HomeMy WebLinkAboutPermit Sidewalk 2000-8-4
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I Job# 00-01198-01 I
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01198-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 112 N A St Spr
Assessors Map#: 17033532
Lot: Block: Addition:
Tax Lot #: 01101
Subdivision:
Owner:
Address:
MAJOR FUNERAL HOME
112AST
SPRINGFIELD, OR 97477
Value: $0
Phone Number:
City/State/Zip:
Repair
Scope Of Work: Sidewalk
CURBCIT AND SIDEWALK REPAIR
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m, will be made the same working day, inspections requested after 7:00 a,m, will be made the following
working day,
Required Inspections
Public Works
Sidewalk
SW-Curbside
- After forms are erected but prior to placement of concrete
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq, Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity
Public Works I
08/04/2000 2784 1
New Curbcut
Total Public Works
Grand Total
Fee Amount
$60,00
$60.00
$60,00
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I Job# 00-01198-01 I Page 2 of 2
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information 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, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein, I further certify that only contractors and employees who are in compliance with
ORS 701,055 will be used on this project I also understand the City may inspect the work described
on this permit any time during a one year period following notice of completion, at the City's
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Signature - -
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