HomeMy WebLinkAboutPermit Building 1989-05-29#
APPLICA'I -JN /PERI4IT
225 Nov'th Sth Street
Springfield, Ot'egon 97477
BuiLding DiuisLon
7 26-37 53
.. RESID':NTIAL..SPFITI{GFIELD TIT
q.c\OJob Locaticn:
Assessore uoP I \Tas lat ll
Sttbdiuision:
Oumer:
Phone
Z
Addtess:
Desei"be L'ot'l<.:
,ldditicn
RenoCel
VaLue
LO
Date of App Lieation
rSracEorn
e Hcmes
/
Page 1 of t
f'
General
Plurnbin
l'lechanica
l.ec tr ca1
Superv Electr.itri;tn
It ie the
the s
!din4
SI?E INSPECTI)N: To be wide after
ercaoatlon'TE pria? tc set uP of
forns.
Date:
to see that aLL inspections ate nade at the p?oPe?
26-3769 (recordet') state your City Cesi
tine, that each addreas is readable
, iob aAirces, tYPe of insPec=icti
P.equests recei"^ed befcre 7 :00 a'iPnocEDUPE FoR INSPECTIOTT .E:QIEST:CALL 7
@ aiLL be ready fo-t'
u,iLL be nude the sane dcg' requests mcde
fron
responsibility oi tlte perrnit ho-ldet'
,tre'et. anC that the pernrt t card is
iviciot appro''-etl pLan svt:Ll renain
Located at the fnont of
on the Buildinq liLc at
Lhe property
aLL tines.
grated job
and phone
nwnbet,.
number.inspaction,Contv,actors ot oumers tntne
aftet 7:00 an urill be naCe the nctt :ntking day '
Yout, City Desigr'zted Job Nwnben fs:
L
TNSULATTON / VAPOR BARRr ER IttsP-EClr0N.:
To be maCe aften aLL insulcticn a"a
required uapor bawiers @e in Place
bui be\ore any Lath, WPsun boarC or
rnLL couering is appli.ed, and before
oty insulation is concealed.
UNDERSLAB PLUTEING. ELECTRICAL 8,
tttciLnlcal: ?o be nade before anY
ffi-ii-iirser'"d.
FOOTING & FOUNDA?ICN: To be nPCe
4*r Tfrti{62- e, c at; at e d and
forns are erected, but Pt'ion to
pouz.tng ecncrete,
Final - l{lten abcoe i'tens are eonpleted
and uhen Cemoli.tion is conplete or st!'Li3-
ture moued and prenrLses cleaneC up.
Blocking o'd Set-uP
Plunbing connectione '- aaile! anC uater
ol t
-
uNDsRcP,outtD PLUMDIN:, ssuEl' il.1TE:s)
I I DRAIilAGE: To be maae Prlot' to JLL-
Lirq trenehes.
l-f upomprcon pr,umn'tc a, ute!4ntc.mt
^l-) ?o be nnde prior to anstalLatlon oI
floon insulation ot' decking.
POST AND BEAM: To be nade Prior to
ffiliTT$G{of floor insulatton ot'
decking.
R)UGH PLUt'lBrllC. ELE.CTRTQA'.- 3 \4ECH:
nmrcer,: - u;-;o;t-rs. to be aouered
u Tthese inspectiotis haoe been
made aruT appnotted..
PIP,EPLACE: t)ior to Plceirq facing,nd;;A;G and before -fratning inspec-
tion.
!flAH!-UC: I"tust be requested after
@nffit of rough plunbing, electt'i-
ca7 & mec?nnical. ALL r"oofi.ng
bracittg & ehinmeys, etc. rntst be
eontpleted. Ilo ucv,k is to be eon-
ce61ed until this inspection has
'been made anC appro.*ed.
DRYWALL INSPECIION: ?c be nade
;fte; a-AT@;Afis in place,
but prior to cny taPing.
MAS0NRI: SteeL Location, bond
6e6{g?outing or oerti-cals in
accordance tith U.B.C, Section
2415.
WOODSTO'IE:
ccrrpT"tA,
After installation is
CURB & APPROACH APRON
ate e""ct;AT* wm
conc?ete.
Electnical Connection - Blocking' set-tt:
and plwnbinq eonneettons rrust be apprcted
befoie requZeting eleclr'ical inspec lion
Aecessory Building
After fornsto pouri.ng
SIDqI,\ALK & DRIVEI'LAI: For aLL con-
cr.et; paofrAtftn etreet right-
of-*:A, to be nade after aLL exca-
oatingl cotnTtlete & for'n tnrk & sub-
base naterial in Place-
FTilAL PLUI,IBIIIC
PIIIAL MECHANICAT,
FINAL ELECTRICAL
Ftrnl - After pcrches, skirting, decks,
etc. an,e eanpleted.
IENCE: tttten conPlete -- ProuiCejdlTi or mouable sectians through
P, U. E.
ALL p,ojecb aond.ibions, suah as the i.nstallation of street trees, conpletion-of the
requinerl Landsccping, ctc., nust be satisficd before the BUILDINC FINAL ean be nequ.ested.
FINAL BUfLDINC: The I'inal Building fnspection mtst be requeeted aftet the linal e:'lunbirg
Electnical, anC Mechanical Inspections ltque been nade atd approteC,
*AT,L IIANIICLES AND CLEAIIOUTS IIUST BE ACCESSIBLE, ADJUSTIIEIIT TO BE TL4DE A? NO CCS? ?O EEY
B
Soni.tary seaet eapped et ptoperty Lire
Septic tak p'u:ped and fi.lled tith graLel
I
n
JOB NO.
Lot Sq. Ftg.
% of Lct Couerage_
I of StorLes
Total Height
Topography
SOLAR ACCESS RE a-
LOT ?YPE
_ Intericr
_ Co"net
_ Panhandle
CUL-de-sac
t:
L-co d
BeCroons
Lot Faces -
Reeeipt ll
tler
*
I HAW CAREEULLy EXAILINED the conpleted application for permit, and do
hereby certifA that aLL information het'eon is true anC carrect, anC f
furthbr certifg that any ard. aLL Dork perfolrned slnll be done in accot'-
dance tLth the- Ordinanees of the City of Springfield, and the Las of the
State of 1regon pertaining to the wt'k Cescribed here'i.n, cnd tlnt N0 ocCU-
PANcy;i,tl bb nn,le of any structure uithout permission of the Building Di-
ttision, f further iertily that only contractol's atid anployees dho are in
eanpliance utth cRS 701.055 uiLL be used on this proieet
il,
5V,0V
!leat
Df House Can ar4e.Access
North
East It FirepLace
South tl
{,/est l
totc,
-- Fees --
Building Vcllue & Permit
This permit is granted on the erpress cond.ition that the said-eonstructionsltall, in all respects, confonn to tlrc 1tdinai;ce edopteC fiy the Citg of
Springfield, ineluding the Zoning Crdinance, regulaLirll the ccnsttucticn
and use of buildings, and may be suspended or yeuokeC crt ctxy time. upon oic-
Lation of any prcui.sions of said Ordinances.
Value
TOTAL VALUE
ITE14 X
L \4 q
*Signed
s.D,c. 1.5 *
Building Permit
?otal Clntges
State 7-t7
PLan Cheek [ee:
DaLe Pal-d
5a,
v. o>
Plumbing Permit
No person sltall consttttct, install, alter or cl.nnge c2nA nel) cr esisting
plwnbia4 or drainage systaz in uhole or in part, unless sueh person is the
Legal possessor of a oalid plwnber's License, ercept that a pe"son nay do
plunbing uotk to property uhich is oumed, Leased or operated by the appli-
cdnt.
NO FEE CHARCEITEM
Fi*tures
Residenti.a.L (1 bath)
Sani Seuer
Plunbing Penrit
State
Tctal
Electricql Permit
Where State Lau requires th,at the electrical aork be done by an Electrical
Contractor, the electrical portion of this pemnit shall not be ualiC until
the Label has been signed by the Electrical Contractor.
L Permit
NO
Nas/Ertend. Citcuits
Tenpcra"A Sertsice
Stcte
Total
NC,FEE
*
Mechonicql PermitFtrrnee BTU'S
khanst HooC
Vent Fot
Wcodstote
Pet:mLt fssuaflee
Mechanical Pemrtt
-- EIICROACHMENT -.
Securitg Deposit
Storage
Iiaintenance,
Permit
Curbcut
Sidanalk
!ence
Electrical ta.bel
Mobile Hone
,TOTAL AMOUNT DUE: *
Signed Date
ITNM
-€'
l ..RES'DENTIAL..
APPL,*+TION /PERMIT
225'North |th Street
Springfield, 0tegon 97477
Buildi-ng Diuision
7 26- 37 53
[]ener:r I
SPFIINGFIELD T
);l l'(li r ',11,li:i tr l-i's
Plurnbjug
ec tri
*^-)lt (-/,
Job Locaticn:
I'ax tol: llAssessorc MaP ll
Subdioision:
Otmer:
o \t-l I'liottc
zip
VaLueDate of Applica
h'orkn
n
,-
Le 'ilc'ne
,lddi ttctt
RenoCeL
Addtese
City:
It,ont r
l.lechan,Lca 1
S rrpe a'tj 1n lil er: t r ( 1.illl
It ie the responsibility of the petmit hoTler to see that aLL inspection$ are n;.lc at .!1t
from the street, anC tlat the pernrit eard is Loeated at lh-e front of the -pr"o.pctt11 .'rsuildir| D"lut:ion apptotetl plan slu:Ll rem,titt otl LIL€ Builrlinl ::iL,:,it,tLL tin..:s.
i/,.\frr' 1i-x1':, tl;ct ecch address ts realab'-e
,
.pnOCgDUpE pOR INS\ECTIIN R1QUEST;CALL 726-3769(reeoydet,) sl;ate yout, City ;lcsi.,1n.tted ,jol> ttmber, job ai,L'css, \!*. of ittspe-c;^L-ct;
eadyfot,inspcction,co,1tractar,sit:asnex's.r,;mg;ncpinnanuql;cr.Pequesisreceite,7befcre7:0Ccl
;-iil be nade the sane dcg, "equests made aftet, T:00 @n uiLL bc nade the nc*l;:.torki.rr^t ti'',q\lD)
IourCibyDesigr,ated,IobNunbr,:t' fr;: L 'IIt=/ II C
P,eauit,ed fnso ecti.cns
,I UNDIRGNOU!]D PI.UMETNG. SSWEP, W.|TFR,
DRAIIIAGE: To be rnaCe prior to fi.L-
TiQ-Trenches.
UIIDEPFLOOR PI,UI.E ING T, I|ECITAN.TCAL :
SITE INSPEC'iION: To be nade after
e-rcau;tl;n, b"t ptiot tc set up of
forns.
UNDERSLAB PLUMBING, ELECTRTCAL ,i
MECH{IIICAL: ?o be nade before any
ffiE-i{-iZuered.
F))TING & FOUNDATICN: To be rnaCe
a$;;-tr..,',ct; at, e esca,t ated and
fotns are erected, but prior to
pouning ccncteta.
io-ie-nad"- pti,tr. to L.nctallation of
floor insulction or decking.
decking.
ROUGI] PT,UIIBI!|G, ET,ECTRICAL 8 MECH:
ANICAL: No aork is bo bc aouere,T
GliL these i.nspections lnnte been
made arul approoed.
FfPEPLACE: Pnior to plccirrg facittgmaterials and. before froning inspee-
tion.
FRA!.'!ING: Must be requecl;ed after
appz,oual of rough plunbing, electni-
cal & nechanical. AL! r,oofing
bracing & chinmcys, etc. rctst be
completed. tlo t,scrk is to be con-
cecled until thts i,nspeeti,on has'been nade anC approoed.
INS||LATTON/VAPOR I:.4RR1l:ll M;;!-!',t: r!t ;l :
To be made after a/.L insul,zti.on it:tii
required tlapor barrie?s arc in 1'7.a,.r2
but before any Lath, gllpsun Lx:at,! ,;r
rnLL cooetingy is appli.ed, aru7 before
any insulation is concealed.
DRI'WALL ilISPECTI)N: Tc be mxle
afterZTT-fiiuatTl.s in p Lttc e,
but prior to any taping.
MASONRI: Steel Location, bond
Effiilgroutinil or oerticals itt
at:cordnttce aith U.B.C. Sectioti
24 15.
WO0DS'rOVt
ccnpT;iA
After ins tallati.on i:;
CURB & APPRCACII API?)N: Afte;" fonnsate erectA-iut pQor" to pourin3
concrete.
SIDEWA\,K & DRII'EIIAY: For aLL ecn-;"etenatfu-ff ii; street riqht-
of-uny, to be maCe after a1.7. erctt-
oating canplete & forn aork ,l cul:-
base material in place,
IENCE: h4ren conpLete -- ProuiCr:
gates or mooable sectiotts tltougl;
P. U. E.
.1,1;l: jc;,:i jr.rr.),'1, r?i-;).(; : L pt'Cpert.'t Li,:,^
,:,'1 ;i.. '.;r; l'r.'-:. 1 ::.j ,"'ll.:,1 tith ;rt-'.:-
!'tnal - 't"lteri ab.:r,e i.te:ns os"e ccnpleted
at;d then lenci.:.iiolt ts complete o/' stvl^:-
ture moue,l ati prenises cleaned up.
f1 posr ANt) BEAM: To be nade prio" to
J TGi;tT;rl;" of ftoor insulcztiotz ot'
FIIIAL PLUMBING
FINAL MECIIANICAT,
FINAL ELECTRICAL
ALL project conditions, suclt as the instaLlal.ian of sl-rtzeb 2r,3gs, .-'.':';'r1 c;"on ttf the
required LanCsccping, ctc,, mtst l>e saLtsfi.cd bcfore l;he EI.|ILDIIiC II\]AL:ctt be requested.
FINAL BUILDII,TC: The tinal Build+ttg Inspct:tion r:itsL b;: toquestei :j'i.,:t' Li;c !'inal ?lwnbin:;
El.ectrical, and Mechantc,tl In:;pect:ions lkil)a been na,.!e arrl ai.pr",-,u';,i.o
l.!t'i.i l.', iicne;:
tiLo,::ki:tg andSe c-u1;
I-l.tntbing aonnect'lons -- sa)er ani ualer
Elcatri.ccl Ccw:ection - Blocking, sel;-u.
anl plwnbi.ng c,;tui.eetiotts rn;st be apprcted.
beforc request-)rtg eleelri.cal inspec!io::
Firul - Aftcr ;crckes, skirting, decks,
etc. are c:mpleled.
A c c c s t; o r'r; ?ui Lii tn
.nrt.li, ] rr.l' ll
[]
*ALr, LIANilCLES AND CLEAN1UTS MUST BE ACCLSSIBL\i, AD,rtr5.i11;i1,7 r0 !i!.;:.ii1l .,,..,: u0
UAx\
&+c\ L
Page 2
JOB NO SOLAR ACCESS REQ.-L-CO d
BeCrooms
Lot Sq. Ftg.
il' cf Lct Cc-uet,ct,yc
# of Stories
Total Height
Topography
L(.\', ',l'Yi'ii
I r.t ct, tct,
_ L'ot t?er
_ l'anharullt
L'uL-dt:-s,t.:
ne
Receipt ll
b:
Lot Faces -
!leat
llouse (:d),aqe llater lteatel,
['lot,blt e
1,.:a:tt F'itepLace
South [,/oor]stov"e
l,/est
-- Fces --
Building Volue & Permit
?his petmit is granted on the etpress condition tlnt the sitid eonstraction
slnll, in all rbspects, confornt:to the crdinance adopteil liy Lhe City of
Spri.ngfteld, including the Zoning Crdinance, negulating the ccnstmtcticn
ancl ttse oJ'buildings, and may be suspended or reookeC at ct'ty tine upon oic-
Lation oJ'any prcuisions of said 1r,dinanaes.
Va Luc
TOTAL VA|,I]E
LjC Lilt:
Building Perttrit
Date Paid:State
Total {-1n:,r7es
f?T:N I;L,.Y
Stgned
S.D.C. 1.5 t
Plumbing Perrnit
No per,eon shall constmrct, instal!-, alter or clnnge cnll neD cr eristing
plwnb'ing or drainage syste:n in rthole or in part, unLess such person is the
LegaL possessor of a Dalid plwnber's License, except that a pelson nag do
plunl>ing uor.k to prope"tlJ uhich is otmed, Leased or operated by the appli-
cant.
t'ti t-:ctt.t!t(;l;;,f il1!'[:M
Fittuyes
Residential (1 bLtth)
Sani Seuer
t e1,
Plutnbing Pern-tt
State Sut,charoe
Electricq I Perm it
krhere State t,aus requires tfutt the electrical uork be done by an Electrical
Contractor, the electv,ical portion of this pernit shall not be oaliC until
the Labe'L ltns been signed by the Electrical Contractor.
-11'L:M :'tu
4
Nas/Ettend Circuits
Ternpcrary Settliae
Eleetrical Pernit
State
($?otal
ITlM 0!lilllr'1,;
htrn:tce PTUTS
Eshaust HooC.
Vent Fcn
-- L:NCROAL'IIIIE!('1' -.
Sec.,tritA Deposit
Storage
Maintenanee
Pcrmit
C\t'baut
Sideualk
!ence
Electrical Label
Mobile llcne
Mechcrnicol Permit
lle:lnni ael ['t't'ni t.
TotaL
*
W DatA
1r
I ilAVE CAREFULLy TXANINED tke completed appltcation for penn'it, and da
hereby certify that aLL itfornation het'eon is true and cotrect, and r
furthZr cer*"ii11 that any ard aLL aork pe*fotmed slatl be do.ne in accot'-'don.n wtth the" 1rdintnc-es of the city of springfield, and the Las of the
Stabe of Oregcn pertaining to the wtk Cescribcd henein' end tlnt NO OCCU-
p1NCy ;ill bL narle of any structut,e uithout pennisai_on of t\rc Buildtng N-
uision. f fw,ther iertii;1 tlnt only conttactons ai';d enplcyees uho are in
conpliance Dith CRS 701.055 uiLL be used on this project
/_,t-;
Wcodstote
Petnrit fssuanec
'10'lAt, Aivl]UllT DUti:'31 Signed
/4 ,0;
Da e
Z
Job Loeaticn:a
Assessore Map ll Tc* Iot ll *6
Subditsision:
A)ner
Addte-ss:Phone:?
zip:L1,
F<ry. S:Vv/<€-
>+r -/7> 6n,,4F ft|zz: /f4,c-
4-Zl^4 value
Describe htork:
Date of App Licatian
Additicn
RenoCel
ors
..RESIDtrNTIAL..
225 NOI'th Sth S;ITEEAPPLICAI--IN/PERMIT
Springfiald, }regon 97477
Building Dtuision
7 26-37 53
A-1{
Date:
1re
SPFIINGFIELD-
\ ut )
General
i'lurnb
l'Iechanical
ec t.r
Srr Elec tr:IN c].irn
DEMOI,ITIO!! OR !.iovfi BU
Sanitaty seuet, capped et property Line
Septdc tank pwtped and. filled tith gtatel
Final - hlten abcoe itens a.re ecrnoleted
and uhen dernolition is conplete'on ut*u"-ture noved and. prerrLses cleaneC up.
Ecnes
Blocking od. Set-up
Plutnbing connections -- sarer cnd. uater
Electrical Ccnnection - Bloeking, set-up
and plunbing connections mtst be apprcr:ed
beforc requesting eleclrical inspeclio::
Aecessory- Butlding
pcrckes, skit,ting, decks,
1^L^)
Fitnl - Afteretc. ate comp
It ie the reeponsibi-Lity _of-the permit ho_lder to aee that aLL inspeetions are nade at the propett tine, that aach cddress is t,eadabie
i1on1-t!e stree.t, and. that the-permtt cand ie Loeated at the front of the propenty.
'Building Diuicion appnot;ed plan shctl remain on the Bualdin:q- jib; at all bimes.
PR1C9DURE Po\ IIISPECTI1N.87?|IEST;CALL 726-3769(recorder,) state yout City designated. job ntmbet,, job aCij1ess, type of inspec:icti
:.311"",t^"1 1:d-yhn! you uiLL beieady for inspection, cotttraeton" oi asney,s"n;.neL"d pnoln nwbet,.' -pnqr;;t"
reLeii;'ed. b'efcre'z:ac cnisill be nade the sane dcy, requests nade aftar ?:00 an uiLL be nade the nect totking'day,
r SIIE INSPEC?ION: ?o be made after
eecauation, but pr.ion tc set up of
forms.
UNDERSLAB PLUMBTNG, ELECTRICAL &
WCH4IIfCAL: To be made before anyuork is cotsered.
FqOTINC & FOUNDATICU ?o be naCeafter trenehes are ereauated and.
fotms a.re erected, but prior to
pouning ecncrete.
,,1--1 uvosncnoultD pLaMErNc. ;EVER. w.,irER.,J
Lirq trenchee.
!!L\F|LO)R pLtlr.ErNC & r|ECttANrCAL :
of
floor ineulation or decking,
POST AND BEAM: To be mad.e prior toinstallatian of floor insulation or
decking,
tr
Iour City Designated Job Nwnbar fs
INSI,]T,ATION /VAPOR IIARRIT R I IISPI:CTION :
i; be,nade afte" dLL insulaticn-Ad
t,equiz.ed oapor barriers arle in place
but before ang Lath, ggpsun boarC ort*tLL cooeting is applied, and before
otg insul,ation is conceaLed.
DRYWAT.L INSPEC?TON: ?C
ifiet,'iTT-c,r.fraTT i s i,
but prior to any taping
be nade
place,
d)
MAS)NRI: Steel Location, bond
beons, groutittg or: uerticals in
accordqtce LlLth U,B.C, Section
241s.
WO0DSTOVE: After installation is
ccrnpleted,
CURB & APPRCACH APPAN: After fomnsue eyecteC but prion I;o pout ing
concrete.
SfDgltALK & DRIIIE\IAI: For aLL con-
e"e t;naorlg ;ltifr s t;reet right-of-tx:y, to be maCe after all erea-
oatin,gl conplete & forn u:ork & eub-
base mater.ial in place.
No
these inspeetions haue been
made and.approued.
FTNAL PLUMBING
PINAL MECHANICAL
ril-,
FINAL ELECTRICAL
FIPEPLJCE: Prion to plc.eirg facingmcLertals and. before ftatning inspel-tion.
FRAI'IINC: Iutust be requested afterapproual of rough plwnbing, alecbni_cal & nechanieal, ALl. roofing
bracing 8 ehinmege, ete. mtst- becompleted. llo wonk ie to be eon-
eecled unti.L this inspection las'been made anC approued.
IENCE: hlten conplel;e -- ProuiCe
gates or mooable sections through
P. U. E.
*Al.l' MANilcr,ES AND cr'EANoure MET BE ACcESStntfl, AD,trtsrlllv? Ta BE NADE AT rto (lsr ro crry
ALL proiect eonditione' such as b|rc installation of street trees, conpletion of the?equired Landsecping, ete., tmtst be satisfied. befot,e the BUTLDINb 1INAL canbe yequested.
PINAL BUILDING: ?he Pinat Building. fnspection m.Bt be requested. after the Final plwnbingElectrical, and Nechanical Inspectiorc itaun be"n noiu- ird.'"pprbind.
Page 1 o! 2
n
l
L-CO G*SOLAR ACCESS REQ.-JOB NO.
L.Access.
tote
t
LOT TYPE
_ fnterior
_ Connet
_ Panhandle
_ Cvl-de-sac
Bedrooms:
Lot Faces -
G"ot
Lot Sq. Ftg.
% cf Lct Cotsenage
# of Stor4es
Total Height
Iopography
Y ValueSQ. FTGI?EM
]uhtn
Ca,aqe
Ca?Dort
Aceeaaorlt
TOTAL VALUE
S.D.C. 1.5 o
Date Paid:
Signed:
Receipt #
Building Volue & Permit
Thispernrttisgnanted,onthee8pPesscondi.tiotttlwtthesaidconsttaction
sLruLL, in atL ,espects,"'ioi,|Zi'to-lin b"i.i.r*"ce adop.te'C liy the City of-ip"iibrliti, ineluding'til \o"lng crdinanc-e, r,egulatiltg the ccnstntcticn
oird u"u'. of LuiLdings,- "i'i- ^ry be" suspended or r'leuokeC at cng time upon uic-
Lation oy ony prcuisions of said Ordinances'
Building PeY'mit
Iotal Clnrges
State
Plumbing Permit
No pet,son slnll constvuet, install,- alter ot clnnge -any nel-cr etisting
;1r;;b;A ot' drainage "i"tk t" inoi" o' in part, inless such person is the
iZgi7,-w""u""oo o7"o ultii plii"''s Licens'e, eicept that a pelson ma's do
plmbing uork to p"op"|ty-,,iniii-i" o*"d, Leased o? operated by the appli-
cant.
Electricol Permit
where state Lau requites ttwt the electt'ical uork be done by an Eleotri'cal
cont!,actor" the electilc"l;;"t;;"-,o7 th.is -penntt stwll not be oali'C until
lllilitut,'has been signed ty the Electrical contractor'
--vl
FEENO.
I'I'EM
State
Sani Seuet
Fi-rtures
Residential (1 bath)
Plwnbing Pernrit
State
Net,/Extetd Circuits
Serwice
CIIARCENC.FSEI?lM
Fvrrace BTU ? S
Eslwnet Hood
Vent Fot
llcodstooe
Mechq nicql Permit
Pendt Issucnee
Meclnnical Pewtit
-- ENC&OACAMENT --
Secut"itu Deposit
Storage
Maintenance
Permit
Cwbcut
SiCa,taLk
.?OInbeL
Mobile llqne
2-779a tffi
IHAwIAREEULLygxA].tlNEDtlwcotrpleteilapplicationfonpernit'anddo
heneby certify *"i-ili- l"l'"'*tibn heneoi is tmte and correct' aruC r
'ir'"tnZn Lurtll.fy tn"t-i"a oia "it uot:k penfor'ned s?nLL be done in aceor-
dance vtth the onaiiai,ils- of the city of bpringfield, .attd. the .Las of the
* state of 0rescn p";:;;;;i;s''ti iiiiip aeezribba herein, cnd ttat N0 occu-
p!.Ncy tyitl be nace ;-;;;i" "t;";ii"," ul..ttiit perrnisaion of the Buildins N-
uision. r fut'ther certify tlnt only "onlio"'tore and enpLcyees uh'o are in
Lipl.l.""u'rl.tn ons iot."oss uiLL be- uaed on thia proiect
IotaL
,IOTAI, AI4OUiIT DUE: *2v,83
3?
\Signed
/%*a,^
e
House Caraae
ttSouthl
PLan Check lee:
l,lat et,
Total Clnraes
tezz x