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HomeMy WebLinkAboutPermit Building 2001-9-10 .. '. ... I Job# 01-00978-01 I . Page 1 of2 SEP 10 2001/1:32 PM/$ 3.15 ACCT#:821-00000-215004 PT#:01-0006653/LITHIA TOYOTA JOB#:01-00978-0l ~ CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00978-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 863 Main St Spr Assessors Map#: 17033542 Lot: Block: Addition: Tax Lot #: 06900 Subdivision: Owner: Lithia Toyota 863 Main ST Phone Number: 541-747-3374 City/State/Zip: Springfield, OR 97477 New Value: $1 Address: Scope Of Work: Miscellaneous Tent Sale Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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, Final Fire Required Inspections I Building I -When all Fire Department requirements have been met. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Building 09/10/2001 6653 09/10/2001 6653 09/10/2001 6653 Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Grand Total 1 $45.00 $3.15 $3.60 $51.75 $51.75 " · · I Job# 01-00978-01 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 herein 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 of Oregon, I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project 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. - . _ _ ~"\ ') --6 9-/0-0/ Ignature Date ~"~t,.,~,~~(/~",~'.....G'..! !~"'i'r';-'.!!;'~""'~" ."'}.(.c, v.;"~,'.'. ''''/''.'.! ".',;'.."i,F. V/'i ',.C. V .l:;,:'<"'.f.Jl.:.'. \1.,";;; ;,'. ;:.,"".2."'. \r.''''''.,.', V'<',!"'V ."::!". 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