HomeMy WebLinkAboutPermit Sidewalk 2014-08-11SPRINGFIELD
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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