HomeMy WebLinkAboutPermit Sidewalk 2013-06-11I
ro#-t -- CITY OF SPRINGFIELD
Building / Public Works Permit
PERMIT NO: 811-PW201340114
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
I nspection Phone: 541 -7 26-37 69
Fax: 541-726-3676
permitcenter@sprin gf ield-or. gov
EXPIRES: 1210712013
www.springfl eld-or.gov
PROJECT STATUS
STATUS DATE:
lssued
06t1112013
ISSUED:
APPL!ED
o6t11t2013
06t11t2013
SITE ADDRESS: 500 S 48TH ST, Springfield, OR 97478 SCOPE:
ASSESOR'S PARCEL NO: 1702324407300 TYPE OF STRUGTURE:
PROJECT DESCRIPTION: Remove and replacement of several panels in the public area at Westwind subdivision
under PIP warranty
OWNER:
ADDRESS:
OWNERS ASSOCIATION FOR WESTWIND ESTATES
2464 SW GLACIER PL STE 110
REDMOND OR 97756
Phone Number:
INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
INSPECT!ONS REQUIRED
lnspections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon 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 or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
fu"0sL"^.q 6 t2-/3
t/ t(rf co l_mc.Owner or Contractor Signature Date
Springfi eld Building Permit 611112013 3:46:51PM Page 1 of 1
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