HomeMy WebLinkAboutPermit Fence 1995-10-06SPRINGFIELD
I'IINCII T'IIITHIT APPLICA'TION
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IIUILDING SAITUTY DMSI0N
225 North Flfth Street
Sprtngfleld, 0regon 97477
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INSPITCTION LINB:
726-3759
726-3769
C'TY OF
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Fcnce Permit is $5.00
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By slgnlng thls pernlt/appllcatlon, I agree to caII for an inspcctlon once my
fcncc has been constructcd (726-3769). I also stated that all lnformation on
this applicatlon/perrntt 1s corrcct and that I vas provldcd vith the Sprlngflcld
Dcvclopnrent code requlrcmcnts for fcnce standards
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FOR OFFICB USB
Date of Apprlcatlon,[o -(0- q5
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Checkcd for Dclinquencles , r,/Chcck.cd f or Ilistorical Status:
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Permit #:
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Issued by:I\JM Date: lO-U-qS
Statement: lnformation Notice to property owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appti-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and2, and either box 3,{ or 38
B 1. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
tr 38. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and thatl have read and do understand the Information
Notice to Property Owners Construction Responsibilities on the reverse side of this form.
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(Signature of permit applicant)
(White copy to issuing agency perrnitfile,
pink copy to applicant)
OR
(Date)