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Building / Public Works Permit
PERMIT NO: 811-PW2014-00142
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PROJECT STATUS: Issued
STATUS DATE: 09/08/2014
SITE ADDRESS: 822 57TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
ISSUED: 09/08/2014
APPLIED: 09/08/2014
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfield- r.gov
EXPIRES:
SCOPE:
1702331101100 TYPE OF STRUCTURE:
City sidewalk repair due to tree damage and water leak
OWNER: ALLDREDGE DAVID C & DIANA Y
ADDRESS: 822 N 57TH ST
03/06/2016
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lic No Lie Exp Phone
Inspections
9505 Sidewalk - Curbside
RODNEY 1 ROY CUMMINS CCB 141771 03/24/2016 541-689-8959
INSPECTIONS REQUIRED
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 fropt of the property, and the approved set of plans will remain on the site at all times during
Owner or
POTIC:E:
7111S PERMIT SHALL EXPIRE IF THE WORK
AU11iORIZED UNDER THIS PERMIT IS NOT
COii'lMENCED 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 916/2014 9:07:45AM Page 1 of 1