STATUS DATE: 05/27/2014 APPLIED: 05/27/2014 SITE ADDRESS: 568 17TH ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703362406100 .TYPE OF STRUCTURE: PROJECT DESCRIPTION: remove and replace two sidewalk panels,core drill curb face,install two drain lines to curb. OWNER: GEIDER MICHAEL H&DIANE M Phone Number: ADDRESS: 617 S 49TH PL SPRINGFIELD OR 97478 • CONTRACTOR INFORMATION 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 construction. --7 Owner or Contractor Signature Date • • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT • 0090. You may obtain copies of the rules by calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. • Center is 1-800-332-2344). -Springfield Building Permit 5/27/2014 4:11:31PM Page 1 of 1 •