HomeMy WebLinkAboutPermit Building 1983-9-14
.
" RESIDENTIAL"
APPLICATION/PERMIT
225 North 5th Street
S?2";n~fieZdJ Oregon 97477
BuiZding Division
726-3753
SPRINGFlEl..C
~
.Job !:aoo'ion,"J L.\ ~ C"1 t"'b.\ J \\e~ <?\~("P_
A83esaor: :"op N \"1 D~ ~~ \ l)
S..odioisicn, Q '-"@..... '\\..~\.~
Ta: !:at .~ \\'lC:()
~~'\. ~'t".~,,\.6...
':l.,.,.er: ~,,"pf>A~'" ~ ~
Addr<S3'~~. ~'!:b
City, r, '('\~\P_ . Oi~..cs...r-.\,
I
.
GeneM! ~~~~ \ \~ ~~_ ~ W".'6- LU ~f'l... -.p q" '-, \ ~"\ ~ "~.Q~'-~\l
P!limbing ~\ot'~ Y\.\~~~,~ \C\"~'"-"~~~,, "'-\~ "In-~'b (,,\~\~':\......Q'ir::.~
E!.ctrica!'?-..9/'. \~ 't:..'>I>'r:;}\P'i" l"\~')~"'~Cl. ~P"" '---.a.' ~~,('~. ~-\~'<<... "\"1-.I.\il.l q,~:.
:'feOhar.idr~~~"""'-Il'~"'\.~ c;t.~",\.\\\.<;u:....\t.y,'r f',~. t),C,C <.o1~1~ ~?-"!.\Ci
Co""tl"'oti~ L"""or .~Pt\ro"l ~'l,.. ~ :-c..L \;;, \.\C""'l.... ("Y'\,'~
!: is the responaibit.ity of ths permit ho1.du to ase that aU int1pe~"tions are r:tade at the proper -:im", t.l.:at ec:ch ~e88 is l'ea.:::.';:J
/'rom the street, and that the permit: card i.s 7..xated ~t the Iront of the property.
.Eui~ir4 ~;~i=io~ ap~ro~ed pLan s~~zz r~~n on the Eu~Zding $it~ at alZ'times.
?'?OCEDOPE FOR INSPECT!')" .i'~CUEST:CALL 726-3769 (rccorder) state your City desigr.ated ....;ob n!.l11':ber, job ad60css, type of in:;pec-;icn
r~questcd ~-~ ~hen you ~ll be ready 101' inspcction, Contractors Qr aw~e~s ncme and phone number. Requ€sts recei~ed befcrg 7:00 ~
:.'iZL be trrzde the same dc-:J~ requ.es~s made cfti:r 7:00 am tJilL be made t.~ ne:::t :x;.rking da-i'
y';"" City, Vesigr.ated Job Numba' Is, ~~ \ C\ ~~
l"/1' """'.1
n
n
n
..teai ticn
5.F~6S.
Ramada 1.
.'~ob-:. 1..! .~om3
Date of A?ptica:tic11
8-/-4 '3
:,'on=r~c=ors
~ i~D ,~-~ t~ n
O SITE IN~PEC':'!O;'l: :0 be rr:ade after
e..:cavat:..,;m., ~ut pM-or ;0 set u? of
l~s.
II~D!RS:'A3 ?~r:,'-f9I:lG. 2LzC':'prC,![ {
~!ECl:'...r.:JiCA~: ':'0 be made befor~ c:ny
work is =ovcred.
O POOT!,'iC ~ POU:lD,1TIC,'l: To be ,~e
after ;:;rencnes ,::U-9 e:::ccvat.?d ar.d
f:::rms are erect.ad, but ;;riv2' eo
pourir.g cencre:.;,
i~21G:~O!F..!!) ?:'r..:M2I:l~. Su::R. :J.ITER,
~ DRAI.'JAGE: To oe r.r::z':::e ;;'1"';01' ;:;0 fH-
U".g ;rer.cr..ee.
~E,~::'CCR Pr:..:;.'.~I.':C ~ ,',fF:CEAN[CA!,:
iJ!:j ~~(. be r.:aas 1;l't..;r ;0 ::nst"az.z.at:::on of
[Z001' ::nsuk:;icn or deckiT'..g.
~T .4ND 3E:A.N: To be ~adc p7""':'Ol' to
~ ~~~:alz.ar"':cn of ftoor insl.Olation or
d.eak-:.",.
. ()fJGH ?~iJ~~3!.'.'C. ?"-2~.r'?:!C~':. oJ '.f2r:.9-
ANIC).L: 10 'JO~~ ia ;0 be cove~ed
:q:;~z. ;hcs~ i,..s:7ec:::ior.s ;""::0.;;' ;;eer..
mads :ZT'.d .~?r?ve:i.
D F::.O::E:P!.ACr: .~01';0 ?k~I"'':; ~':'~c:.cing
.4::::' ::,b::'O:::~::a;:::ec-
! apprc:v~z. of rough pLUr..Ding, eZecrri-
caZ & r.:ecilani.zaL, Al.Z. "t"Oojir.g
bracing & chimn~ys, et~. ,~~St be
corrroLetc.d. ::0 WI''' i8 'to 0.;;' con-
. cea7.ed unciL 'this ins~ecticn ;..as
'been made and approved.
:~"..r =,rU'~I"G
~ f:"l,,,,,-:~... ,',0"
Pr.or.e: ~~<9 -~u..~\
Zip: ~ "\.\4('),:,\
DescPibe ;\'ork:
Value ~t ~€S':-.
_ Add.-es3
NSUL,J.TIONIVAPO.'? BARRI?:R INSP~CTION:
To be rr-.ade after alL insuktwn 12""..-1
required vapor ba:rriers a:re in place
but befere any lath, gypS'".ml boa:rd or
wZZ covering is cppZi.ed, and before
any insulation ~s concealed.
~ .JJf(.;"Au' mSPECTrO"I: .ro be mad.
~ after aLL ~dwall is in place,
but prior to any tapir.g ~
o
o
NASONFt!: Steel
beams, arou:ina
accordt:i-r.ce wi'th
2415.
i/OODSTOYE,: After instaLlation t.a
ccmpZ..ati:d~-'"
.
.~cce:::;t ,i:
EIJ! (0 I X
locatioTl~ bond
or vertica la in
Y. a. c. Section
I
I
O CURE & APP.WJACE AP.o/.Jrl: AfteZ" forms
.zre erected ou.t: prior to pouring .
::o~rete.
~WALX ~ ]Rr..T~'.~?: For al~ ~~~
~ ;~~te pavt.ng wt.;nt.Tl street ~gnv-
. of-'.;X;y~ to be made aft.ar aU exca-
vating .zcmpZete .j fom WOT'/( & zub-
base" ,"!".c.ter"~al in place.
O .':""E:NCP:: When compli:te -- Provide
gates or movabLe sections through
P.U.E.
o
Siqr.ed:
Date:
OJ),
er /ic.;p~
f
Li3C. ,it
Er:;ires
Fhon~
I DEgO~ITIO!.' OR .~,'OV::; 3UI~DIijGS
I.
~ Sani;iXr'd se-..Jer ~ap?ec. ::.t F1'..op~rt":1. Li."':e
~ Septi:: tank ~~~~d ar~ tiZLed with gr~~eZ
~ Pinal - ~~nabcve ite~s are c~~tet~d
~ ar.d when d~ol~tior. is ~ompiete or st~~~-
t"UI'e moved ar.c pr~:'3es cleaned up.
I NODi Ie Hcmes
~ aLocking and Set-up i...
~ PLumbing cannec~icns s~er and water
I EZectricc1. Connection - BZockirg, set-u=
---l and pLumbing connections nr...:st ;;e crp?r~l:~c
beforc request:ng eZectrical ir.s?ec~io~
~ Accessol"".i 3uil.iing
:J.Fir4l - After ;~rcr.es, skirting, decy.s,
et.z. are c::mpZetcd~
o
ALL project cor.di~ions, Juch as the ins=aZZation of street ~rees, ~~~!c~i~n of :he
req'",ired Zandacc.pil"'..g, t;;tc" rrrust be satis}'ied b~lore the BUILDING FI::,J.L ~an be r'2ctwest:;d.
0.~/...L ,'-rE~HA"'ICAL
~;"AL 2:2:::.0::;'::,.;:.
~.r"A' a"T~nT'IG- =. ".' a',
-:...." 41 .... l........, '. ~ r; I: -:n ~
~Lecc~~aL, ~ Mecha~~c~~
BuiLding In3~eation -ust be reoueGcea =~ter ehe Fir4l ?~u~bir~
Inspec-ciona [laVe been made and' approval. I
,:=]
" '::
,- ,
.ALL ,~!A.:IP.CLcS AND CLEANQUTS .'!US'!: BE .J.CC'2SS13LZ, ..1,;;J;./S?.'!~,':'!' :0. BE: :.~il,E?> :~T .':0 ~-']ST TIJ CI':Y I ~"".e of 2
. 1
I JOB NO.
SOLAR.CESS REQ.~Oq" 2
CeC'"J.:;an.c:J 'Jr'7U:1: Q - ~
lZor.e: ~
ILot Sq. Ft.;. ~\c..l
! ~ ,r !at C""erag< 'lilt",
I # of Stories \ I
!:otal 32igh' \Cl'~
I Topography ,
i .~~:: {~~~~
I~cc:e , ~H~:l
I
i
1:ar:::'C:r~
I
I Accesso!'''.)
I
TOT.~L
Is.D.c,
1.5 =
Buildi.,..g Pernn.t
State Su:rcha:rqe
Total Ch.a...-;es I
I IT!,\!
I !'i:-:ures
ResidmtiaZ [z bath}
Sanit.:z.r.,! Se'.Je'l'
I Hctezi
I Me\. ~Il')~ \C>. \
. Plumbing Pem ~
I
State Su:rcr..a...nge
Tatal Cha"'!'!J8S
,IITE.'J
I Res. Sa. fta.\CL\7....
I NaJ/E--tend Cil'C".J.i ts
Temporary SeI'"ln.ce
,
!te~tricaZ Permit
State SUI'cnarae
Total C"tU:X'ces '
I ITE.~
F'u.r?-..:Ice ET!j'S
E::haust Hood
I Vent F::n
I .
, ibcdstc-.;e
ID~
I
. I
Pernn-t I3su:::n.ca,
,I,fe::;..anic:=l permi t
,
State Surchcrae:
I
I
I
SeC".l.1"~tu
'f'r:rtr..7.. C}ar'::'t!!J
-- ~t'CRCACH.XE:.'T --
D2:;03i t
StOl'!:q6
Mainten...'"t'~~
Permi t
Total C}..arac8
I CurbC'.'
I SidewZk
I Fence
I
I E7.eatl'icai [abet
,
i ...fobi te Hame
: ~..~ :~~....V
I ?OTAL A.~!OU.'JT DUE:.ot
VALUE
(UC/..UC)
lilO.
h
I
1.l..J
1"0'1
I
I
I
I (/C. I
\ I
,\ I
~ I '1,.60
I i I
IlIS,a<"
-,
.....~~
I
',,' Building Value '&" Permit
""t. "
This perr;r:,t t.3 granted On the 'express. 'condition that the '~aid_ constl'Uation
shall, in aZl respects, cor.Jcnm to the Ordinance =dopted by the ~~ty of
S01"'~ngf'ieZd, :.r:c!udina ;he Zonina Crd-:..nance, reaulc::;i}~a the ccr:st~.l.n-:..cn
~A use of bui~dings,Yar.d m~y be~suspended or r~uoked;t cr.y time u~cr. vio-
I lation of c:ny ':J?':Jvisions7o[ saiC!.. Ordir.ances.
~. .'. .
I ,~.
. '-\ \, ~Ca5J ~\\I,) ~~~"
I ,~-~\
\(,,~ .OP-
e. 53
\G.q. ~.
I
I
I.
.\("), olio-
I
'n'S.ol> I
\.~C I
~c... ~ .
,
I
I
I
~,tISl-- I
I
I
I
I' Q-i'~~\
[.OT :Y?E
In:eerier
:;::::--Co""e~
Panhandle
CUL-de-sac
x
Value
FEE
I
I
I ?~OO
CHARGE
, 1:..1C). os-
I~~--
I \.I.\b
1%.4.0.
I
I
Cli.J.J?Gc
I
Q.'::>.~I
I '
:;'EZ
I
I (... !>>-
L..\.(p
q,SS!--
Ct!~.RCE
2..l.\ . 6C>
98
C)5 .l..\<<
I
I
I
I
I
I Jl-
I 1>\-. .
~c..~.BJ>
~~CoJI'~61
.
I
I
I
I
I
I
I
I
I
j
L-COG"l:'
3ec..roor.:s: 1'.
I
I
I 2.L.
I'NO'!'th
East:
ISou th
IWest
~\)
r I ~ner:71J Sources
II .iea; ~\.~r
Access. I I
II
Ilv
II
II
T:;r:e
Ti:ipe/Cor.s~:
Lot Faces . ~ ....~
Setbaaks
House I Caraae
\~'(i' I
op.'~.- J
; t1.;<"" 'I \C\
:';at;er _,,:'p.~~e't'
_ Range
:-::reo~aae (.J C-~,r-(>
:looa:zt:o:;e
-- Fees
~ . :
~.
9\~.. (') 0.0
-...\'0'
.'
I Plan Cheak Pee: 'l \ . ~
"'6-\-'t~
C, \ \.\ <:j(~
I Date Paid:
IReaeipt H:
IS;g,:ed:
,
Plumbing
Permit
, No perS'pn Dhall constzoo..:at.. instaLZ.. aZter'-ol' chq:nge czny I".at&) or e--istir:g
plumbing'or drainage syst~ in whole or_in pcu.t~ unless such ;erson is tr~
legal possessor of a valid plumberls license.. e%cept tr.at a pe~son ma~ do
plumbing work to propel'~~ which is owned.. leased 01' operated by the appi.i-
cant. . .
~ ~ , ."
" - /'
.,or .
-,,' . . ....
.
Electrical Permi t
Where State Law l'equi1'6S tr.at the eLectricaL work be dene by an rte!!trical
Controactor.. the electl'ical portion of this pe!'mit shall. r.ot be valid. until.
the [,abel has been signed by the EZectro;aal ~ontractor.
Mechanical
Permit
..
,
<\-\ - ~~
uat;e-
I
I.
I
I
I
I HAVE CA1?EFULLY !XA.\fI;'lE:D th.e compLeted appli-aa-cion for ?ermit, end do
hereby certify that aU ir:fo~.ation hereon is troue ar.d C!;lTcct, tmd I
f..a>ther certify that any ar.d aU u;ork perf'o~ed shaH be done in: ac!!or-
dance :.nth tna Ordin....."'7tCes of the Ci.ty of Spl"";n.gficZd.. and th.z Lc..;s oj' ti:3
State of 01'eg"n p,zr-=-:ining to the work d.escr:"bad herein, c:T'.d :r.at ,va OCC!.J-
P.~!lCY viZZ be ,':rde of any struct'..4l'e without permission "f the 3u:.Zding Di.
vision. I fUrther cert~f~ tr~t o~Ly aontraators ar~ ~l~yees ~r~ are i~
camptianae with DRS 701.0$$ witl be used on this ?roj~ct
I.
d!!f4A/_L~
t;f;-/t/- 8'!3
Dar:.e
.
.. RESIDENTIAL"
A?P!..I~A'I'ICNIPERMIT
225 Hortn.5ta Street
S:n.....~r:cf':.eZc, Ore~on 97477
-.... ...
BuiZd~ng Jivision
726-3753
.
(0/(078
.~ccef..:<; ,j
:"b ,",c.'i~":"'Il.\ <?-. ~ l"~V ~\e_ ?\~('P_
A...s.or~ ."':t'? .f\'" D~ ~u. vr T= '"'t # \\cu:::::t::J
S""di"isic": ~:'-\le_\-~'''\.~ ~ ~'\~'<<;:"\.t"II.'\ _ ~,\ ~~,,\.A
:\.:ns", ~~ p~ r\. ~'C'\ ~'N"\~ "1 \. yo
Ar].d,o<S3:7:{,,{o. ~. \..~ 'lib
Ci:y: (\ )(',~ \.)e . C'J;~_.c.\C'\~
r7r'/~.,
n Add-:::ic71
n rl.:mo.:!aZ
r---l ~~b~Ze ~O~3
5FJ5t5'S.
Pr.on... Co~Co -C\u..~\
Zi?, C\"\llO~
:)escribe ~~7orf<.:
Dcr:a of AppHca::icn
8-/-4 '3 Value yt ~CS":-.
:1,;......_"'..~
G.mel'::! ~t'€'e(\(i", \ ~'(r\~ ~J.:("'. ~ W"'l\O.. (\)('1/'\ >E> 'l~ "\ ~1l?,~ G,q(",~~\
pt""Joir,g ~'Ql:'~ ~\~~'-\.\C'\ \(\'il~IU~'I"f''''~\- t;;..'-::-!,^P 'In-'1I?~ (,,\~~ ~'-\.5~~
!:!sce,..:ca!~'2.el\~ 'G.~~\"1l' c"\,.~ ')~.,~~ <;""'\(""') \.n '::"\\.Y',",,,,,,r~.\ ~-\'lqc, "r~qCj!4 C\~~
I "'eCMnidCs:;r-~~ ~\a..i..\ \\ft\.>.;,\ "\ c;t.,,<;-. ".\ \~....~ f', ~ ~C,O <01 ~I~ ~~
I CoJlt8tl'"'..Ie:i.:rn !.~p.1" ,~r\,...,..., ~""""'~ ~ ~ ~C"'\" ('\.'V'IPUe- !
- ,
.:,:0r:;1'::=:0::"8
"
Siqr.ed:
Date:
OJ),
CfjJ!:lp'Y
Lise. .,
E:::;ir;;s
Phone
!t ill th6 l'esp07lDibil.ity ot :'r.8 pemn.t holdc to see that aLZ. i11apecti01t8 are made at: :hlt ';ropeI" Hmc, that ecch =ddress is rea6=:.i
frorrr th. street, end that th. pcPmit card is i...:>cated .;;t the f1"011t of the property.
.3ui~ir4 ~;ui=io~ c:p;!'o~ed FLc:n sr~Z! l'enain on t~ auiZdin? Sit~ at alZ times.
?~OC~D(',>:?~ FI)R I,'/S!'~C':'!:JlI .:?!'~UES'1':CALL 726-3769 (record.er) state your City .iesigr..::zted :'oc n:.u::ber,'
r~ql.les-ccd a...,d :J.~en you ~LZ. be 1'eaa"y lor ir.spection, Cont:rac"CCl'S 01' Ot""n6:03 ncne end ;;lume nu:~1bcr.
-:.'iZl be made the same dc-:J, reques:-s .":Ic.d01 efta' 7:00 c:n wilt be mad6 the nc=t ;,;orkin..; da-:j.
:JpC'Ji...p,l ~,,~""~":r.?'!.~
O sr:!' I;'I~P~C-:!J.'/: :" be :rr.ce afta'
e.::,:oQv,:z=:..:m, ';:.It pr-:.C1' ta set u? of
f:noms.
~...--~-.~ :;!~L"""':"""C "'~"''''''''~--'r J.
I ,;;~~.~;~t,u.~ - ~~.~e "~:..;~;~~; ;ny
wor.~ is .;ovcred.
O ~O':'!:jG ~ FOU:!D,1TI~.'1: To be .-:cde
aft~r :renches =rg e=cavat~d er~
f:rrrt3 c..re .erect_d, but p!"i"l' -;0
pc:.lrir.g c:;ncret.;.
~~C.=:I)U:.'!) ?:'(;".{1r:,'~" Sz:.!:R" :J.I':'!.:?
~ D.~,;.-.'l;.t;Z: :'0 cO! r.r::...de ;rMo!" ;0 ~-'i.~-
l.ir.g ;rer.c:rods.
~~.~.r:':'Qc.q ?:"'j.',~:r.:c .'.fEc:!ANlt;,;,!.:
~ ,~~Lbe ~8 ~ric1' ;0 ~n3-ca'~t~on af
J~oor insu~::iC7l or dec:k.ir.g.
~T ..J.N!J 3E:.!.M: To be r.".aet: pr-:.~r eo
~ i;~tal~t~cn ol {'..OOl' ";r.s:.:lati.:m 01'
dedi",.
: ~ ?'O'''!:.'C. ",,,,,~r~A' , :-roC?-
. AJI~~~: JO ~c!"~ ia =0 :C co~e~€a
~=~l ;~CS4 ir$pec:i.;r.s ~~~~ =eer.
,~8 =r~ =?~r7'ei"
o F::~E.?Ul.,~~: _~.:or ~o ?z.c.~:"r.; .:c.~ing
a1'~~~~~';";i' .r.d ;,<fore ir=r-{j >"8FSC-
: .":'F'"tl~!.'fI:: NU3::';S l'e~~;;::-td ':1r';~r
! C?prcu~Z of rOwgh pZ~~inq, ~!~c:1'i-
cal 3 meci1an.i.::zl. Al.! raoiir..;
br~cing ~ Ch~CY3, e:.;. .~~s-c be
como l.ztcd. ::0 :JOr< ";s :" Oli ::cn.-
. cec'!otd tir.ci Z. thi:; ir.s~ec:--::CJt ;..as
. b€en rr.ad~ and -=;;pr'Q~ed.
:~""'A~:lr"'...r"G
~ t'i...I<w ~ _V.'.OJ...
,
Job ad~css~ typ6 of in3pe~~icn
Eequ-zsts receit:ozd ceJ--ere 7: GO ......
Your City. DetJigr.ated Job NUJ7rbco 1:;: '6~\ ~ 'l.~
/
rA'fVSULA.Z"IO.vIVAPOR BA:r/RE:R I:!S?~CTIO!l:
~ To be r.:ade ':liter all. insul.::.twn oX".a
required vapor };arrier~ are in pZaC6
C<.l.t bejel'e any Zath, gypS"...tr.I beard or
U1~Z. covering is cppZ.ied, and before
any ir.suZaticn ~s concealed.
~ z1f..lA~[' nlsp!:C'!'Ta."l: To be mads
~ after al.l. CrdzU is in place,
but prior co c.ny capir.g.
o
,~fASO!lr~"!: SteeZ
:;sams, aroutina
ac~ord.c:W:e wi th
241~.
Z.ocation, bond
ot' ver-:icc: ls in
u. a. c. Section
IOC:::OLITIO;'! OR :.:OY!; 3UILDI;iGS
~ Sani t.a::r;J se'.Jer :::apped ~t rr.:..o;U:-:'t':i l.ir:e .
=:J Sep:i? tank F".J?i:d c:r.d liZZed. uit~ ~::e:'
I Pinel - ;.'hen c::Xve i:e.-r:s are c:;::ml.oz'ti:d.
~ ar~ ~hen d~Z.itior. is compLete 01' St7~~-
ture r::ovlJa ar;ti ?re::ri.3es :::Z~an.ed up.
o
-,,;OODSTOY::: After instal.lation is
cc:rrp/..et.;d. ...
I Mobile Hc,-r.es
::J al.ocking and S.at-up .:. 1,.
=:J PZumbing c:onneo~~cns B~er and wat_1'
::J El.ectrical COnr.ection - BZockir4, set-u?
and pZumbirlfi conr.ections ",~st; ::e cppr:;l.:.zc
beforc reque8t:~4 eZeC:2M;cal. ir.8?ec=io~
~ Acaess:01''lo' 3ui~:.1".g
I Fi1"~l - Aft~r ;:;rcr.es, skirt~r.g, de:::~~,
~ etc. .are c~Zet~d.
o
A~l. pr~jec; ~or.di;~ns, J~C~ as ~he ~nsta~!aticn of atr2et =rees. ::~~!~z~n of the
req'.l.ired Zar.d3ccpir.g, t;tc., .7:Ust ::e satisfiad ::~iore ti:a 3{}II.:I::C FI:fA[, ::::11 be :'2'tol.9St.::d.
~["'r"fl;""":"""-"
;~ :....,.....,...._..r1.,..:..r1...
O CURB & APP.'?CACP. AP.>:?aN: Afte:, forms
~e 2re::ted but ,?riot' to pcu.ring
~1C1'etil.
~;{ALX d JR~'F:'If'A:!: For all. ~cn-
~ crete paving !.lititin strect right-
of-...x:.y, :0 be made af":21' aU Cttca-
vatir.q ca:roLete ,& ;-'01':':'7 lIXlrk & ;:;u.i;-
base ,;.cterial. in ?l.aae.
O ?"ENC'e: W1-..er. compZ.;te -- ?ravide
gates 01' movabZil sections through
P.U.E.
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~Z.ec:ri.::al, and Ueeha~ic~l
EuiZding I~s?.zction .~t be requea:ed Zf~2~ tr.2 ?~r~l ?!u~bin;
Ir.s?ec=~Qn3 :uwa been made ar~ a=v!"o~2d.
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State Sur:::;'.a2"qe.
Total C'Jo.a...---ge3
III'D/
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ResidzntiaL (1 beth)
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State Swocr..cw;e
7'~ta! Chc.'roes '
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'!'otal O.c:rces I
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."'fe::r.an-:.c::.l Perm{. t
State 5ur~~e
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I This p9~t i.:; grt:.nted on the ezpress condition tr.a: tr.s 'a.aid. constr'..u::ion
shalt, in a!l ~es?ccts, ~or.jcrm to the O~inar.ce =dO~ead by the C~:3 of
I SDM.r.a~.iez.J., :..r.c!ud-:.na 7.8 Zon~na Crd~r.ar.c:e, 1'<z~z..:.:;-:::I":a :;he ccr.s;;!"",.tc:;::"c71
::r.d u;~ of' :;u-:.Zd~nas, ~ ar..d m;::; be" suooen.ded or r~1}okei ~t cr.u ti,':-:e u~c:r. 'J~c-'
I !ation 0/ ""y provisions of said Crdir.ances. - I
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Fees
Building Value
&
Perm i t
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Plan Check Fee: ~4,}.'"
ICa;: Pa:.d, "'6 - \ -"6~
IRec<':pt N, C'" \ \..\ <:;(~
Is::g,:ed,
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Plumbing
Permit
Na person chen construct, ins:.::l!3 aZter 02' ahq.nge c:ny r"aL.l :::1' fl--istir.g
pZwnbing 01' dJ-.ainage syste:'lt in :.Jholo or in pcu't, w:Zess such person is er.s
legal possessor of a valid plumber's license, ucept tr.ct a pe:'son rr.ay do
plumbing work to proper~.J which is 0IJ7'.ad, 'Leased 01' operated ~y the appZi-
cant. /'
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Electrical Permi t
Where State (,a:J requires tr.at the electrical work be done by an Electrical
Controctor, the electl"".:.cal. portion of thi:J pe~t shatz. roOt be valiC. until
the label. has b€Bn signed by the EtectM.cal =ontraator.
Mechanical Permit
~
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Q~,~~\
C\-\ - ~~
vc~a
:r HAVE CAREFULLY SXA.\!I:1ED th.e compZ.2'ted appZ:::cation for ,;:'e!"l'l'lit. cnd do
hereby certi~y that all i~jo~.ation hereon is true and correct, ~ [
f'.I.!"ther certify that .my ar.d all ,.;ork Ferlom:ed shatz btl dons in. aOC':7r.
dance :Jieh tits Ordin:::nces of' the City of Spri.ngficl.d, curl ~h.z L~s oj" t::3
St.::te of O't'e6'.:m p$r-e....-ining to ths work desC'r"'~bad herein, cr.d. tr.a:;:, .VO -:CC;J-
p.~:lcr :.Jizz. os ,~de of any 3truCt'.uo,z lJitho:tt parnisJion ~i the 3u-:.Zding 0-;-
vision.. : fur"';h~r c-ertil:i ti-o..::t o:-:ly ~on:-r~:ors w.d e::rpl:;yees t.:r.o .::rs in
ccr.:pl~ance :.nth ORS ?01.05& wiH oe us6d or.: this '?l'~J'zct
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