HomeMy WebLinkAboutPermit Building 1990-04-24#..RESID*\TIAL..
APPLICATtttN/PERI4IT
225 North Sth Street
SprLngfield, 2regon 97477
Building Diuision
7 26-37 53
I.lechanica
tri-ca1
Sir El-ect.r:ician
SPFIINGEIELDE
Iour City Desigr,ated Job Nwnbet' Is:
ol
Date:
It ia the reepons.ibLlitg of tte pendt holder to aee tlnt aLL inspec-tions ate nade at the proPet tine, that ecch ailtess is reaiable
fran the ettiet, atd ttat the pernit eotd ia Located qt .th3 ftottt of the -p"oPe?ty.i?uitdins b)oicion approted plan slc.Ll remain on tle Building site at aLL tines.
pRocEDUpE FOR INSqECIION R1QUEST:}ALL726-3769 (z'ecotder') state Aour City cesignated job ntnbet, iob acitess' type- of i.nspect^i'-cn
iy_7o"i*pection'cont?aetc"soia,,.,"-,o,,,eZndp7nnenunbel.P,equestsreceixedbefcre7:00cn.rtit te nade the sine dcA, requests-mcde afix ?:00 on trLLL be nnde the aestlmrking dag.
b
-rob Locaticn:/7oz 2b'2 I //o 7Assessore Map #Tas Lot #Ez/€sSubdioision:
A,mer:
Phone: 7/-35)address: ))s
e 7zipL;L
Descr"Lbe l,lot'k:
VaLue
TI Ila)
Qr.^r"z r\
t-Date of App Licatian
L
ffi'3Doec
Additicn l- tr.r,
Zoorvt--
b'+n
D',,^,lr
t rac tor s ak >)zGeneral
Plumbi
Blocking od' Set-ttP {h
Plwrbi.ng connectioru '- aa))e? otd' uater
Electrical Connecti-ott - Blockittg' lei-up -Zi- it*rtl"s connections trust be apprct;ed
i"fin" requZeting eleclrteal inspec!'Lon
Accessory tuilCittg
Einal - After pcrehee, skirting' decks,
ete. a"e c.trtrPleled,
Page 1 of 2
Reoul?ed ,Ln
K
x
SI?E INSPEC?I1N: To be tmde aftet R-7er;"ofihn;At prior tc set up of t|l
fotne.
UIIDERSLAB PLUIEING. ELECTRICAL &
WCHL\IICAL: To be made before anY
ffi-li-i6,tered.
Poo!!!G !P!!!4!!9Y lo be naCe X
INSIJLATION /VAPOR E.ARRIER IIISPICTION :
ToE,nai;a-ter aLL insulcticn ard
tequired oapor boriers @e in P?,ee
bui be|ore oty Lath, WPsum baaYC or
tnLL couet'ing is applied, attd before
ary iraul,ation is concealed.
DE\.|OLITIO!! OR
Sanitaty seuer capped at propent'1i Lix.e
Septic tank g'qed and filled tith gta;sel
linal - lfiien abctte itens are cctnpleted
arid uhen Cqtolition is eanplete o? st!u:-
ture maoed otd pt'emLaes cleaneC up'
I"lobile Hcnes
escaoa ted and
but prior to
to
floor insu ti,on or decking.
after trenches a?e
forns ate erected,
pou?ittg ccncreta.
PIIIAL PLUY;BIIIG
FIIIAL I4ECHANICAL
FINAIJ ELECTRICAL
?
to
of
PrLor to Plaeirq facing
and. before froning insPee-
DRYWALL II\SPECTION: Tc be made
4t""-dt@ilTis in plaee,
but pt'ior to anY taPing.
I,\ASINRI: Steel Location, bond
dZfrijgt'outi,ng or tterticals in
accordotee tLth a,B.c. Section
241 5.
iIOODSTO',tE:
attpTetea.
After instal'lntion isING
P1S? AND BEAI,!: ?o be nade Prt'ot to
ffiffiffi16{of floot' iwulation ot
deckirq.
ROUGH PLtnErilG. E\ECTRr?AL & MECH=
ANICAL: No uonk is to be eou"erea
GilT-thes e ir*p ections lnts aSb e er'
nad.e and. aPPt'otsed.
EIPEPLACE:
ncteriaLs
ti,on.
FRA].IING: Ihust be requested after
ffiiovit of rough plurbing' electrt-
&'L & neclnnical. ALl, t'oofittg
bracittg E ehinmegs, etc' trust be
conoleled. !1o ucrk ie to be cort-
. "nilnd until this insPection las
'been nade anC aPPro"*ed.
CURB & APPRCACH APP.QN: After forns
@e erecteC but PrLor to Pourlng
concrete.
|IDEWALI< & DRIIWAI: Eor aLL con-
-';;;-;atffi dffin stteet r"isht-
of-rxa" to be maCe after aLL esca-
,afina corplete & forn Ltork & sub-
base rmterLal in Place.
IENCE: When conPlete -- Protti'Ce
jfr6i on motsable eectians thnough
P.U.E.
l,ll project conditions, such as the instal-Lation of sltreet trle-1., co::Qleti'on of the
tequired. LanCscapirg,'LtL-.,'i"t be satisfiZ|-t,"foi"n- tin BUILDIIT:g FII1AL ean be requested'
ErNAL BUTLDTNG: The Final Building rnspection rrust be requested aftet the Final Plwnbing
b1 ;; ;;";;;:" oia a *rro,1 "ii i" p "' t-':o n"'hqu n b e en nade ard' appn oo a d'&
*ALL I4ANHCLES AND CLEANOIJTS MAST BE iCCESSIBLE, ADJUSTIIE\II TO BE I'ADE I'T IIO CCST TO CI?Y
CIr-L "/
tr
JOB NO
Iot Sq. Ftg.
% cf Lct Cctserage_
# of Stoz,ies
?otal Eeight
Iopography
Building Pemrit
State
Total Clnrges
TotaL
SOLAR ACCESS REQ.-L-COG*
Crt .r-l
LCT TYPE
-\-
LJ'!a-BeCz.oons
Interior
Corner
Panhand.Le
Cul-de-sac
Fi Lace
Building Vqlue & Permir
Thts penni-t is granted on the enpress condition tlat the said consttaction
s^ttal.L, in-a-ll l,espects, gonfonn to the Crdinance edopted liy the City ofSplr.ngfield, includ.rng the Zoning Cndinance, regulating thZ ccnstrwZticn
and..use o^f buildi,gs,. otd may be suspend.ed ot, reuokeC at c:ny tine upon uic-Latlon of any prcuisions of said }rdirances.
f HAW CAREF|ILLY EXLuIyEq t.le completed, appl.ication fo-2, permit, otd d.oPri?u eertify that aLL L"1or-itizi- iZinJ|", x"ue and cor,ect, and. rfut'then.centify that ony oid.-"it,ont-p"lryonred elnll be done in acco?_dance tith the odinenezs of the citv bf bp*t"sri.Jd, z"a*tiz i,Ls o1 tnes_?t-? ot-,-r?scn pertainins io the ,,p1r*2eiL";-tLh i.iZi,-ii"rii, ro occu_PANcy ttill be nade of anA- stzwetw,e uithout perniseion b1 ti. n;.Uing Di_uision' r further eLr-tiiE that otly'eoitii"to*" otd enplcgees aho dre inconpliance uith oRS 201 .b-ss uiLL be used. oi thiu i"oi.Z-"-"" ''
Lot t'ace{ -
Setbacks lleat f
DT iiouse Ca?age Access
North t4 /-2:tt
East
South
llest
fiELI SQ. FTG x Value
l,lain lA/-L"al 7 4t.zxtr
Cgaoe
Caraort
Aeeessoru
?O?AL VALUE ta.3QD
S.D.C. 1.5 o
Date Paid: 3
t#
Sigxed:
NEM NO,FEE CHARGE
Fi^rtures Plumbing Perrnit
No, person slnll consttuct, instal!., alter or c?nnge anA nea cr ecl,sting
qlwnb-iW o, drainage sAglq in uhole or in patt, "url.sL such person is- theLegal .possessor of a oalid glunber,s License, ezeept that a pbtson nag doplunbing uoz,k to propertg uhieh is oaned, Leased ot, operatei ty the "ppti_
Resil.zntial (1 bath)
Seuer
Planbing Perrit
State
Na,t/Eotend. cireuits
Electricol permit
where state La,t requirea tt".at the eleetrical uotk be done bu an Eleotniealcontracto?, t|te eleetnteal pontion of thia permit etall not"be uilil. untilthe l,abel lne been eigned ly the tleZtrical' Contractor.Sewiee
State
To Ba >BT*IIJ57) DY
E(&fPtkL nuT4-t
1
NC FEE CILARCE
,,s Mechqnicol Permit
bha$t HooC
Vent F@t
Vcodstote
Permit
Mechanical Pez,nrtt I C)
-- EIICROACEMENT --
Seeari
Petmit
Cvlbeut
Sidasalk
Mobile Horne
TOTAL AI4OUil? DUE: *fu3,4o
?o
.l/ c
Stot aoe
I4zintpnma
Penee
ELectnicaL
..RESIDEi ;IAL..
APPLICATION /PERI4IT
225 North Sth Street
Spningfteld, )regon 97477
ButLding Dtuision
7 26-37 53
SPFIINGFIELD
A^men:Harl ey Bj e1 1 a nd
Addless:2305 North 6th I'Tiortc: 747 -3532
S zip: 97477
tt ie the responsibi Lity of the petmit ho to see that aLL inspections ate nade at the pt'oper tine' that
tsui.lding Diuision appro"^ed P L remtin on the Building Sttc at
the ft'on t of the propet'tY
1 timest,J'ron the street,and that the permtt
Lan shcl
card is Located at
PROCEDUPE FOR 'I()t'|CALL 726-3769 (recordel") state yout' City Cesytgrn.
ncndl and
ted job nunbet', iob aCdae
phone numbet', Requestsliolt dL L be ieady for inspection,Contractcrs cr Alnets
made the eane dcy,requests mcde after' 7:00 an uiLL be made the neat'aol'king dag.
ecch cddaess is reaCabi'
:es, type of insPeclicn
receixed befcre 7:00 an
e
Iout, City Desigr,ated Job Nurnbet'toIr,
SI?E INSPECTION: To be nwde after
eo;"o;n;;; but priar tc set up of
fonns.
UNDERSLAB PLI.,IMBIJIC. ELECTRIC,IL &
MEcnLttICaL: ?o be made before anY
GiI-ii-its"ted.
PAOTINC & FOUNDATICN: Io be maCe
afiiF- t r encGi-iiiZx c au at e d and
forms are et,ected, but Pt:iot' to
pouring ccncreta,
l-l utsotacnouto ptuuttltc. sstqp. w.qr-:U..'
', I P34!!79E: To be nale PrLoP Eo JLL-
Lirg trenches.
UNpERFLOOR PLU\Ett1 4 I|EC.q.ANTq.AL: -T;E nad; wlor tA installaLton of
fToor insulction or decking.
INSULA'L'IER I 'ION:
To naCe a insulcticn
required uapot'batriers are in plaee
but before any Lath,gapslm bocinC or
Lied, and beforernLL couerinC is app
otg insulation is concea Led.
DRYWALL INSPEC\IION: Tc be made
afiet, alT'TiyuaTTls in place'
but pt'ior to cnY taPing.
MASONRI: Steel Location, bond
Sidijgroutirtg or: oeYttcals in
accovdanee'"tlth U, B. C, Section
2415.
WOODSTO'/E:
ccnrpTetA.
After installatton is
FIF.EPLACE:
nate;l;T;
POST AND BEAM: To be nade pniot to
insulation ot'6stattat'toi of fLoor
decking.
'+;N. & NECIT'ROUCH Pr,UltBUtC, Eug?t .= _ANICAL: No aork iE-to be cou*ered
frlTTthes" inspectior:s haue been
made and. approueT.
EYiov' to Placirul
and before frotning
tion.
FRAI'IINC: liusb be requested after
appronit of rough pltttr,bing, electri'
cal & nectnnical. ALI roofing
btaeing & chinneys' ete. nrust be
conpleted. lto ucrk is to be con-
cealed until this inspectton lns
been made anC approted.
PITI,AL PLUMBTIIC
FINAL MECHANICAI,
FINAL ELICTRICAL
CURB & APPRCACH AP.oQ!'l: After fonns
at" et'""tA-E;,p;lor" to Pouring
concrete.
SIDEWALI< & DRIL'Ul'lAl: For aLL con-
ct etenaoilrJ ,rln;fi st?eet right-
of-txzy, to be maCe after all etea-
oating con7lete & fotn mt'k & sub'
base naterial in Place.facing
inspee-
IENCE: hhtet eonPlete -- ProtstCe
jilTi or nouable sections through
P. U. E.
ALL pnoieab corxlttions, such as the i.nstal-Lation of street t1e_e_1., conPletion-of the
tetquined Laru1.sr:cp.Lt:g,'Lte., m,st be satisfiid befol'e the BaILDING 1INAL can be requested'
TINAL BUILDINC: The Finat Building Inapection rrust be tequested alter the Final Plwnbing-mo"tri.o,t,- iC Mechartc,tl Insp,ct';-o,o 'laon been made atd approoed'
XAT,T, I,IANIICT,ES AND CT]','ANOIJT! I!II::'I BI;: ACCTISSLRI,E, AD,IUSTIIT:NT TO 3E I'IIDE IT NO CCSY TO CI?Y
Job Locaticn:2305 Nor h
Tcs Lot llAesessore Map i
Subdioision:
Describe tt'orl<:
Additicn Complete wiring on home addition.
[-
-) n" oa.t
Value6/28/90
N et)
Date of AppL icaticn
Recei,
Date:
ll
6-rt/J-
ar
()enera I
P l urnb ir"rg
nical
calL. R. Brabham Inc.8699 12 90 747 -66II
hJIiIec t r
ElecrriciitnSrrpervn
DETIOLIIIOII OR
Sanitat'y seuer eapped at property line
Septic tank puryed artd filled uith gra';el
Final - Ifiten abcue itens are eanpleted
and uhen Cenoli,tion is ccnqlete or strl(-
tut,e notted and premises cleaneC up.
l.lobile Hcnes
Blocking and Set-uP
Plwnbing connectione -- saner and uatet
Electrical Ccnnection - Blookitrg' set-ut
and olunbinq conneetions mtst be apprctad
befire requZsting eleclrical i'nspea tiot:
Acoeseorg BuilCittg
Final - Aftet'pct'ckes' skirting, decks,
etc. @e canpleted.
P.].!1? 1 ol ::
et].Ilxpires ]
I
u
JOB NO.
Lot Sq. Ftg.
% of Lot Cooez,age
t of Stortes
Total Height
Topognaphy
SOLAR ACCESS REQ._L-COG+ '
BeCrooms
LOT TYPE
Interion
Corner
Panhandle
CuL-de-sac
t ll:
Sigted
I'Lrtrt Ercni.trcr DaLe
I HAVE CAREFU|LY EXAIIINED the cornpleted application for permit, and do
hereby cerLify that aLL itfonnati.on her.eon is true and correct, and f
furthet, certifu that any ard aLL aork perforned ehal.L be dpne in aecor-
dance uith the ordinances of the Ci,tg of Spningfield, an4 thz Lcae of the* State of 1regon pertaining to the dork Cescribed herein, and that NO OCCU-
P/,NCy uiLL be rnade of anlj structure without pennlsaian of the Buildi,ng Di'-
uiston. I further cet'ttf:1 that only eontt'actors and enplcyee€ t ho are in
conpliance uith ORS 701.055 t,ti,Ll be used on thie project
,{
,.'\r
Lot Faces -Etlerqu Sources Tu?e
Se tlxtcks lleat
Df llc.;use Carage Aaee:is Wate!. lleatet'
North Range
FirepLaceEast
Soul.h Woodstote
llest
-- I'ecs --
I?EM FTC x VaLue Building Volue & Permit
This petmit is (tranted on the erp?ess contiition thnt the said-constmtction
sfuill', in aLL r:espect;s, r:onfctmt'to tlrc 7rd.inance cdop.te,7 6:y the City o-f
SprirqfieL,l, 'i.neluding l:lrc Zoning Crdinance' regulaLing the ccnsttact;icn
and use of l;uiltlingl:;, antl mtt,r be suspen-ded or reuokeC at ctly time upon uic-
laLion of dntt lrpcDisions r';f stti.d )rdinances.
Main
TOTAL VALUE
S.D.C. 1.5 r
Buildingl Permit
Sf,ate Date Pairl
?otal Clanges
ITEM FEE CHANGE Plumbing Permit
No percon slnll constncl;, inslall, alter or elnnge 6.nA neD cr eristing
pltinbir4l cr drainage syste-n in uhole c,r in part, unless such pet'son i,s the
Legal p:oscecsor of a oalid pltmber'ts License, etcept that a pe"son nay d9.
plunbing utork to property uhich is otmed, Leased or operated by the appli-
cant.
Fiatw.es
Residential (1 bath)
Seuer
Plmbing Pernit
State
?cta
Electricol Permit
ilhere. lil.ttte l,aut requires l;lnt the electri.cal uork be done b1t an Eleettieal
Cotltractot , l.he elecl:r'ical porl;ion of thh pernit sltzl.L not be ualiC until
the Label ltts been aigne.cl by the Electz'ical Contractor.
Permit
lotal
ITEII NO.T'EE CHARGL:
ELee
4
ence ess
Neu/Estend Cincuits
Sez,uice
Eshanet HooC
Vent Fatt
Hcodstooe
CIIA}?CENCFCD
*
Mechqnicol Permil
PermLt fssuanee
Mechanictl Perrttt
-- ENCROACHMEN? --
Sectnitu Dewdit
Stor.dge
Maintenance
Pcrmit
Clsbcut
lence
Eleetrical tabel
Mobile Hone
,IO'I'AL AMOUNT DUE: *
Total
Si11ne.d Date
Sida'talk
..REsID \TIAL..
APPLJ.CATTON /PERITIT
225 llorth Sth Sty,eet
Springfield, 1t,egon 97477
Buildtng Diuision
7 26-37 53
Recei,
Date
SPFIINGFIELD-
res
General
L'ffi lnX #I3D
Job Loeaticn:
Assessore Map #
Subdiuision:
Otmer: 1
Phone:bAddress
Descz"ibe llotk:n Net)tutt-t
D ValueDate of
Additicn
RenoCel
ontrac S
ec tri,.C
c 1anEl-ec trSu
Pege 1 of 2
Plumb
l.lechanic
It ia the responsibility ot Pe?ftL
fron tlv ,*Suilding
penrit
'Lan sltalst"eet, ald that theNoisiol cppro"*ed P
t holdd to see tlut alt inspectiota ae nad,e at the p?oper tine' that eaeh cd.drees is tealabie
qti ia laated at rte frcnt of the ptopetty.
L renain on thE Building Site at aLL tines.
Iou" CitA Desigra.ted Job Ntttnbe:t Is:
,r1rtrrO, ,On ,ftrrOr1r ,rqWtrtCALLT26-3769(reeordet') state yout' City designated job
eady fot, inspection, Contractars ot' Outners nane end plane
t",til te made the s&e dag, reqttests-ncde aft& 7:00 an urill be nade tke nectlnrking day.
ntrabet, iob a&ir.ess, type of inspec=icn
nu-,ber. Requests receixed befcre 7:00 ctt
Pomti.no,.l Tncnoo
SITE INSPECTI1N: ?o be made afterqcilati;rl" iut prior tc set up of
forns.
ANDERSLAB PLUMBTNG. ELECTRICAL &
WCH\\IICAL: Io be made before anY
ffi-ii-iottered.
?OOTING & EOUNDATICN: To be rmCe
@et tr,ffis az,e *catsated artd
forns ate erected, but P?io! to
pourLng concreta.
INSULATION/VAPOR PARRIER IIISPECTION :
roE rrwD after aLL insulaticn aYd
required oapor beriets @e in Place
but before ory lath, WPsutn baotC or
tnLL cooering i.s appli.ed, and befote
ay insulation is concealed.
Sanitaznl seuet eqtped at pt'opartl; Lir:e
Septic totk y"a-,ped attd fi-Lled trith gra;sel
Final - llhen abcue itens are ecnpleted
ad uhen Canolition ia conplete o! struc-
ture nooed od premLaes cleatteC up.
Le Hcmes
DEI.IOLIT-
UND1RGPAUTp PLAMB TNG? Sgr!.TP'' .VATE1'
DRAfilAGE: To be rrude P?Lo" to J1,L-
Tfr-66nchee.
UT\DERFLOOR PLALEING & MECH4IT!941' :
To be mad.e pt'ioz' to instaLlatlon oI
floot, i.nsu7,ati.on or decking,
DRYIIALL INSPECTION: TC
lflS-f,17-$fiiTTis in
but prior to anA taPing.
I,|AS0NRI: Steel Location, bond
diffilgrouti.ng or uetticale in
accordatce tLth U.B.C. Section
2415.
,IOODSTO|4E: After irustallation is
a mpleted.
CURB & APPRCACH A?PQN: Aftet forns=: _d,e erecreC but pt"ior to Pcurtttg
eoncrete.
STDEIIALK & DRIIWAI: Fot aLL eon-_ |.:deteiat:fr iithin atreet night-
of-unu-. to be naCe aften aLL e*ca'
uLttni cawlete & for'n wrk & sttb-
base
-ncterlal in Place.
be nade
plaee,
POST AND BEAM: TO bE
G€frlffifc-i-of floor
deckirtg.
these
nad.e cvtd approtseC.
FIPEPLACE,
mateAA;
FTIIAL PLUMBIIIC
FINAL MECHANICAL
nade pr"Lot to
insul,ation or
lw:e been
No
Pinal - After
etc. ate cornP
pcrckes, skitting, decks,
Le'-ed.Prtot, to placir4 faeing
and before franing insPec-
tion.
FRlt]'!iltc: ltust be requested after
api;oGl of rough plwrbing' .electr"t-dL & nechanieal. ALI roofittg
braeing & ehinmeys, ete. rntst be
, anpleted. lto ucrk is to be con-
. ceiled utttil this inspeetion lns
'been made anC approtsed.
YENCE: ta4ten conPlete -- Proui'Ce
j&5i ,r norsable aectians through
P.U,E.
ALL proiect eonditions, such as the instaL^Lation of street tree_s-'- conpletion.of tie
required Landsccping, Lto., i"t be satisfiZi Lofi"" the BUILDIN1 FIIIAL can be tequested'
\INAL BUILDING: The Ei.nal Builditq fnepeeti,on mtst be requested aftet the Final Plumbing
'E
L ;; ; t";;;L:" Jd u e char-i e it i i
"
p n
"
t-r: o n s' hao e b e e n n a de atd' app r o t e c'
FIIIAL ELECTRICAL
*ALL I,ANHCLES AND CLEANOU?S TIUST BE ACCESSIBLE, ADJUSTIIEIII TO BE !4ADE AT NO CCST TO CIIY
0.]
#
e,?
Blockirry otd Set-uP
Plmbi,ng connections -- aa)e? d uater
Electrical Connection - Bloekittg' eet-up
ii plunbinq conneetions mist be apprct:eC
befire requ-eeting electrleal insptee"io:':
Accessory BttilCittg
L
Zone:
bt Sq. Ftg.
% of Lct Cote"aga
# of StorLes
Total Eeight
Iopography
soLAR ACCESS REQ.-L-COG+
Gro
LCT ?WE
_ Ini:erict
_ Cor+1eP
_ Panhand.Le
CUL-de-sac
BeCroons
Lot Faee;s -
DT House Can aqe Access.
Ilorth
Firep
South Wood.stou*e
llest
-- Fees --
Building Volue & Permit
This penrrJt is gtanted on the erpress condition tl@t the said eonsttactionslwll, in all respects, conform to the 7rdinance adopted by the City of
Spz"tngfield, inelu.ding the Zoning Cvdinance, r,egulating the ccnstrubticn
otd. use of buildings, and nag be suspended or reookeC at cny time upon oic-'La.tion of dtA prcuisions of said 1tdir,ances.
TOTAL VALUE
F?G x Value
S.D.C. 1.5 c
I?EM
l,lain
Building Parrit
?otal Chargea
State
Reeeipt #:
Plumbing Permit
Ilg pereon slnll consttaet, instalT-, alter or eltantge ana neu cr eristing
qlunb-ing or drainage sys-t-1n in ulole or in pant, -unles's sueh pereon is'theLegal.possessor of a ualid glawnbqrs LicensZ, eseept that a pLr"on nal doplwnbing uork to p?operty uhich is ouned, Leased o, operatei tg tlr" "ppli-@rtt.
N0.FEE UtIAIIUL
*
fiEM
?i.ctut,es
Resilzntial (7 bath)
Sazi Sa'ser
Plrnbing Perrit
State
Electricql Permit
llhet'e state Lan te-quiree ttnt the electrical uotk be done by an Electricalconttactot', the electrLeal portion of this permit slall rat- be oali.c untilthe Lahel \ns been signed by the Electrical'Contracto!.
-- EIICROACHMENT --
,
?otal
NC.TLL ClIARCE
*
Mechonicol Permit
Neu,/Ecteld Ci,cuits
Set uice
khanet Hood
Ilcodstoile
Vent Fot
Pertnt t Issuarce
MecTtanical Pernrit
Sectrttu Deoosit
Sto?age
Maintenanee-
Pernrit
Apbcut
Sidasalk
Mobile Hone
PLat't Eranine?uace
?otaL
f HAW CAREFLTLLy EXLVINED the eonpleted. application for pennit, dnd. doherebv eertifg that aLL r.n|oiattZi-i2""J1"'* trae ahi ebrreet-, anc rfut'tkez' .eertify that any ard aLL
"oo1r-
p"rior.ed elull be dpne in aceor_dance vtth the Ordinance.s of the ctty Zf bp,rtngfield., atd, the Laae of thes^*,t^?, oI .9"?gcn p.ertaining to the uoit< 1esL,r;tld t nnZ;r, *ra tut No occu_
:::,::.:-*tt,o: -ytn of an_y st"uctur.e uithout permissi,on of the Buitdi.ng Di_uLslon. 1 Jurthe? certify that only contractot,s and enplcgees aho arb ineotzpliance uith oRS 201.1-ss uiLL be"ueed. oi tnl," irii"oit
TOTAL AI4OU\I? DIJE: *ors,/-3 Date
9tt
JOB NO.
lllll
lence
EZeettical Label