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HomeMy WebLinkAboutPermit Building 2002-04-22SPRINGFIELE' Job# 02-00475-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 ot 2 Job Number: 02-0047 5-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 03300 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 1038 00007th St Spr AssessorsMap#: 17033512 Lot: Block: Addition: ctTY oF SPR7NGFIELD, OREGON Owner: MichaelLand Address: 1038 7th Street Scope Of Work: Garage Phone Number: City/State/Zip: Demolish 541-9BB-4309 Springfield, OR 97478 Value: $O Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Gode: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection callthe 24hour recording at726-3769. 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. Required lnspections Building is removed J '. '.: A -r ?i from the site. r qHALL EXplRtr ltrTUtr \ir^Fr/ , .tr( 1Heioht (feet): .'Fl,ittLBe\f"aEpn ,, l!vl{bu full Handicap Access? Main Census Code: Does not apply Total:Accessory: Fee Paid On Receipt# Value/Quantity Fee Amount Demolition State Surcharge For Building Permit 8% Building Administrative Fee Tota! Building 04t22t2002 04t22t2002 0412212002 8697 8697 8697 $4s.00 $3.1 5 $3.60 $s1.7s Grand Total $s1.7s Demolition (sq. 1 Job# 02-00475-01 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 pertaining to the work described herein. I also agree to call for the required inspections as noted above (726-3769) at the appropriate times. I also state that I was provided with Lane RegionalAir Pollutions phone number and asbestos removal information. I further agree that the project address will be readable the street , and the permit card is located at the front of the property during S t Ll -A2_ 0 < Date