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HomeMy WebLinkAboutPermit Sidewalk 2000-06-30225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1989 00009th St Spr AssessorsMap#: 17032613 Lot: Btock: Addition: Page 1 of2 Job Numbe r: OO-O1 037-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 03500 Subdivision: RESIDENTIAL PERMIT ^ City Of Springfietd Gommunity Services Division Building Safety ctTY oF OREGON Owner: Jeff Carnay Address: 19Bg gth Street Scope Of Work: Miscellaneous additional driveway permit Phone Number: City/State/Zip: New 541-746-1472 Springfield, OR97477 Value: $O Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3769. 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 Public Works CC-Second -After forms are erected but prior to placement of concrete Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? # Of Stories: Height (feet): Current Units: Proposed Units: Census Code:Does not apply (Sq. Feet) Main:Accessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Public Works Additional Driveway Total Public Works 1 $30.00 $30.00 Grand Total 06/30/2000 2413 $30.00 Job#-01 of2 ZAZoilt ./sig T?O: U]IH5U3 :35NUHX 00'0t $ i:flx3H IHU 0tr0I 0[ Nnr:]1u0 TT?TOOO-TO: $SNUUl FROri ,l'sumfcE Thc O'flOER to the iultl \, cOUtd tor 6l)No. tttc/]uvu 93s 746- PHONE ldrn fiEterns.c0rtditiont lssu/ilt{pultLy LU utv JUN. u ill I |,t)1).5APnpolby(ies)aw)lied lor end use hy the is suhicoaccept this lorm as d hittdc(. l._lo o u ECE ,nzalral Srmlrt&D uEilt0tDEB toss Payatle Endoremeat h Fayor d 0 lnsured,s Adfiets Al 4 4-q{ ,0,,,q6rtfr,1.s<ta ./o,/-, n^ _4trz , #l'r/* -4*r"z- /f VW !# Agent's lddree 31-U078 ?-06 I 500 I ,, {r<6-14' ntl,,cEn couEttoE l-J a.r.AI el Polley t6l6rrt Del, l-[ P-lt.["J ru.Offi,Ll rcc.crrr. E crg i Corttsten ["] rhururrUflIIE 0L!g'0r,.'t $ t,a s s $$sffirTr* L,t q Ao EJ f,oluc ttomr Srssullc @XPilY and I lo, Pleaso YEAA,AN0 :Ja l)?2 D cool.r,. s