HomeMy WebLinkAboutPermit Sidewalk 2014-08-26SPRINGFIELD
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OREGON
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Building / Public Works Permit
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED:
08/26/2014 EXPIRES: 02/21/2015
STATUS DATE: 08/26/2014 APPLIED:
08/26/2014
SITE ADDRESS: 5652 D ST, Springfield, OR 97478
SCOPE:
ASSESOR'S PARCEL NO: 1702331405500
TYPE OF STRUCTURE:
—--PROJECT-DESGRIPTION:--one-sidewalk-panel-replacemenE-- ---
-- -- - - -
OWNER: REINHART DALE ROGER
Phone Number:
ADDRESS: 5652 D ST
SPRINGFIELD OR 97478
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.
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Owner or Contractor Signature
ill OT3CE:
ll SIS PERMIT SHALL EXPIRE IF TWE WORK
AU I'HORIZED UNDER THIS PERMIT IS NOT
CO1:lNIENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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Date
ATTENTION: Oregon law requires you to
follow rules adopted 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
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 8/2612014 9:66:56AM Page 1 of 1