HomeMy WebLinkAboutPermit Sidewalk 2014-6-25 •
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-PW2014-00080
www.springfieldocgov • permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/25/2014 EXPIRES: 12/21/2014
STATUS DATE: 06/25/2014 APPLIED: 06/17/2014
SITE ADDRESS: 830 NORTHRIDGE AVE,Springfield,OR 97477 SCOPE:
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ASSESOR'S PARCEL NO: 1703261201116 TYPE OF STRUCTURE:
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PROJECT DESCRIPTION: Application for overwidth driveway
OWNER: MOLONEY DONALD F&MARY JO Phone Number
ADDRESS: 830 NORTHRIDGE AVE
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SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
INSPECTIONS REQUIRED `.
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Inspections q h,1,„
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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 emplo --s who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all quired inspecti. s are e. -s -d at the proper time,that each address is readable from the street, that the
permit card is I ted - e fron of the pc..e and the approved set of plans will remain on the site at all times during
construction.
Owner or Contractor Signature 63te
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Springfield Building Permit 6/25/2014 9:24:23AM Page 1 of 1 •
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