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HomeMy WebLinkAboutPermit Sidewalk 2014-08-11SPRINGFIELD ...... t - OREGON CITY OF SPRINGFIELD Building / Public Works Permit PERMIT NO: 811-PW2014-00115 Yw .spnngfieid�reov PROJECT STATUS: Issued STATUS DATE: 08/11/2014 SITE ADDRESS: 636 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352407900 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 641-726-3769 Fax: 641-726-3676 permilcenler@spdngfield-or.gov ISSUED: 08/11/2014 EXPIRES: 02/06/2015 APPLIED: 08/11/2014 OWNER: WILLIAM G & RITA S VANDENBURGH LIV TRUST ADDRESS: 3972 AMYX CRT SCOPE: TYPE OF STRUCTURE: Phone Number: HAYWARD CA 94542 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone INSPECTIONS REQUIRED Inspections By signature, I stale 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 r ontractor Signature Date '? t,t [ i U: I !;IS PERMIT SFIALL EXPIRE IF THE WORK All 1 I IORIZED UNDER THIS PERMIT IS NOT COiJ[,HNCED OR IS ABANDONED FOR ANY ISO DAY PERIOD. ATTENTION: Oregon law requires you to follow rules aclopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by callinq the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 8/11/2014 11:42:54AM Page 1 of 1