HomeMy WebLinkAboutPermit Sidewalk 2002-4-23
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SPRINQFIELD
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I Job# 02-00365-01 I
Page 1 of 2
CITY OF SPRINGFIELD, OREGON
225 Fifth Street
Springfield, OR 97477
Location Of Proposed Site: 6842
Assessors Map#: 18020314
Lot: Block:
Owner:
Judy and, Larry Knox
Address: 93198 Ewing Road
Scope Of Work: Sidewalk,
,
sidewalk only
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00365-01
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To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m, will be made the following
working day.
Office: 726-3759
Inspection Line: 726-3769
Jessica Dr Spr
Addition:
Tax Lot #:
Subdivision:
03201
Phone Number:
City/State/Zip: Springfield, OR 97478
New Value: $0
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Required Inspections
I Public Works I
-After forms are erected but prior to placement of concrete
SW-Curbside
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Fee
New Sidewalk
Total Public Works
Grand Total
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Public Works
04/23/2002 8709
Value/Quantity
88
Fee Amount
$75.00
$75.00
$75.00
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I Job# 02-00365-01 I Page 2 of 2
By signature. I state and agree that I have carefully examined the completed application and do
hereby certify that all information 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. applicable City
Standard Specifications and Drawings. and the laws of the State of Oregon pertaining to the work
described herein, I further certify that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project I also understand the City may inspect the work described
on this permit any time during a one year period following notice of completion, at the City's
descression.
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Signature
Date
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