HomeMy WebLinkAboutPermit Building 1987-08-03t-z" RESIDENTIAL..
APPLICATION /PERIIIT
225 Nov,th Sth Street
Springfteld' 1regon 97477
BuiLding Diuision
7 26-37 53
Job Inceticn:/'1" <37
Aesessone Map #rl oa= t 2-
Subdio"Jsion:
Otmer:€-4A
Address: K]t 4 O
ci , 13.r €nlC-
Describe Not'k:
Tzla/
4o fie TLoc<- aL d
4n,z A6( -
va"n?''{ 3 2- c) o '
SPFITNGFTEl-D
( i ri-f (",'/r,cp
Iaz lpt #o
Additicn
RemoCeL
,&ePA 4<
Exi'++lnle,(-ISiqated:,gJ
Date: A '1-rt1
Date of A.pp Licaticn 1-
GeneraL
3 44 -/oG 3PhoneJ/)
,<*
ELectrieal
14echaniccL
It ie the
ir@l the s
*p,,.'1).'--
resporzsibility of the penrlt holler
't?eet, anC tiwt the penrrtt catci ia
Diuicion eprou'ed plan slclL remain
located at the frcnt of the property
on the Building S1,ta at aLL tines-
to aee tlat aLL inspeetions ee nade at the ptoPe" tine ' that eceh cd.dress is teadnii'e
PP,OCIDUPE FOR II\SPEC?IOII RESUEST:CALL 7:
requested anti uhen gou uiLL be reatiy for:iLL be made the sone day, requests ma<ie
26-3769 (reeorder) state your Ci-ty designated job rutnber,
inspection,Conttaetcrs ot' Oumers ttane end. phone numDe?.
after 7:00 an rtLLL be made the ncst :sot'kirq day,
job aiiz'ess, tYae
P.equests recei"*ed
of inspee=icn
befcre 7:00 c:,gCBI
your CitA Desigra.ted Job Number Is:
Remtirprl
--1 fcormc 4 F)UNDATT)N: To be tnace
) ;Fer wenc;es zt"e etcauated and
fonns ate erected, but prioz' to
pourLng ccneret€.
-
uNDSRcpou::D pLUMpJN,_jEhEL_ tr!!E&,
)-Lirq trenches.
l Io be natje prior to instaLlation ofUI\DEPFLCCP PLUi,SII]G 8' I,IECIIANTCAL :
-1 SriE ritSPliiroll:il-!, I e.ccaratlon, but
--1 u:tDERSLAz ?LU43ING, !LEC?RrC,1L &
I IEC[!;:;;C;;: To be made beiore ang
uo?k Ls coDe?ed..
floor insul.ction or decking.
1 posl Lrl aynl: To be na<ie priot, to
-)
6;;;ti;t;of floor insulation ot,
decking.
.---1 ROUGT| ?LU:BI!]G. ELECTRICAL & I,IECH-
I
-
uriil tnese irupeetiors haue been
nade at"d. coproxed.
I FIPIPLACE: Pt-Lor to
) ncYeP*dL; arui before
?o be natie after
pz.i.or tc set up of
placirq facinq
franing inspec-
FP,AilIllC: l,lust be "equested afte?
approual of rough plur,bing, electri-
cal & necitanical. ALL tooftng
bracLng & ehinmeys, ete. nast be
cornpleted. llo ucy,k is to be con-. cealeci until this inspeetLon has'been ma<ie anC approued.
FTUAL PLUI.IBIIIG
FIIIAL I,IECIIAIIICAL
FTilAL ELECTRTCAL
TNSULA?ION/VIPOR BARRTER IIlSP|C?IC\I :
To b. r""" "fte" aLL insulaticn a'd
rea.uired oapot burie?s 8e in P1fce
bui belore oty 'l.a.th, Wpsum boatC ot'
tnLL eouering is applied, and' before
oty iwuLation is eoncealed-
DRYWALL fi\SPECTT1N: Ic be made
after-dT@uatT;,s in place,
but prior to any taPing.
WSOIIPI: Steel location, bond
6i6ijg"o"ti.ng or oerticals in
aceordotee Lrith U,B.C. Section
WCODSTOT,/E: After installation is
ecmpleted.
^ftr1f Tfrrall
^oDLtle',Ll/!V'. vtl BUILDI;:CS
Sanitazrl seser capped at ProPerti Lite
Septic totk ptnped add filled ttith gra;sei.
Pi-nal - Ifiten abcue itens ate ecnpleted
and uhen Canolition is eotwlete o! st:,uc-
ture naued od przrrLses cleaneC up.
I'lobile llcmes
Bloeking ord. Set-up
Plunbing connections -- sarer otd' uater
Electrieal Ccmnection - Bloeking, set-uo
and plwnbing conneetions tn:st be apprcteC
before requesting eleelr'Leal inspeeliott
Aceestory Bui.LCing
Eirnl - After pcrclzes, skirting, decl<s,
etc. ale completed.
CURB & APPRCAC'\] APPAN:After fornsee evecteC but prior to pouring
conc?ete.
SIDEWALK & DRIIEWAY: Eor aLL eon-
crete patsing uithin stteet ri.ght-
of-txA, to be made after aLL erea-
uatina canplete & fotn tsotk & aub-
base mater"Lal in place.
IENCE: h1ten conplete -- ProuiCe
gates op motsable sections through
P. A. E.
lI
l
l
ALL project eonditions, such as the i.nstallation of street trees, con-oletion of tie
requ.ired Landsecpitg, etc., mult be satisfied before the BUILDIilG FINAL can be requested'
ilNAL BUfLDIN7: The Final Building Inspeetion nu6t be requesteC cfter the final Plwnbitq
Eleetrical, otd Necltanical fhspections hqtte been nade ard approueC,
,ALL IIANHCLES AND CLEANOWS MUS? BE ACCESSIBLE, ADJUS?IIEIII TO BE T:.4D8 I? IJO C1ST TO CI?Y Page 1 of 2
4
JOB NO.5:/ soLAR AccEss REe.-t-co c*
Building Per,-ri,t
State
?otal Clwges
ITI!.:
Pi.ztures
Resiiential (1 bath)
Seuer
PLutnbing Pet::it
State Suz,ci.:eyce
LC! ?WE
Gra
fntericr
Corner
Panhandle
CUL-de-sac
Building Vcrlue & permit
This--perrnt is granted on the e,p?ess co,dition that the said. consttuctions^LnL.L, in all _respects, gonform lo the Crdinance ad.opted by the City ofspringfiel.cl, including the 'zoning cydinance, regulatirg tn"n iii"lro"t.t.",
T\.yun of buiLdtngs,. utd mzy be- sucpend.ed o, r"euokec"ot "*y time upon uic-Latlon of any prcoisions of said Ordinances.
Signed.:
Plumbing Permit
Ng pereon shall eonsttact, install-, aLter or clurqe ana ne, cy, ezistincqlwn2ing or drainage "y"-1"! in uhole ot in part, "unles"s
"""i, p"iioi-i.i-ttnlegal.possessot of a oalid plwnbet,,s LicensZ, e$cept tl,at a p'e?son nay d.opltnbing aork to p?ope?ta uhi"h is oaned, Leased o, operatei oy- tn" ippli-eant.
/Cor-st Eealoors:
-
[at Faces -
Setback s
P.L ilouse Caraoe Aceess Aate" llea:e?llo"th
East
South
West
SQ. FTC x VaLue
llain
Aecessct u 5q0)
TOTAL II,4LUE r-\3QO-
tuclu;)D.u.L. t.5 :c
ff). rD 132. sl /
laReceipt #:
CiliRSE
53.03
-
FEE
Nas/Eztend Cireuits
Seruice
Elecf rico I Perm i t
we?e stdte Las re_quiyes tLnt the electrical uork be done bg an Electz,ieaLcontraeto?, the electriccl oortion of tizis oermit siull nat be oalil. untilthe iabel i",as baen sigmed cy ilte Electrical' Contracto?.
\Lr \uc-\..AeA rr-v?e*,,,.F
I
Mechqnicql Permit
bhanst HooC
Vent Fdl
'icodstotse
Permlt fssuance
llecittnictl Perxtlt
-- EilCRAACHI.:ENT --
t
Parmit
)wbcat
;ideusalk
L Label
,lobile llane
f HAW CAREFULLY EXAUfNED the cornpleted aopLication for permit, cnd dc
hereby certify that aLL itfornation het,eon is true anC earrect, anC f
furthez, certify that any ard aLL aork perforned slnlL be dote in aecor-
dance tith the Ordinances of the Ctty of Springfield, anC thc La;s of ther State of Oregcn pertaining to the uork Cescribed he?ein, cnd tiu+- NO CCC!./-
PANCY uiLL be nade of any str'ueture uithout permission of the Building Di-
otsion. I fut'ther eertif'g that only cont?actoos an;d enplcyees uho ate in
eanpl;-ance uith oRS ?01.055 uiLL be used on this project
:'.f ag:l
-;'AL i.:iir)|' Dua:'5jE.1^
g 3 -tr7
Lat Sq. Ftg.
X cf Lct Couerage_
# of Stories
?otal lteight
Topogrzphy
t+-BD
-
Enerou Sou?ees Tute
i'incpLace
Hoodstote
Coace
\\lN,
i
..RESIP- NTIAL.." APPLTCATT)N/PERMIT
225 North |th Street
SprLngfield, }regon 9747?
Building Diuision
7 26-37 53
SPFTINGFTELD
Iour City Designated Job Nunber fs:.
#
4uf ,tr't I
,r.t{-..iIa-
Date:
ConSjratetiot_IendeL
GeneraL
ELectyical
l4echotical
Ramti ta,l Tv enan*t' nva
l_t ia the responeibility of the petmit holter to eee that aLL inopectiot'ts are nade at the prope! time, that ecch addrees is reaCabi.e
try--tlp at?eet, and, tlnt the petmtt card is Located at the fuant of the property.*AuiHing Diuicion appz.o"*ed pl-an slc.Ll yemain on tlp BunldinA Sftc'at aLL' times."
PRO2IDUPE- Foq INSPECU)N ?I.?UEST:CALL 726-3769 (yecorder) state you! City designated job ntm,bet,, job aCitess, type of inspecti.cnteQuestedanduhen gouuiLLbe ready forinspection, Cotttractot,s oi Oumeys nane andplnne number. P,equests receiibdbefcriT:00 anuiLL be nade the sone dcy, "eqrcsts nade after 7:00 a,n viLL be nade the neat torking day.
Job Locaticn:6 a ? zqzf
e-{DAesessote Map #?az Lot #6()
Subdiuision:
Anter:
Address -10 6,3(
ci zip: 7Z o
Value
DescrLbeLINeu
t-t
?{
4t\
Date of AppL ieation
Additian
RenoCel
Pege 1 of 2
SIIE INSPEC?I1N: ?o be nade aftet,
escaoation, but priar tc set up of
forne.
INFALATION/VAPOR BARRTER IIISPECTION :nEr!nf fmT^^, ^D
t,^tEt DttTf h-':ac
To be nade aftet, aLL insulaticn and
requit,ed oapor burie?s @e in plaee
but before ang Lath, gApsutn baatC ot,
unLL cooering is appli,ed, utd before
oty insulation i,s concealed.
ANDERSLAB PLUMBTNG, ELECTRICAL &
WCHAI\fCAL: To be made befoz:e any
uork is eot;ered,
FjOTrNc & E1UNDATICN: Io be rm.CeAfiAEencG-are
"acauated and
forns are eteeted, but prior to
pourtng ccncrete,
UNDSRGROUTID PLUMBING. SEWER, WATER,
pB4!U4e-: To be made pz,ior to fil-
@-Tidnehee.
AilDERFLOOR PLUI,ETNG & I,IECIIANICAL :
oy
floor insulation or decking.
POSI AND BEAM: To be nade priot, to
instalLaticn of floon ir*ulation ordeeking. ",;,
ROUGH PLA|BTilG. ELECTRTCAL & IIECH:
ANICAL: No uoy,k is to be co"^et,ed
-_-
mtil these inspeetions hanse been
made and approued.
fiPEPLACE: Pt"Lot, to plaeirq faeingmatetials and. before franing inspec-
tion.
FRAI.|INC: l4ust be requested after
apptoual of rough plwnbing, electz,i-
eal & meclunieal. ALL roofittg
btacing & chinmeys, etc. rntst be
, eornpleted. llo ucyk is to be con-
, cealed unti.L this inspection has?been mod.e anC appz,ooed.
DRYHALL TNSPECTTON: Tc be nade
-.,
after aLL dryuall is in plaee,
but prioz, to any tapirq.
I4AS1NRY: Steel Locati,on, bond
beans, grouting or oerticals in
accotd.otce LtLth U.B.C. Section
2475.
WOODSTOVE:
ccmpT;TA.
After installation is
Scrtitory sa,ter capped at ptopertii Li-r:e
Septic totk plonped and filled trith gratel
Final - hlten abcoe itens ote cctnpleted
and uhen Canclitior ie eomplete o" struc-
ture motseC and. pterrLses cleaneC up.
Mobile Hcnes
BT.ocking ord. Set-up
Plttnbing connections -- aa/)e? otd, uater
Electu tcal Connection - Bloeking, set-u?
and. plutnbing conneetions rn;st be apprcted
before requesting electz.Lcal inspecliol
Aecessory BuilCing
CURB & APPROACH APPON:ee erecteC but prior to
conc?ete.
SIDETALK & DRfIULAI: For all con-
c"ete paufuAffi street nlght-
of-uay, to be made after aLL erca-
oating conplete & forn tsork & sub-
base materLal in place.
After fonns
'pouyrtns
Finzl - After
etc. ote e,cmp
pct ches, skirting, decks,
1 ^L^)
FTUAL PLUAAING
FINAL MECHANICAL
FINAL ELECTRICAL
ALL pr.oject conditions, such ae the installation of stteet trees, conpletion of the
required Landscaping, etc., mtst be satisfied before the BUILDING FLNAL ean be requested.
ilNAL BULLDIN1: The Final Building Inspection mtet be requested aftet the Final Plunbing
Electrical, and. Meclnnical fnspections haDe been made and approued.
K qq
*ALL \LANHCLES AND CLEAN1UTS MUST BE ACCESSIBLE, ADJASTI\ENT v0 BE \L4DE AT N0 CCS? T0 crTv
71 YNce: h4ten conplete -- ProtsiCe
L)AAA o? mooable sectians through |-lP.U.E. L--]
T
r
z
SOLAR PCCESS REQ.-
Bedrooms:
fJOB NO L-co c
Ileat
Accesspr.House
Lot Faces -Iat Sq. Ptg. +
% of Lct Couetage
# of Storiee
Iotal Height,
Iopogrqhy
LCT TWE
_ Intericr
Corner
Panhandle
Cttl-de-sac
Building Vqlue & Permit
This permit is granted on the enpress condition tlnt the said eonsttaetion
slnll', in aLL rbspects, conformio the ordirwnce adopted 6:y the CitA of
Springfield, ineluding the Zoning Crdinance, reguLating the ccnsttacticn
and use of buildings, and may be suspended or reuokeC at cnA tine upon oic-
Lation of dnA prcoisiona of said 1rdinances.
. FTG Value
TOTAL VALUE
Date Paid:
ruEM x
*
Signed:
S.D.C. L.5 s
Building Pernrtt
?otal Clwrgea
State
Plumbing Perrnit
No person slnll constmtct, install, alter or cltange anA neu cr ecisting
plwnbing or dtainage systan in uhole or in pott, unless such person is the
Legal possessor of a ualid plutnber:'s L,Lcense, eseept that a pe"son may do
plu:nbing uork to property uhich is or,med, Leased or operated by the appli.-
cant.
N0.FEE UrufrUL
Sani Seuer
?ictu.z,es
Residential (1 bath)
Plutnbing Pernit
Electricol Permit
Were State Lan reEtires tlat the electrical uork be done by an Eleetrical
Contraetoz,, the eleetz,ical portion of this permit slnll not be oalil. untilthe Label lns been signed by the Electuical Contracto?.
o-Z h/j.-
-L
FEE
o
NC FEE
,
*
Mechqnicol Permit
Na,t/Ectend Circuits
Set'uice
State
?otal
bh.anet ilooC
llcodstozse
Vent Fdt
Permlt fssucnee
Mec?nnical Permit
-- ENCROACHMEN? -.
Qeew'tty Deposit
Storage
Mainteranee
Permit
Cutbcut
Fence
,s0
Mobile Home
#
PLan E&otrlne?uate
f IIAW CAREEULLy EXAttfNED the contpleted application fot, permit, and do
hereby certify that aLL information het,eon is ttue and ebrrect, anC f
furtket, certify that ang ard aLL uork perfozned slnll be done in aceoz,-
dance l,tith the 1rdinanees of the City of Springfield, and the Las of the* State of Oregon pertaining to the uotk Cesbribbd hnnb"n, an"d. tlnt No occu-
PANcy uLlL be nnce of aTta st"uctule tvithout pennission of the Buitding Di-tsisio-n. I fut,ther certifg that only eontz,aitors and enpicgees uho arb inconpliance uith 1RS 701.055 uiLL be used on this projecl
-1r/
3-s(-w
L
TOIAL /il40W? DUE:*q Pi.8>Signed Date
rTlM
State Swchanqe
Iotal CTaraes
Sideualk
,B
..-:??5r-r--,-i.f.{tr'r!dr}' :.:-1a.. .. j.t+i-. ..i,rr.L-..e. -:;.wi.:rff*,J.d x *,.,-,arr.rtr
" RESIDTNTIAL". APPLICAruON/PERIII!
225 North ith Street .
Sprtngfield, 1t,egon 97477
Bui.L&ing DLrsision
726-37 53
Job Iacaticn:37
Aesessors Map #rl oa.s t l
SPTIINGFIEI.D
k;("
Ia Iot #
'l z/a /
&!-op
Subdioision:
Q.mer:e
Aitd,ress: K78 t/ O
ci ,Eu C.
1A
Ort I tlll
t--l Describe Hork:
NeD
7 ^*rrr"n H et A 4e 4" Be-7Lr+c<- aL I
gx;r=+;!n!c, 4nalq
-
Siored:l-
Date: k-1-t1
Date of App
GetzeraL
Plwzbin_d
3 o
Phone:344-/t163+4
sc. i
ELectrlcal
lleciun:ical
Constntetiott Leaniet - -s--
It is ,he responribility of tle penit holdet b aee ttut aLL inspectiotts oe nade at lhe ptope, tine, tLat 2'sl1 aitirsse is rt2asrAiE
ftzn tha at?eet, and tizat the pertmt eard ie l^tcated at the frcnt of the property.aeuildi.W Dtuicion approt;ed ptan slcll pemain on t|tz Building Site at aLL' tines.-
P:?OC9DUPE, Fo4 IiISPEN2N ,W?ES?:CALL 726-3769 (recordet) stdte you City designated iobtequesteci ara. ulzen gou uiLL be reatiy for inspection, Cont?dctc?s o? Oone"s nane crui phone':tiLL be ttade the sone dcy, "eqttests maie aftez, ?:00 on viLL be nade the nczt:sorking day.
Rcati,ao,l T*qo^|t' na<
YolE City Desigrated Job ltunb* Is:
I ntoibe?, iob aiitess, type of insoee=ictt
ntnber. P.equests teceiu'ed befcte 7:00 ct
810s3 I
._] SM IIIS?i1!tull: lo be rm.rie after
I j er.catazlon, ouv ptlo" Ec sex ip oi
Jotng.
ailpgRSLAE ?LUtlBrNc. EtECl:LrCl-L 4lECM.l:iCAL: lo be nade befot,e ang
t,prk is eooered.
fcoruc ,, Foai\tDA?rcil: ?o be tmceafter crenches are eccaated and
fonns are ereeted, but prior to
pourLng ccne?ete.
tryL\llpou:tD PLnt4EIrlC, slloP, w.ATEj'?,
-
l.trq trenehes.
UTIDEPFLCA? PLU\EI|IG & I|ECITANICAL :
of
il|SULA.?ION /VAPOR BARRIER I!|SPIC?IOII :
Io be nade after aLL insulaticn ed.
tequired oapor boriers @e in pl.a.ce
bttt befcre ory Lath, Wpsutt bcarC or
rnLL couering is app!,led, attd. before
ory insulation is uncealed.:
DRYTIALL filSPEIf1N: lc be rmde
after aLL CaguaLL is in pla.ce,
but prior to any tapins.
lUSQllg: Steel Location, bond
tffilgrouting ot oetti.cdls in
accotdotee LrLth U,B.C. Section
24L 5.
WOODS?OYE:
ccnATetA.
After installation is
CURB & APPR1ACH AP.oQN: Aftet fornsd';;CAA-fr;V;lo" b pourins
cotLc?ete.
SIDEIALK 8 DRfIEWAY: Eor aLL con-
crete pauit'tg uithi.n street night-
of-txy, to be maCe after aLL esca-
tating caaplete & for-n wk & sub-
base natertal in plaee.
OP,
Sanilag easer capped at ptopcrfui Zhce
Septie totk p'"rped ad fi.Lled vtth gra;sei
Pinal - hhen abcoe itqts are eryLeted
ar:.d uhen Cqnclitiot is carryLete or at,rl3-
ture moued oi, pner,rlses cleaneC up.
llobile Hcnes
Bloeking od. Set-up
Pltnbi,ng connections -- ,?o otC uatet
Electrical Ccmnection - Blockittg, se'"-u?
and pluttbing connections ttr;st be apprct;eC
befote requeating electrlcal inspecliol
Accessory Buidittg
I
--1.J
l
l
floot insulction or decking.
I POS? Al19 BEAI4: 7o be nade pnior toJ ffi;iffi;of floor insui)tion oy
d.eckittg.
-I
ROUGH ?LUBI!\G. ELEilRICAL & I,IECH-
I1-
-
.w:til these inspeelians lnue beer
nad.e ard coorotsed.
1 r**ucti *Lon to plccira facino) ffi;G arui before'franini in"p"-o-
=&*,
U*", be requested. after
Z .ppr"url of rough pitrr,bing, electri-
a.L t necianieal. ALt roofing
.' btacing A chitmeye, etc. rrust be
i conpletcd. lto ucrk is to be con-. cecled until this inspeetton las'been nade anC approoed.
Pinal - Afte"
etc. are conp
pcrches, skirting, decl<s,
Le'"ed.
l
l
l
l
FIIIAL PLII!,EIIIC
PIIIAL I,{ECHA1IICAL
PINAL EIEERICAL
IENCE: hrhen conplete -- ProtiCe
gatei or mottable aecticns through
P.U.E,
ALL y,oject cotditiow, such as tle installation of slreet trees, eonoletion of the
rcquired Land.sccpirg, ctc., iluat be eatisfi.cd before the BUILDIUG FfilAL can be tequested.
PINAL BUILDIN7: The Einal Building fnapection truBt be tequesteC cftet the Final Pltnbing
Electtical, otC Meclutical lispectiona lstta been tad.e atd apptoued.
.ALL LTANHCLES AND CLEANOWS HUS? BE ACCESSIELE, AATUSAIEI|? ?O 8E I'IADE AT IlO C1SI ?O CIIY P4e7of2
tl
[+\"\
\a
u
T
tr
I
I
!
i
I
;
I
I
JOB NO.5S/ soLAR Ar -Ess REQ.-t-coc*
Building Volue & Permit
lhis pennt is granted on the eup"ess condition ttnt the said-consttaetionslnll, in a'l.L tespects, conform to the Ordtrwnee adopted 6iy the City ofSpringfield, includ.ing the Zoning Cvdinanee, regulcting the ccnstructicn
and use of buildings, otd nty be suspend.ed ot reuokeC at cny time upon uic-
lation of dng prctsisions of said Ordinances.
irot sq. rq.
il cf Lct Cctserage
| { of Stortes
It?otal f;eight
?opogrcphy
S.D.c. 7.5 r I
Euilding Permit
State
?otal Cltargea
TDT TWE
. fntetiot
_ Come?
_ Panhod,le
C'ul-de-eac
*
)
Sigxed:
\Beltoons:
-
Lot Pacee -Enetau Sourees Tute
lleat
Df House Canaae Aceess.Udte" !!eate"No"th
Eost FireoLace
South tlaoactote
Uest
-- Fees --
Value
l.lain
Aeeesscru 5qr)
TOTAL \'ALUE \^\3QO-
5r). tD
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Date Paid:2. sl
Reeeipt #:53.C)3
@EEE
.Fritures
Resid.znti^a.l (1 bath)
Sani Seuer
Plutbing Pez*it
State
lcta!
llezt/Ertetd, Circuits
Sentice
Petrit
Total
Plumbing Permit
No pereon slwll consttact, instal!, alter ot change cnA nel cr e:istingplmbing or drainage sAstan in uhole or in part, utless sueh person.is the
Legal possessor of a oalid plumbet's License, esceot th,at a pe"son na-g dopltnbing uork to Wope"tl uhich is oozed, Leased or opetated by the appli-
cant.
Electricol Permit
Wete State Ia,t tequites tlnt the eleetrtcal uotk be done by an glecty.ical
Cotttactor, the eleetriccl aortion of this permit siull not be oali.C, untilthe Label las been signed by the Electri.cal Cont"dcto?.
$or \\:c-\uAeA r':Ren,,.F.t
.;u'. I
Mechonicol Permit
*lwnat llooC
Vent Fan
tore
9ecari
Pentrtt Issuaee
l,leelaniczl Perrit
-- E|]CRCACHI.:ENT --
Pclrrrit
?otal Charoes
)utbaf-
;ideuaZk
"enee
.lobile H*te
f HAW CAREFULLY SXAifiNED t|e eornpleted appli'cation for permit, dnd d.o
hereby certify tlut aLL itfo:nation hereon is true attd eorrect, atz,ll f .,\
firther certify that any ard aLL uork perforned slatt be dote in aecor-
dance ti,th the 2rdinances of the City of SprLngfield, anC the La;s of thet State of Otegcn pet,taining to the tnrk Cescribbd herein, cnd tlat NO OCCU-
Pr'.ilCy ttill be naie of any st?uctu"a uithout permission of the Suilding Di-uision. f further eertify that otly eonttaetors ard. etplcyees uho are in
canpliance atth ORS 701.055 uiLL be used on this project
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