HomeMy WebLinkAboutPermit Sidewalk 2014-6-18 SPRINGFIELD-..._.. 225 Fifth St -
CITY OF SPRINGFIELD Springfield,OR 97477
.41,5...!+,..,4'3'°
OREGON 4"--*-- Phone:541-726-3753
Building / Works Permit Inspection Phone:541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2014-00081
www.spnngfield-or.gov permitcenter @spnngfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/18/2014 EXPIRES: 12/14/2014
STATUS DATE: 06/18/2014 APPLIED: 06/18/2014
SITE ADDRESS: 2535 1ST,Springfield,OR 97477 SCOPE:
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ASSESOR'S PARCEL NO: 1703361102303 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: 2535 1 Street-Driveway repair . .
OWNER: FOSTER DOUGLAS A 8 GWYNNE L Phone Number:
ADDRESS: 2535 1ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
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INSPECTIONS REQUIRED q
Inspections .
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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 Co tr ctor Signature Date
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Springfield Building Permit 6/18/2014 1:55:56PM . Page 1 of 1
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