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HomeMy WebLinkAboutPermit Sidewalk 2014-08-11SPRINGFIELD v OREGON w .spdngfieldor.gov CITY OF SPRINGFIELD Building / Public Works Permit PERMIT NO: 811-PW2014-00116 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 08/11/2014 EXPIRES: 02/06/2015 STATUS DATE: 08/11/2014 APPLIED: 08/11/2014 SITE ADDRESS: 656 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352408100 SCOPE: TYPE OF STRUCTURE: OWNER: VANDENBURGH LAURA K Phone Number: ADDRESS: 656 D ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie 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. Owner ontraclor Signature Date ATTENTION: Oregon law requires YOU to �ieE: follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth TI IIS 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 COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD, number for the Oregon Utility Notification Center is 1-800-332.2344). Springfield Building Permit 8/11/2014 11:41:15AM Page 1 of 1